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Wednesday, May 27, 2015

Need for PharmD in India : An exploratory insight

Dear Readers..!!! Thanks for visiting my blog...!!!

Today I would like to address the most common questions by other health care professionals "Is Pharm.D valuable?", "Is there a need to study this course", which makes us feel embarrassing. Keeping these questions in mind, I would like to address the importance of PharmD in India and its impact on Global health care system.

If you have come across such situation, don't forget to share this post...

Is there a need to study PharmD? Is it valuable??

Yes, PharmD is a life saving course. A saying that "doctors can save lives" is an old version. "Saving lives with better quality" is newer and is possible only by a well trained pharmacist. The various activities of pharmacists like optimization of drug therapy, medication therapy management doesn't only save the lives of the patient and improve the quality of well being but also adds credits to the Indian economy. PharmD is a collective of all integrated pharmaceutical services offering the patient's well being with safe, effective and economical therapeutic interventions. Right from the community level and individual based to population based approach can be done effectively through these integrated services that adds upon an healthy living irrespective of age, gender, race and ethnic groups, and hence Pharmacy is the world's 2nd most respectable profession in existence now and forever. 

Why there is a need of Pharm.D in India??

I would like to precise the importance of such doctoral programmes in developing countries like India, for the betterment of health care system. 

Refill the gaps:

It is evident that In India, the doctors to patient ratio is just 0.31/1000. in such a huge populous country like India, definitely there is a need to fill the gaps between the patient and the physician. As pharmacists is totally concerned with all the provisions of drug therapy, the services can be utilized at the primary health care centre's under the supervision of the well trained health care professional. this would make a difference in the lives of the people living mostly in rural and tribal areas. India needs reforms and implementations of strategies by the Government, taking the health of the entire population into consideration.

Addition of credits to Indian economy: 

The International Pharmaceutical Federation (FIP) says worldwide 500 million dollars can be saved per annum through "Responsible Use of Medicines", this can be achieved only by pharmacists. The World Health Organization's integrated approach of 8 - Star Pharmacist can be a model to practice to achieve the responsible use of medicines. If the Pharmaceutical services are utilized in the manner they are ought to be the debts of India from the World bank can be cleared in a couple of years. Every Primary Health care Centre to the Super Multi specialty hospital should be accompanied with well qualified and well trained pharmacists this improves the quality of patient's life and also decreases the economic burden to the respective state and Central Government's. utilization of Pharmacist's services in programmes like ArogyaSri can help in the proper utilization of finance by monitoring the necessities of diagnostic and therapeutic approaches.

Hospital Pharmacy:

Pharmacists are the key to patient safety with regard to medication. Hospital pharmacists can play a major role in the fight against counterfeit medicines. The major tasks include follow up of medication orders, formulary development, medication administration,  compounding sterile products, unit dose packaging, medication storage, minimizing Adverse Drug Reactions and eliminating medication errors. Medication distribution and control of cytotoxic and hazardous drugs, controlled substances, Non-approved substances, medication storage area inspections, floor stock, medical emergency management, drug delivery systems.

Optimization of medication therapy through processes like medication history interviews, follow-up of medication orders, medication therapy monitoring, minimizing bacterial resistance, collaborative pharmacist consultations, medical record documentation, medication use evaluation, medication use policy development, pharmaceutical care provision, continuity of care, clinical care plans, immunization programs, conducting teaching and training programmes and research.

Self Medication and Quality assurance:

As the experts in medicines, pharmacists have always been known as an accessible and trusted source of advice and treatment. Today, the contribution to health care is developing in new ways to support patients in their use of medicines and as a part of clinical decision-making across the range of specialisations.
Self-treatment of common ailments is becoming more popular as a growing range of safe, effective medicines becomes available from the pharmacy without the need for a doctor’s prescription. Pharmacists have the expertise to advise both on the choice of medicines and their safe and effective use. The right choice of self-treatment can prevent some conditions from developing or help others clear up more quickly.

Community Pharmacy:

Most of the people visit a community pharmacy first for think Pharmacists are the sales persons behind the counter with employment in either pharma companies or retail pharmacies. This is because most of the retail pharmacies, have been run by a lay person without a well-qualified pharmacist. If such pharmacies are accompanied by a well-qualified pharmacist the dispensing, monitoring of the drug sale, over-the-counter advise on usage of medicines, drug information, patient counseling, medication adherence through proper communication, managing the medication therapy, giving better suggestions on prescribed therapy and lifestyle changes.

Community pharmacists can also provide specialized services in managing the health conditions in chronic cases like Diabetes, Hypertension, Tuberculosis, HIV, asthma, smoking and alcohol cessation; maintenance of health records of the patients, quality advice on prescribed and non-prescribed drugs, suggestions on generic medicines and recommendations on other AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy) medicines. This fact has to be brought into light and the public from rural and urban areas needs to understand the importance of a well-qualified pharmacist in retail and community set up.

Clinical Pharmacy:

A detailed description on role and responsibilities of a clinical pharmacist has been posted earlier kindly go through the link provided below:


How to achieve this??

The World Health Organization has proposed an 8 - star Pharmacist model to describe various roles of Pharmacist in providing better pharmaceutical care and decision making. Taking this into account, if practiced under a well trained pharmacy professional, there is a possibility of achieving a better impact in the healthcare system.


Happy Blogging...!!!
Regards,
Deepak Kumar Bandari,
Pharm.D Intern,
Vaagdevi College of Pharmacy - India
Elsevier Student Ambassador - South Asia

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