Tiong John Jeh Lung, Mai Chun Wai, Gan Pou Wee, Johnson James, Mak Vivienne Sook Li
School of Pharmacy, Taylor's University, Subang Jaya, Selangor, Malaysia.
School of Pharmacy, International Medical University, Kuala Lumpur, Malaysia.
Int J Pharm Pract. 2016 Aug;24(4):302-5. doi: 10.1111/ijpp.12244. Epub 2016 Jan 18.
This article serves as an update to the work by Shafie et al. (2012) which previously reviewed the benefits of policies separating prescribing and dispensing in various countries to advocate its implementation in Malaysia. This article seeks to strengthen the argument by highlighting not only the weaknesses of the Malaysian health care system from the historical, professional and economic viewpoints but also the shortcomings of both medical and pharmacy professions in the absence of separation of dispensing. It also provides a detailed insight into the ongoing initiatives taken to consolidate the role of pharmacists in the health care system in the advent of separation of dispensing. Under the two tier system in Malaysia at present, the separation of prescribing and dispensing is implemented only in government hospitals. The absence of this separation in the private practices has led to possible profit-oriented medical and pharmacy practices which hinder safe and cost-effective delivery of health services. The call for separation of dispensing has gained traction over the years despite various hurdles ranging from the formidable resistance from the medical fraternity to the public's scepticism towards the new policy. With historical testament and present evidence pointing towards the merits of a system in which doctors prescribe and pharmacists dispense, the implementation of this health care model is justified.
本文是对沙菲等人（2012年）工作的更新，他们之前回顾了各国处方与配药分离政策的益处，以倡导在马来西亚实施该政策。本文旨在通过不仅从历史、专业和经济角度突出马来西亚医疗保健系统的弱点，还强调在没有配药分离情况下医疗和药学专业的缺点来强化这一论点。它还详细深入地介绍了在配药分离出现之际为巩固药剂师在医疗保健系统中的作用而正在采取的举措。在马来西亚目前的两级体系下，处方与配药的分离仅在政府医院实施。私人执业中缺乏这种分离导致了可能以盈利为导向的医疗和药学行为，这阻碍了安全且具成本效益的医疗服务提供。尽管存在各种障碍，从医学界的强烈抵制到公众对新政策的怀疑，但多年来配药分离的呼声越来越高。鉴于历史证明和当前证据都指向医生开处方、药剂师配药这一体系的优点，这种医疗保健模式的实施是合理的。
