Cordina Maria, Safta Vladimir, Ciobanu Ala, Sautenkova Nina
Department of Pharmacy, University of Malta . Msida ( Malta ).
National Medicines Agency, Ministry of Health and Social Protection. Chisinau ( Republic of Moldova ).
Pharm Pract (Granada). 2008 Jan;6(1):1-8. doi: 10.4321/s1886-36552008000100001. Epub 2008 Mar 10.
Pharmacy in Moldova is undergoing a period of transition. The professional practice is adjusting to a market-oriented economy from the previous Soviet system. The pharmaceutical sector has been liberalised giving rise to a significant increase in the number of community pharmacies. This has led to some adverse effects on the profession of pharmacy with pharmacists having considerable difficulties fulfilling their professional aspirations and possibly losing confidence in further developing their professional role.
To assess community pharmacists' attitudes towards their professional practice and to determine their perceived competence in various pharmaceutical activities.
A questionnaire which addressed managerial activities, dispensing activities, pharmaceutical care activities, inter-professional relationships, public health and competence was mailed to 600 community pharmacists who were asked to score the importance and perceived competence for each activity on a scale ranging from 0-5. In the case of pharmaceutical care activities, pharmacists were asked to score their degree of agreement or disagreement as to whether it is the responsibility of the pharmacist to engage in specific pharmaceutical care activities.
A total of 370 valid questionnaires were returned giving a response rate of 61.7%. Managerial and dispensing activities were scored the highest both in terms of perceived importance and competence. The more innovative pharmaceutical care activities scored relatively low. Overall scores relating to the importance of pharmacists engaging in public health activities appear to be the lowest of the entire questionnaire. Younger pharmacists between the ages of 22-30 obtained significantly higher scores with regards to the perceived pharmacist's responsibility in engaging in various pharmaceutical care activities. Respondents who practiced in an accredited pharmacy scored higher in the majority of questions.
Pharmacists in Moldova appear to be deeply rooted in the traditional approach to the practice of pharmacy pertaining mainly to distributive practice model and are somewhat distant from the other models of practice such as pharmaceutical care, drug information and self-care.
摩尔多瓦的药学正处于转型期。专业实践正在从先前的苏联体系向市场经济调整。制药行业已自由化,导致社区药房数量大幅增加。这给药学职业带来了一些不利影响,药剂师在实现其职业抱负方面面临相当大的困难,并且可能对进一步发展其职业角色失去信心。
评估社区药剂师对其专业实践的态度,并确定他们在各种药学活动中的感知能力。
向600名社区药剂师邮寄了一份关于管理活动、配药活动、药学服务活动、跨专业关系、公共卫生和能力的问卷,要求他们对每项活动的重要性和感知能力在0至5的量表上进行评分。对于药学服务活动,要求药剂师对药剂师是否有责任参与特定的药学服务活动进行同意或不同意程度的评分。
共收回370份有效问卷,回复率为61.7%。管理和配药活动在感知重要性和能力方面得分最高。更具创新性的药学服务活动得分相对较低。在整个问卷中,与药剂师参与公共卫生活动重要性相关的总体得分似乎是最低的。22至30岁的年轻药剂师在药剂师参与各种药学服务活动的感知责任方面得分显著更高。在经认可的药房工作的受访者在大多数问题上得分更高。
摩尔多瓦的药剂师似乎深深扎根于主要与分发实践模式相关的传统药学实践方法,与药学服务、药物信息和自我护理等其他实践模式有些脱节。