Costa Suzete, Santos Cristina, Silveira João
Department of Pharmacy-based Disease Management Programs, Portuguese National Association of Pharmacies, Lisbon, Portugal.
Ann Pharmacother. 2006 Dec;40(12):2228-34. doi: 10.1345/aph.1H129. Epub 2006 Dec 5.
To describe the status and outline the trends of community pharmacy services in the Portuguese healthcare system.
The legal framework for Portuguese pharmacies includes geographic and demographic criteria for opening pharmacies and restricting ownership to pharmacists. Since 1975, pharmacy owners have been organized under one association, the Portuguese National Pharmacy Association, which has dealt with pharmacy development over the past 20 years. Securing the economic sustainability of pharmacies was the first milestone. Investing in information software and communication technologies and modernizing the architecture of pharmacies was the next step. Then, professional services such as point-of-care measurements, drug waste management, and needle exchange services were developed. The methadone substitution program was introduced at a later date. Finally, major comprehensive services, including disease management/pharmaceutical care programs, were implemented.
All Portuguese pharmacies are independent, which means that the decision to provide different services and the extent to which they are attained vary from pharmacy to pharmacy. Recent political changes seem to reinforce the need to pursue the strategies already defined-to expand the traditional scope of pharmacy business to a wider range of health services.
Achievements that have been accomplished and strategies that are in place reflect a high level of organization and unity among Portuguese pharmacies. From a global perspective, pharmacies are reorganizing to be able to compete against other possible agents and are preparing to expand their scope of intervention.
描述葡萄牙医疗体系中社区药房服务的现状并概述其发展趋势。
葡萄牙药房的法律框架包括开设药房的地理和人口标准，以及将所有权限制在药剂师手中。自1975年以来，药房所有者由一个协会组织起来，即葡萄牙国家药房协会，该协会在过去20年中一直致力于药房发展。确保药房的经济可持续性是第一个里程碑。投资信息软件和通信技术以及使药房建筑现代化是下一步。随后，开展了诸如即时检测、药品废物管理和针头交换服务等专业服务。美沙酮替代计划稍后推出。最后，实施了包括疾病管理/药学服务计划在内的主要综合服务。
所有葡萄牙药房都是独立的，这意味着提供不同服务的决定以及实现这些服务的程度因药房而异。最近的政治变革似乎强化了推行既定战略的必要性，即将药房业务的传统范围扩大到更广泛的健康服务领域。
已取得的成就和现行战略反映出葡萄牙药房之间高度的组织性和统一性。从全球角度来看，药房正在进行重组，以便能够与其他可能的机构竞争，并准备扩大其干预范围。
