Alvarez-Risco Aldo, van Mil J W Foppe
Departamento de Farmacotecnia, Facultad de Farmacia y Bioquímica, Universidad Nacional Mayor de San Marcos, Lima, Perú.
Ann Pharmacother. 2007 Dec;41(12):2032-7. doi: 10.1345/aph.1K117. Epub 2007 Oct 16.
To describe the current and possible future development of pharmaceutical care activities and research in healthcare settings in Peru.
Pharmaceutical care has developed slowly in Peru because, until recently, clinical practice never was part of community or hospital pharmacy practice. Some activities of the Ministry of Health, schools of pharmacy, pharmacy organizations, and individual pharmacists, including changes in legislation, are now creating the opportunity to develop pharmaceutical care practice. The implementation of pharmaceutical care in different settings will follow, based on the legislation and experiences of the pharmacists involved.
The 2004 legislative changes in Peru in the field of drug regulation and the health system create more opportunities for pharmacists to be active in providing care to patients. To stimulate the provision of care, programs of formal training are offered by universities, but more pharmacists need to participate in these courses. As long as pharmacists are absent from their pharmacies (their presence is required by law), little can be expected. The development of interprofessional collaboration in the Peruvian health system, currently nonexistent, is also important. To improve the performance of the pharmaceutical care system, good relationships between teachers and practitioners must be stimulated. Such links are also essential for developing research into the impact of pharmaceutical care on clinical, economic, and humanistic outcomes of patient care.
The pharmaceutical care movement is growing in Peru. The legislation now supports the provision of pharmaceutical care. A number of developments must be stimulated, such as protocol development, appropriate continuing education, different kinds of networking, and remuneration procurement for care provision. When these successfully evolve, pharmaceutical care will become a professional aspect of the work of all pharmacists in Peru.
描述秘鲁医疗机构中药剂学服务活动及研究的现状和未来可能的发展。
药剂学服务在秘鲁发展缓慢，因为直到最近，临床实践从未成为社区或医院药房工作的一部分。卫生部、药学院、药学组织及个体药剂师的一些活动，包括立法变革，正为药剂学服务实践创造发展机遇。基于相关立法及药剂师的经验，不同环境下的药剂学服务实施将随之而来。
2004年秘鲁在药品监管和卫生系统领域的立法变革为药剂师积极为患者提供服务创造了更多机会。为鼓励提供服务，大学提供了正规培训项目，但更多药剂师需要参加这些课程。只要药剂师不在药房（法律要求他们必须在岗），就难以取得成效。秘鲁卫生系统目前不存在跨专业协作，其发展也很重要。为提高药剂学服务系统的绩效，必须促进教师与从业者之间的良好关系。这种联系对于开展药剂学服务对患者护理的临床、经济和人文结果影响的研究也至关重要。
药剂学服务运动在秘鲁不断发展。现行立法支持药剂学服务的提供。必须推动一些发展，如制定方案、开展适当的继续教育、建立各类网络以及为提供服务获取报酬。当这些成功发展时，药剂学服务将成为秘鲁所有药剂师工作中的一个专业领域。
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