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丹麦社区药房在初级卫生保健中的整合与展望。

Integration of and visions for community pharmacy in primary health care in Denmark.

作者信息

Hansen Rikke N, Nørgaard Lotte S, Hedegaard Ulla, Søndergaard Lone, Servilieri Kerly, Bendixen Susanne, Rossing Charlotte

机构信息

MSc (Pharmacy). Head of Department of Research and Development, Danish College of Pharmacy Practice. Hillerød (Denmark).

PhD (Pharmacy). Associate Professor. University of Copenhagen. Copenhagen (Denmark).

出版信息

Pharm Pract (Granada). 2021 Jan-Mar;19(1):2212. doi: 10.18549/PharmPract.2021.1.2212. Epub 2021 Jan 22.

DOI:10.18549/PharmPract.2021.1.2212
PMID:33520039
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7844971/
Abstract

In 2014, the Danish government launched a plan for health entitled: "Healthier lives for everyone - national goals for the health of Danes within the next 10 years". The overall objective is to prolong healthy years of life and to reduce inequality in health. In Denmark, the responsibility for health and social care is shared between the central government, the regions and the municipalities. National and local strategies seek to enhance public health through national and local initiatives initiated by different stakeholders. The Danish community pharmacies also contribute to promoting public health through distribution of and counselling on medication in the entire country and through offering several pharmacy services, six of which are fully or partly remunerated on a national level. Because of greater demands from patients, health care professionals and society and a lack of general practitioners, the Danish community pharmacies now have the opportunity to suggest several new functions and services or to extend existing services. The Danish pharmacy law changed in 2015 with the objective to maintain and develop community pharmacies and to achieve increased patient accessibility. The change in the law made it possible for every community pharmacy owner to open a maximum of seven pharmacy branches (apart from the main pharmacy) in a range of 75 km. This change also increased the competition between community pharmacies and consequently the pharmacies are now under financial pressure. On the other hand, each pharmacy may have been given an incentive to develop their specific pharmacy and become the best pharmacy for the patients. Community pharmacies are working to be seen as partners in the health care system. This role is in Denmark increasingly being supported by the government through the remunerated pharmacy services and through contract with municipalities. Concurrent with the extended tasks for the Danish community pharmacies and utilisation of their excellent competencies in medication the community pharmacies need to focus on their main tasks of supplying medicines and implementing services. This requires efficient management, an increased use of technology for distribution and communication and continuing education and training.

摘要

2014年,丹麦政府启动了一项名为“让每个人生活更健康——丹麦人未来10年健康的国家目标”的健康计划。总体目标是延长健康寿命并减少健康方面的不平等。在丹麦,中央政府、各地区和各市镇共同承担健康和社会护理责任。国家和地方战略试图通过不同利益相关者发起的国家和地方举措来促进公众健康。丹麦社区药房也通过在全国范围内分发药品和提供用药咨询以及提供多项药房服务来促进公众健康,其中六项服务在国家层面获得全额或部分报酬。由于患者、医疗保健专业人员和社会的需求增加以及全科医生短缺,丹麦社区药房现在有机会提出多项新功能和服务或扩展现有服务。2015年丹麦药房法进行了修订,目的是维持和发展社区药房并提高患者可及性。法律的修订使每个社区药房所有者能够在75公里范围内最多开设七个药房分店(主药房除外)。这一变化也加剧了社区药房之间的竞争,因此药房现在面临财务压力。另一方面,每个药房可能都受到激励去发展其特定药房并成为患者心目中的最佳药房。社区药房正努力被视为医疗保健系统中的合作伙伴。丹麦政府通过有偿药房服务以及与各市镇签订的合同,越来越多地支持这一角色。在丹麦社区药房任务扩展以及利用其在药品方面的卓越能力的同时,社区药房需要专注于供应药品和提供服务的主要任务。这需要高效管理、更多地利用技术进行配送和沟通以及持续的教育和培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a0f/7844971/41340981dcad/pharmpract-19-2212-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a0f/7844971/41340981dcad/pharmpract-19-2212-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a0f/7844971/41340981dcad/pharmpract-19-2212-g001.jpg

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