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Delo farmacevta na Irskem - ffa.uni-lj.si¡f... · •Farmacija na Irskem nadalj. • 2010:...

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Delo farmacevta na Irskem 1. Predstavitev Irske 2. Delovno okolje, zdravstveni sistem, regulativa 3. Magistrski program NPIP 4. Razvoj farmacije, Patient Group Directions 5. Viri, povezave
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Page 1: Delo farmacevta na Irskem - ffa.uni-lj.si¡f... · •Farmacija na Irskem nadalj. • 2010: zmanjšanje prihodkov lekarn z naslova marže –marža na zdravila na državne recepte

Delo farmacevta na Irskem

1. Predstavitev Irske

2. Delovno okolje, zdravstveni sistem, regulativa

3. Magistrski program NPIP

4. Razvoj farmacije, Patient Group Directions

5. Viri, povezave

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Republika Irska [Éire]

~4,5 mio preb.70,280 km²Dež – 1000mm/leto~200.000 Poljakov7 mio krav in malo

manj ovac

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Effective Income Tax and Social Security Rateon 100.000 USD of Gross Income:Slovenija: 32,8%+22,1% = 55,9%Irska: 22,7% + 7,6% = 30,3%

BDP/preb (2009)Slovenija: 24.000 USDIrska: 50.000 USD

Obdavčitev podjetij: Slovenija: 21%Irska: 12,5%

Nezaposlenost(2010)Slovenija: 7,8%

Irska: 13,5%

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Irski farmacevtski zakonik – The Pharmacy Act

The Pharmacy Act 2007 provides for a modern framework for the Pharmaceutical Society of Ireland (PSI), and an enhanced and modern system of regulation of the pharmacy profession in Ireland.

Under the Pharmacy Act 2007, the regulator’s principal functions are to:

* Protect, maintain and promote the health and safety of the public

* Maintain registers of pharmacists and pharmacies

* Inspect pharmacy practices and enforce pharmacy legislation

* Draw up codes of conduct for pharmacists

* Promote and ensure high standards of education and training, including continuing education in pharmacy * Conduct inquiries to determine “fitness to practise” and “fitness to operate”

* Process complaints relating to pharmacy practice and operation

* Act as the registration authority for pharmacists wishing to practise in Ireland who have obtained their qualification outside of Ireland and the EU

* Act as the competent authority for mutual recognition of qualifications from other EU countries

* Oversee the quality assurance and application of best practice across the sector

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Code of Conduct-etične zapovedi

Besedilo v šestih točkah zapoveduje etične standarde, katerih se moramofarmacevti v kateremkoli poklicu držati najsibodi pri delu z bolniki ali pa drugimizdravstvenimi delavci. Odstopanje od spodaj navedenih zapovedi se šteje kotnevestno opravljanje poklica.

1. The practice by a pharmacist of his/her profession must be directed to maintaining and improving the health, wellbeing, care and safety of the patient. This is the primary principle and the following principles must be read in light of this principle.

2. A pharmacist must employ his/her professional competence, skills and standing in a manner that brings health gain and value to the community and the society in which he/she lives and works.

3. A pharmacist must never abuse the position of trust which they hold in relation to a patient and in particular, they must respect a patient’s rights, including their dignity, autonomy, and entitlements to confidentiality and information.

4. A pharmacist must conduct himself/herself in a manner which enhances the service which their profession as a whole provides to society and should not act in a way which might damage the good name of their profession.

5. A pharmacist must maintain a level of competence sufficient to provide his/her professional services effectively and efficiently.

6. A pharmacist must be aware of his/her obligations under this Code and should not doanything in the course of practicing as a pharmacist, or permit another person to do anything on his/her behalf, which constitutes a breach of this Code or impairs or compromises his/her ability to observe this Code.

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Pharmacy Ireland 2020

Bela knjiga razvoja irske farmacije:

1. Consolidate the advisory and medicine distributive role of pharmacy

2. Provide continuity of care and accountability

3. Provide a range of diagnostic and screening services (including tests for PSA, H. Pylori,Cholesterol, BP, BMI, BG, INR, etc.)

4. Increase health gain through evidence based and measureable health promotion campaigns

5. Provide a front-line, complementary primary care service with a wide range of evidence basedpharmacist prescribed deregulated medicines

6. Contribute to a decrease in antibiotic resistance in the general population

7. Increase the detection and reduce the availability of counterfeit medicines

8. Provide a pharmacoeconomically viable health service to patient and state

9. Demonstrate how future pharmacists can fully utilise the high quality education they havereceived.

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Master-level National Internship Programe -od okt. 2009

http://www.rcsi.ie/files/courses/docs/20101124111429_MPharm%20Programme%202010.pdf

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•Farmacija na Irskem

• 4500 farmacevtov; 550 farm. tehnikov• 1700 lekarn (2.650 preb./lekarno)• Industrija-ena najmočnejših v državi; v

2008 je bilo 40% delovnih mest v farmaciji v EU ustvarjenih na Irskem, pretežno v farm. Industriji (http://issuu.com/ipha/docs/map-of-pharmaceutical-locations-in-ireland)

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•Farmacija na Irskem nadalj.

• 2010: zmanjšanje prihodkov lekarn z naslova marže – marža na zdravila na državne recepte se je zmanjšala s 50 na 20%, uvedba participacije 50¢ zdravilo hkrati pa se je večina zdravil pocenila >25% => razvoj kliničnih storitev:MUR – medicines use reviewMinor ailment scheme/Patient Group DirectionsHealth Screening Services – HHC, SFGGeneric substitution

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Patient Group Directions

Gre za skupek pisnih navodil, ki dovoljujejo v posebnih kliničnihokoliščinah izdajo in/ali dajanje zdravila s strani farmacevta, za kateregaje sicer potreben zdravniški recept. Dokument mora biti podpisan sstrani zdravnika (zobozdravnika) in farmacevta. Namenjen je le točnodoločeni populaciji bolnikov, kjer posameznik ne potrebuje osebnegaobiska pri zdravniku.

Primer: Sezonsko cepljenje proti gripi

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Zanimive povezave

1. www.ipu.ie - Irish Pharmacy Union -Irsko farmacevtsko društvo2. www.medicines.ie - IPHA medicines compendium, view and print product SPCs 3. www.pharmaceuticalsociety.ie – Farmacevtski regulator4. www.medicalcouncil.ie - doctor's registration details5. www.pcrs.ie - Primary Care Reimbursement Service – Irski “ZZZS”6. www.nursingboard.ie - check nurse prescriber registration details7. www.imb.ie - drug safety updates, report adverse effects8. www.boots.com

9. http://www.stjames.ie/GPsHealthcareProfessionals/Newsletters/ - Newsletter of the most specialized hospital in pharmacotherapy

10. http://www.state.gov/r/pa/ei/bgn/3180.htm - Dejstva o Irski11. http://www.ipha.ie/alist/healthcare-facts-and-figures.aspx - Poročilo o irskem farmacevtskem sektorju

Kontakt: [email protected]


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