Frontiers in Pharmacology (Aug 2023)
Recommendations for wider adoption of clinical pharmacy in Central and Eastern Europe in order to optimise pharmacotherapy and improve patient outcomes
- Kamila Urbańczyk,
- Kamila Urbańczyk,
- Sonja Guntschnig,
- Sonja Guntschnig,
- Vasilis Antoniadis,
- Slaven Falamic,
- Tijana Kovacevic,
- Tijana Kovacevic,
- Marta Kurczewska-Michalak,
- Branislava Miljković,
- Anna Olearova,
- Inese Sviestina,
- Inese Sviestina,
- Attila Szucs,
- Konstantin Tachkov,
- Zita Tiszai,
- Daisy Volmer,
- Anna Wiela-Hojeńska,
- Daniela Fialova,
- Daniela Fialova,
- Jiri Vlcek,
- Jiri Vlcek,
- Matej Stuhec,
- Matej Stuhec,
- Anita Hogg,
- Michael Scott,
- Derek Stewart,
- Derek Stewart,
- Alpana Mair,
- Silvia Ravera,
- François-Xavier Lery,
- Przemysław Kardas
Affiliations
- Kamila Urbańczyk
- Department of Clinical Pharmacology, Wroclaw Medical University, Wroclaw, Poland
- Kamila Urbańczyk
- Regional Specialist Hospital in Wroclaw, Wroclaw, Poland
- Sonja Guntschnig
- Tauernklinikum Zell am See, Zell am See, Austria
- Sonja Guntschnig
- School of Pharmacy and Pharmaceutical Sciences, Ulster University, Coleraine, Northern Ireland
- Vasilis Antoniadis
- Independent Expert, Thessaloniki, Greece
- Slaven Falamic
- Department of Pharmacokinetics and Clinical Pharmacy, Faculty of Medicine, University of Banja Luka, Banja Luka, Bosnia and Herzegovina
- Tijana Kovacevic
- Pharmacy Department, University Clinical Centre of the Republic of Srpska, Banja Luka, Bosnia and Herzegovina
- Tijana Kovacevic
- Department of Pharmacokinetics and Clinical Pharmacy, Faculty of Medicine, University of Banja Luka, Banja Luka, Bosnia and Herzegovina
- Marta Kurczewska-Michalak
- Department of Family Medicine, Medical University of Lodz, Lodz, Poland
- Branislava Miljković
- 0Department of Pharmacokinetics and Clinical Pharmacy, Faculty of Pharmacy, University of Belgrade, Belgrade, Serbia
- Anna Olearova
- 1Department of Clinical Pharmacology, University Hospital Bratislava—Hospital Ruzinov, Bratislava, Slovakia
- Inese Sviestina
- 2Faculty of Medicine, University of Latvia, Riga, Latvia
- Inese Sviestina
- 3Children’s Clinical University Hospital, Riga, Latvia
- Attila Szucs
- 4Pharmacy Department, National Institute of Oncology, Budapest, Hungary
- Konstantin Tachkov
- 5Department of Organization and Economy of Pharmacy, Faculty of Pharmacy, Medical University-Sofia, Sofia, Bulgaria
- Zita Tiszai
- 6Department of Hospital Pharmacy, Bajcsy-Zsilinszky Hospital, Budapest, Hungary
- Daisy Volmer
- 7Institute of Pharmacy, Faculty of Medicine, University of Tartu, Tartu, Estonia
- Anna Wiela-Hojeńska
- Department of Clinical Pharmacology, Wroclaw Medical University, Wroclaw, Poland
- Daniela Fialova
- 8Department of Clinical and Social Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University, Hradec Králové, Czechia
- Daniela Fialova
- 9Department of Geriatrics and Gerontology, First Faculty of Medicine in Prague, Charles University, Prague, Czechia
- Jiri Vlcek
- 8Department of Clinical and Social Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University, Hradec Králové, Czechia
- Jiri Vlcek
- 0Clinical Pharmacy Department, Hospital Pharmacy, Teaching Hospital Hradec Kralove, Hradec Králové, Czechia
- Matej Stuhec
- 1Department of Pharmacology, Faculty of Medicine Maribor, University of Maribor, Maribor, Slovenia
- Matej Stuhec
- 2Department of Clinical Pharmacy, Ormoz Psychiatric Hospital, Ormoz, Slovenia
- Anita Hogg
- 3Medicines Optimisation Innovation Centre, Antrim Hospital, Antrim, United Kingdom
- Michael Scott
- 3Medicines Optimisation Innovation Centre, Antrim Hospital, Antrim, United Kingdom
- Derek Stewart
- 4College of Pharmacy, QU Health, Qatar University, Doha, Qatar
- Derek Stewart
- 5European Society of Clinical Pharmacy, Leiden, Netherlands
- Alpana Mair
- 6Effective Prescribing and Therapeutics, Health and Social Care Directorate, Scottish Government, Edinburgh, United Kingdom
- Silvia Ravera
- 7European Directorate for the Quality of Medicines & Healthcare, Council of Europe, Strasbourg, France
- François-Xavier Lery
- 7European Directorate for the Quality of Medicines & Healthcare, Council of Europe, Strasbourg, France
- Przemysław Kardas
- Department of Family Medicine, Medical University of Lodz, Lodz, Poland
- DOI
- https://doi.org/10.3389/fphar.2023.1244151
- Journal volume & issue
-
Vol. 14
Abstract
Clinical pharmacy as an area of practice, education and research started developing around the 1960s when pharmacists across the globe gradually identified the need to focus more on ensuring the appropriate use of medicines to improve patient outcomes rather than being engaged in manufacturing and supply. Since that time numerous studies have shown the positive impact of clinical pharmacy services (CPS). The need for wider adoption of CPS worldwide becomes urgent, as the global population ages, and the prevalence of polypharmacy as well as shortage of healthcare professionals is rising. At the same time, there is great pressure to provide both high-quality and cost-effective health services. All these challenges urgently require the adoption of a new paradigm of healthcare system architecture. One of the most appropriate answers to these challenges is to increase the utilization of the potential of highly educated and skilled professionals widely available in these countries, i.e., pharmacists, who are well positioned to prevent and manage drug-related problems together with ensuring safe and effective use of medications with further care relating to medication adherence. Unfortunately, CPS are still underdeveloped and underutilized in some parts of Europe, namely, in most of the Central and Eastern European (CEE) countries. This paper reviews current situation of CPS development in CEE countries and the prospects for the future of CPS in that region.
Keywords
- clinical pharmacy
- cost-effective treatment
- medication errors
- drug utilization
- drug safety
- medication adherence