Рецепт. 2020; 24: 60-73
Разработка общего и частного алгоритмов фармацевтического консультирования пациента в розничной аптеке
https://doi.org/10.34883/PI.2020.23.1.006Аннотация
В связи с изменением функций провизора-рецептара розничной аптеки, связанных с необходимостью проведения фармацевтического консультирования пациентов по лекарственным средствам (ЛС), реализуемым без рецепта врача, по постановке диагноза (контроля верности самодиагноза пациента) и подбора ЛС, необходимым становится стандартизация этой процедуры с целью повышения эффективности консультирования. Исходя из этого, были разработаны алгоритмы общего консультирования и частного (при венозной недостаточности), которые позволят провизору соблюдать современные требования к консультированию и минимизируют вероятность ошибки при оценке симптомов пациента и рекомендации ему ЛС.
С целью оценки профессионального уровня фармацевтического консультирования в розничных аптеках Минска было проведено «интервьюирование» провизоров-рецептаров и фармацевтов-рецептаров методом «тайного покупателя». Проведенные исследования позволили сделать вывод об уровне консультирования в аптеках и необходимости дальнейших научных разработок в этой области.
Список литературы
1. Dremova N., Ovod A. (2007) Farmatsevticheskaya pomosch kak novaya forma obsluzhivaniya naseleniya [Pharmaceutical care as a new form of public service]. Aptechnyiy biznes, no 1, pp. 20–23.
2. Godovalnikov G. (2014) Samolechenie i farmatsevticheskaya pomosch [Self-treatment and pharmaceutical care]. Retsept, vol. 95, no 3, pp. 17–28.
3. Shamina Ya., Suleymanov S. (2011) Farmatsevticheskaya pomosch – novaya paradigma professionalnoy deyatelnosti farmatsevticheskogo rabotnika. osnovnyie terminyi i ponyatiya [Pharmaceutical care is a new paradigm of professional activity of a pharmaceutical worker. Basic terms and concepts]. Zdravoohraneniya Dalnego Vostoka, vol. 50, no 4, pp. 64–69.
4. Godovalnikov G. (2014) Informatsionnoe posobie dlya provizora pri realizatsii lekarstvennyih sredstv, otpuskaemyih bez retsepta, kak osnova kachestvennoy farmatsevticheskoy pomoschi [Information guide for pharmacists in the sale of over-the-counter medicines as a basis for highquality pharmaceutical care]. Retsept, vol. 96, no 4, pp. 24–33.
5. Orlov A. (2008) Espertnyie otsenki [Expert estimates]. Zavodskaya laboratoriya, vol. 62, no 1, pp. 54–60.
6. Burkov E. (2009) Metod obrabotki ekspertnyih otsenok s uchetom raspredeleniya kompetentnosti mezhdu ekspertami [Method of processing expert assessments taking into account the distribution of competence among experts]. Proceedings of the Gosudarstvo i biznes. Voprosyi teorii i praktiki: Materialyi I Mezhregionalnoy konferentsii (Sankt-Peterburg, Russia, April 20–22). Sankt-Peterburg: SZAGS, pp. 63–68.
7. Eytingon V., Kravets M., Pankratova N. (2004) Metodyi organizatsii ekspertizyi i obrabotki ekspertnyih otsenok v menedzhmente: ucheb.-metodich [Methods of organizing the examination and processing of expert estimates in management]. Voronezh: Voronezhskiy gosudarstvennyiy universitet, p. 44.
8. Chegodaev A. (2010) Matematicheskie metodyi analiza ekspertnyih otsenok [Mathematical methods for analyzing expert assessments]. Vestnik Samarskogo gosudarstvennogo ekonomicheskogo universiteta, vol. 64, no 2, pp. 130–135.
9. Yanushko V., Turlyuk D., Klimchuk I., Krasko O., Shestak N. (2016) Epidemiologiya hronicheskih zabolevaniy ven v Respublike Belarus [Epidemiology of chronic venous diseases in the Republic of Belarus]. Mezhdunarodnyie obzoryi: klinicheskaya praktika i zdorove, vol. 6, no 5, pp. 6–15.
10. Reestryi UP «Tsentr ekspertiz i ispyitaniy v zdravoohranenii» [Electronic resource]. Mode of access: http:// http://www.rceth.by. Date of access: 25.02.2019.
11. Baeshko A. (2008) Hronicheskaya venoznaya nedostatochnost nizhnih konechnostey [Chronic venous insufciency of the lower extremities]. Lechebnoe delo, no 1, pp. 53–63.
12. Alekseev S., Koshevskiy P. (2016) Narushenie venoznogo ottoka: uchebn.-metod. posobie [Violation of venous outflow]. Minsk: Belorusskiy gosudarstvennyiy meditsinskiy universitet, 26 p. (in Russian)
13. Ctoyko Yu., Kirienko A., Zatevahin I., Pokrovskiy A., Karpenko A., Zolotuhin I. (2013) Rossiyskie klinicheskie rekomendatsii po diagnostike i lecheniyu hronicheskih zabolevaniy ven [Russian clinical guidelines for the diagnosis and treatment of chronic venous diseases]. Flebologiya, vol. 2, no 2, vol. 7, pp. 11–24.
14. Namaeva K. (2011) Printsipyi diagnostiki i lecheniya hronicheskoy venoznoy nedostatochnosti (soobschenie 2) [Principles of diagnosis and treatment of chronic venous insufciency (message 2)]. Meditsina i ekologiya, no 1, pp. 15–19.
15. Shostak V. (2008) Kompleksnoe lechenie hronicheskoy venoznoy nedostatochnosti u beremennyih [Complex treatment of chronic venous insufciency in pregnant women]. Meditsinskie novosti, no 12, pp. 33–37.
16. Baeshko A., Miklevich A. (2012) Lekarstvennyie sredstva, primenyaemyie v terapii hronicheskih zabolevaniy ven [Drugs used in the treatment of chronic venous diseases]. Retsept, vol. 84, no 4, pp. 116–123.
17. Baeshko A., Miklevich A. (2012) Lekarstvennyie sredstva, primenyaemyie v terapii hronicheskih zabolevaniy ven [Drugs used in the treatment of chronic venous diseases]. Retsept, vol. 85, no 5, pp. 114–126.
Recipe. 2020; 24: 60-73
Development of General and Private Algorithms for Pharmaceutical Consultation of a Patient in a Pharmacy
https://doi.org/10.34883/PI.2020.23.1.006Abstract
Due to the changes in the functions of the pharmacist of a retail pharmacy, related to the need for pharmaceutical counseling for patients about medicines (drugs) sold without a prescription, about diagnosis (control of the accuracy of the patient’s self-diagnosis) and selection of drugs, which requires standardization of this procedure in order to increase the effectiveness of counseling.
Based on this, algorithms have been developed for General and private counseling (for venous insufciency), which will allow the pharmacist to comply with modern requirements for counseling and minimize the likelihood of error in assessing the patient’s symptoms and recommending drugsto him.
In order to assess the professional level of pharmaceutical consulting in retail pharmacies in Minsk, "interviewing" pharmacists-prescribers and "interviewing" pharmacists-prescribers by using the "secret buyer" method were conducted. The research made it possible to draw a conclusion about the level of consulting in pharmacies and the necessity for further scientifc developments in this area.
References
1. Dremova N., Ovod A. (2007) Farmatsevticheskaya pomosch kak novaya forma obsluzhivaniya naseleniya [Pharmaceutical care as a new form of public service]. Aptechnyiy biznes, no 1, pp. 20–23.
2. Godovalnikov G. (2014) Samolechenie i farmatsevticheskaya pomosch [Self-treatment and pharmaceutical care]. Retsept, vol. 95, no 3, pp. 17–28.
3. Shamina Ya., Suleymanov S. (2011) Farmatsevticheskaya pomosch – novaya paradigma professionalnoy deyatelnosti farmatsevticheskogo rabotnika. osnovnyie terminyi i ponyatiya [Pharmaceutical care is a new paradigm of professional activity of a pharmaceutical worker. Basic terms and concepts]. Zdravoohraneniya Dalnego Vostoka, vol. 50, no 4, pp. 64–69.
4. Godovalnikov G. (2014) Informatsionnoe posobie dlya provizora pri realizatsii lekarstvennyih sredstv, otpuskaemyih bez retsepta, kak osnova kachestvennoy farmatsevticheskoy pomoschi [Information guide for pharmacists in the sale of over-the-counter medicines as a basis for highquality pharmaceutical care]. Retsept, vol. 96, no 4, pp. 24–33.
5. Orlov A. (2008) Espertnyie otsenki [Expert estimates]. Zavodskaya laboratoriya, vol. 62, no 1, pp. 54–60.
6. Burkov E. (2009) Metod obrabotki ekspertnyih otsenok s uchetom raspredeleniya kompetentnosti mezhdu ekspertami [Method of processing expert assessments taking into account the distribution of competence among experts]. Proceedings of the Gosudarstvo i biznes. Voprosyi teorii i praktiki: Materialyi I Mezhregionalnoy konferentsii (Sankt-Peterburg, Russia, April 20–22). Sankt-Peterburg: SZAGS, pp. 63–68.
7. Eytingon V., Kravets M., Pankratova N. (2004) Metodyi organizatsii ekspertizyi i obrabotki ekspertnyih otsenok v menedzhmente: ucheb.-metodich [Methods of organizing the examination and processing of expert estimates in management]. Voronezh: Voronezhskiy gosudarstvennyiy universitet, p. 44.
8. Chegodaev A. (2010) Matematicheskie metodyi analiza ekspertnyih otsenok [Mathematical methods for analyzing expert assessments]. Vestnik Samarskogo gosudarstvennogo ekonomicheskogo universiteta, vol. 64, no 2, pp. 130–135.
9. Yanushko V., Turlyuk D., Klimchuk I., Krasko O., Shestak N. (2016) Epidemiologiya hronicheskih zabolevaniy ven v Respublike Belarus [Epidemiology of chronic venous diseases in the Republic of Belarus]. Mezhdunarodnyie obzoryi: klinicheskaya praktika i zdorove, vol. 6, no 5, pp. 6–15.
10. Reestryi UP «Tsentr ekspertiz i ispyitaniy v zdravoohranenii» [Electronic resource]. Mode of access: http:// http://www.rceth.by. Date of access: 25.02.2019.
11. Baeshko A. (2008) Hronicheskaya venoznaya nedostatochnost nizhnih konechnostey [Chronic venous insufciency of the lower extremities]. Lechebnoe delo, no 1, pp. 53–63.
12. Alekseev S., Koshevskiy P. (2016) Narushenie venoznogo ottoka: uchebn.-metod. posobie [Violation of venous outflow]. Minsk: Belorusskiy gosudarstvennyiy meditsinskiy universitet, 26 p. (in Russian)
13. Ctoyko Yu., Kirienko A., Zatevahin I., Pokrovskiy A., Karpenko A., Zolotuhin I. (2013) Rossiyskie klinicheskie rekomendatsii po diagnostike i lecheniyu hronicheskih zabolevaniy ven [Russian clinical guidelines for the diagnosis and treatment of chronic venous diseases]. Flebologiya, vol. 2, no 2, vol. 7, pp. 11–24.
14. Namaeva K. (2011) Printsipyi diagnostiki i lecheniya hronicheskoy venoznoy nedostatochnosti (soobschenie 2) [Principles of diagnosis and treatment of chronic venous insufciency (message 2)]. Meditsina i ekologiya, no 1, pp. 15–19.
15. Shostak V. (2008) Kompleksnoe lechenie hronicheskoy venoznoy nedostatochnosti u beremennyih [Complex treatment of chronic venous insufciency in pregnant women]. Meditsinskie novosti, no 12, pp. 33–37.
16. Baeshko A., Miklevich A. (2012) Lekarstvennyie sredstva, primenyaemyie v terapii hronicheskih zabolevaniy ven [Drugs used in the treatment of chronic venous diseases]. Retsept, vol. 84, no 4, pp. 116–123.
17. Baeshko A., Miklevich A. (2012) Lekarstvennyie sredstva, primenyaemyie v terapii hronicheskih zabolevaniy ven [Drugs used in the treatment of chronic venous diseases]. Retsept, vol. 85, no 5, pp. 114–126.
