En presentation över ämnet: "Developments in Sweden Tommy Westerlund, PhD"— Presentationens avskrift:
1 Developments in Sweden Tommy Westerlund, PhD Finally, I want to thank you for your attentionand welcome Lena-Karin Lütz to the stage,another Helsingborg colleague!Queen's Centenary Special Pharmacy Symposium Belfast Northern Ireland October 28th 2008
2 ApoteketExclusive right to operate the country's pharmacies since 1971Nearly pharmacies today > 90% community35% of community pharmacies in health care centresOne pharmacy per 9,000 inhabitants
3 Apoteket responsible for ensuring a nationwide system of drug distributionpromoting rational drug usedetermining extent and location of pharmacies and other sales outlets for drugshaving uniform prices of both prescription and OTC drugs sold to the general public throughout Swedenoffering health care producer-independent information and statistics on drug consumption
4 Distribution services 1000 pharmacy representatives in remote areasPostal mail deliveriesIndividually packed drugsElectronic prescriptions
5 Gross profit margin Percentage of sales of prescription drugs
6 Substitution of drugs in order to reduce the costs to society When a drug included in the drug benefit scheme is prescribed and one or more comparable alternatives exist, the pharmacy must replace it with the cheapest alternative available locally
7 Personnel categories 900 pharmacists 5,100 prescriptionists 2,200 pharmacy techniciansPharmacist education 5-year-programmePrescriptionist 3-year-programmeTechs high school/ in company training
10 Self care customer services A national standard for self care counselling - an important quality assurance toolFavourable impact on customers' ailmentsAppropriate referralsHealth pointsAdditional counselling services
11 Swedish community pharmacy classification of drug-related problems Westerlund System 7. Interaction8. Contraindication9. Inappropriate time for drug intake/ wrong dosage interval10. Practical problems11. Other drug-related problem1. Uncertainty about aim of drug2. Therapy failure3. Underuse of drug4. Overuse of drug5. Drug duplication6. Adverse effectDRPs were identified and classified according to the IT-based classification used in all Swedish community pharmacies since 2001, known as the Westerlund System. It contains 13 DRP categories.
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