community pharmacy practice in thailand: the diversity of practice
TRANSCRIPT
e9Abstracts / Research in Social and Administrative Pharmacy 8 (2012) e1–e66
Introduction: In Thailand, hospital pharmacy services
play the important roles in the government health care
service system. Regarding to the drug system compo-
nents (i.e. drug selection, procurement, distribution,
utilization, and the consumer right), there are several
roles of hospital pharmacists in the consumer protection
aspects. In drug selection process, drug specifications
and cost effectiveness are considered to secure the
efficacy, safety and reasonable price of medicines. For
drug procurement, not only drug purchasing concerning
good quality drug with suitable price but also hospital
drug production which is in hospital formulary. Hospital
drug production is one of the major roles of hospital
pharmacists for a long time. In the past, hospital drug
production is needed in order to support the hospitals
and primary health care facilities to increase the access
of medicine and to save cost. In current time, hospital
drug production is still necessary for patients who have
to use some drug formularies which are not available in
the market called extemporaneous preparations; for
example, Oseltamivir suspension. Intravenous admixture
preparations are needed in regional hospitals as well. In
drug distribution process, transportation, storage and
stock management are concerned to sustain the quality,
no dead stock and no lack of drugs for dispense. For
drug use process, out and in-patient drug dispensing
with proper information is done. Moreover, Thai
hospital pharmacists are also responsible for the drug
use in the community. Those are all the hospital
pharmacists’ role related to consumer protection in
the government hospitals.
Aims of the Workshop: The workshop is intended to
demonstrate the pharmacists’ role related to the con-
sumer protection aspects in the government hospital, to
share the practice experiences in the hospital pharmacy
services and pharmacist’s roles regarding drug system
component, to propose the future role of hospital
pharmacy in health consumer protection, and to dem-
onstrate Thai government hospital pharmacy activities
and pharmacist’s role relating to consumer protection
aspects.
Learning Objectives: Participants are to explain how
hospital pharmacists work on the consumer protection
aspects, to describe the Thai hospital pharmacy services
in various levels of hospitals in consumer protection
aspects and to discuss the future role of hospital
pharmacists in consumer protection.
Description of Workshop Activities:
� Presentation: the concept of consumer protection in
hospital pharmacy services
� Demonstration: Thai government hospital phar-
macy services and pharmacist roles in consumer pro-
tection aspect in facilities
� Discussion: the experiences of participants in their
practices
� Discussion: the pharmacist’s role in hospital phar-
macy practices in individual’s context and propose
the key hospital pharmacy activity should be done
for consumer protection in the future
Community Pharmacy Practice in Thailand: TheDiversity of PracticeK. Yotsombut, T. Pengsuparp, S. Palapinyo, Faculty
of Pharmaceutical Sciences, Chulalongkorn University,
Bangkok, Thailand
Introduction: Community pharmacy is a primary unit of
the health care system in Thailand, which mainly provides
self-medications and health care products. Other conven-
tional roles of Thai community pharmacists include: 1)
dispensing the prescribed medications and refilling the
prescription; 2) patient counseling anddrug use education;
and 3) dispensing medications for minor illnesses and
referral for potential serious or emergency problems.
These conventional roles are quite similar to those in
other countries, except for the latter one that Thai
community pharmacists play a crucial role as the general
practitioner. This difference is rooted by unique Thai laws
and regulations that allow us to dispense most of
medications without doctor’s prescription, lead to a wide
range of practice experience and sometimes may cause the
public problems such as inappropriate use of antibiotics
and other medication classes. In addition to those
conventional roles, several emerging activities providing
more pharmaceutical care are currently interested in Thai
community pharmacy practice. These include, but not
limit to,medication therapymanagement (MTM), disease
state management, patient medical profiling, family phar-
macy service, individual health promotion and disease
screening, public health promotion and health consumer
protection. These promising roles drive the paradigm shift
of Thai community pharmacy practice from product-
oriented into patient- and public-oriented practice.
Aims of the Workshop:
1. To explore the diversity of community pharmacist
roles.
2. To share real practice experience of community
pharmacists
Learning Objectives:
1. To demonstrate the diverse roles of Thai commu-
nity pharmacists
2. To describe real practice experience of Thai commu-
nity pharmacists
Description of Workshop Activities:
1. Explain some laws and regulations that control or
affect community pharmacy practice in Thailand
2. Demonstrate the conventional and emerging roles
of Thai community pharmacists
3. Discuss the difference in community pharmacist’s
roles of each country
e10 Abstracts / Research in Social and Administrative Pharmacy 8 (2012) e1–e66
4. Share the experiences of participants into their
practice
5. Conclude the general pharmacist’s roles both in
conventional and emerging activities
SOCIAL PHARMACY WORKSHOP 4: NEW ANDEMERGING ROLES AND RESEARCH
Perceived Barriers to Social Pharmacy ResearchW. Winit-Watjana1, 1Department of Pharmacy, Health
and Well-being, Faculty of Applied Sciences, University of
Sunderland, UK
Introduction: Social pharmacy (SP), which is widely
known as “social and administrative pharmacy” (SAP),
has been established in Scandinavian countries and the
US over the past 40 years. The concepts of SP have also
been widely adopted by pharmacy researchers in many
countries. In the UK and some commonwealth coun-
tries, SP may however be subsumed within the term
“pharmacy practice”. According to research journals
and meetings, SP issues in recent years include health-
care reforms, patients and drug safety, pharmacoeco-
nomics and quality of life, public health and information
technology in pharmacy. Although numerous SP crucial
issues have been addressed, there are still some barriers,
together with facilitators, to SP research in terms of
research design, data analysis, funding, costing, ethical
approval and lack of research teams. It is of paramount
importance for researchers to be aware of these barriers
and solutions to the problems so that they can create
more quality SP research and develop collaborative
research in the future.
Aims of the Workshop: This workshop is aimed to
present Top 10 current issues in SP and perceived
barriers to SP research, and to investigate actual barriers
perceived by international audience.
Learning Objectives: Participants should be able to
explain Top 10 current issues in SP and elaborate the
perceived barriers to SP research.
Description of Workshop Activities: The workshop will
last approximately two hours. It will start with a 40-
minute PowerPoint presentation followed by 10 minutes
of questions and answers. This introductory session will
provide participants with a big picture of SP and
research, i.e. SP concepts, Top 10 current issues in SP
and some barriers to SP research. Then all participants
will be asked to complete a self-administered question-
naire for 15 minutes. After that, they will be split into
several focus groups to discuss their barriers to SP
research for 45 minutes. The last 15 minutes will be spent
on the wrap-up summary.
Additional information: A self-completed questionnaire
needs to be provided for all workshop participants. For
the focus group session, a flipchart per group is
required.
How to Improve Dose Administration Aids for AgedCare FacilitiesJ.F.M. Gilmartin1, S.Y. Hussainy1, J.L. Marriott1,1Centre for Medicine Use and Safety, Monash University,
Parkville, Melbourne, Victoria, Australia
Introduction: Our previous research found that 11.6% of
3,959 audited dose administration aids (DAAs) from
49 Australian residential aged care facilities (RACFs)
suffered from incidents. The DAAs included blister packs
and sachets supplied by pharmacies and used formedicine
administration. The top five incident types included:
unsuitable for packing according to pharmaceutical
packing guidelines; addition of a medicine; incorrect
quantity packed and missing or damaged medicines.
This workshop is designed to educate participants on
these incidents and their potential contributing factors.
Additionally, participants will be asked to evaluate and
modify simulated quality improvement initiatives de-
signed to increase the accuracy of and appropriateness
of DAA packing.
Aims of the Workshop: This workshop is aimed to gain
a greater understanding of the problems associated with
DAA preparation and supply to RACFs, to increase
awareness of factors that may hinder or facilitate
accurate and appropriate DAApreparation, and to equip
participants with the knowledge and skills to develop
quality improvement initiatives in their local setting that
are targeted at DAA preparation and supply.
Learning Objectives: At the end of this workshop,
participants should be able to:
1. Outline the common types of incidents that may oc-
cur in DAAs and explain why they may occur
2. Outline possible quality improvement strategies to
prevent DAA incidents from occurring and explain
their benefits to pharmacy and RACFs
3. Evaluate simulated quality improvement initiatives
and suggest methods to overcome barriers to
implementation
Description of Workshop Activities: Participants will:
1. Be informed of DAA incidents that may occur (as
identified through auditing activities) and contribut-
ing factors to incidents (as identified through stake-
holder focus groups) (30 minute PowerPoint)
2. Be presented with simulated quality improvement
initiatives designed to encourage communication
and improve relationships between members of the
aged care health team, as well as assist in incident
notification and checking processes. (15 minute
PowerPoint)