Title Stavovi farmaceuta u Hrvatskoj prema programu samostalnih farmaceuta propisivača Title (english) Attitudes of pharmacists in Croatia towards the independent pharmacist prescribing program Author Mihaela Kajmić Mentor Miranda Sertić (mentor)Mentor Miroslav Rajter (mentor)Committee member Miranda Sertić (predsjednik povjerenstva)Committee member Miroslav Rajter (član povjerenstva)Committee member Maja Ortner Hadžiabdić (član povjerenstva)Granter University of Zagreb Defense date and country 2024-09-13, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Posljednjih desetljeća farmaceutska struka prolazi kroz značajne promjene diljem svijeta, s naglaskom na proširenje uloga
ljekarnika izvan tradicionalnih okvira izdavanja lijekova. Jedan od smjerova takvih promjena je i koncept samostalnih
farmaceuta propisivača (eng. Independent pharmacist prescriber) koji je uspješno implementiran u nekoliko zemalja svijeta.
Samostalnim farmaceutima propisivačima u Velikoj Britaniji, u 2024. godini, dopušteno je procijeniti pacijente, postaviti
dijagnozu i propisati lijek za bilo koje stanje ili bolest (isključujući diamorfin, kokain i dipipanon), te za bilo kojeg pacijenta
unutar njihovih kliničkih kompetencija. Opseg djelovanja ovih farmaceuta širok je i obuhvaća rad na razini primarne i
sekundarne zdravstvene zaštite.
Cilj ovog istraživanja bio je utvrditi stavove hrvatskih ljekarnika prema programu samostalnih farmaceuta propisivača (eng.
Independent pharmacist prescriber). Putem on-line anketnog upitnika ispitanici su mogli izraziti svoje stavove prema
programu, njegovim prednostima i nedostatcima, ali i njegovoj potencijalnog implementaciji i izvođenju u Republici
Hrvatskoj.
U istraživanju je sudjelovalo 455 ispitanika, od kojih je 82,6% bilo žena, a 17,4% muškaraca, te je medijan dobi iznosio 34
godine. Većina ispitanika (85,5%) smatra da bi propisivanje lijekova od strane farmaceuta imalo pozitivan utjecaj na
zdravstveni sustav. Također, svaka navedena prednost ocijenjena je većinski kao iznimno važna. „Neprihvaćanje od strane
liječnika“ hrvatski su ljekarnici ocijenili kao najveću prepreku u okviru potencijalne implementacije programa, a „Vremenska
ograničenja“ kao najmanju. Gotovo su svi ispitanici smatrali kako uloga farmaceuta kao propisivača lijekova predstavlja
profesionalno napredovanje, a 63,5% ispitanika u potpunosti se složilo kako bi postali samostalni farmaceuti propisivači, kada
bi to bila mogućnost. Dodatna obuka nakon fakulteta, specijalistički studij i kurikulum fakulteta bili su najčešći odgovori na
pitanje gdje i na koji način bi se trebala odvijati obuka za stjecanje titule samostalnog farmaceuta propisivača.
Zaključno, stav hrvatskih ljekarnika prema programu samostalnih farmaceuta propisivača (eng. Independent pharmacist
prescriber) vrlo je pozitivan i optimističan, a približno dvije trećine ljekarnika izrazilo je želju za postizanjem titule
samostalnog farmaceuta propisivača. Ovi rezultati sugeriraju želju hrvatskih ljekarnika za daljnjim napredovanjem i
usavršavanjem, te upućuju na potrebu za raspravom o potencijalnim proširenjima uloga ljekarnika u sklopu hrvatskog
zdravstvenog sustava.
Abstract (english) In recent decades, the pharmaceutical profession has undergone significant changes worldwide, with a focus on
expanding the roles of pharmacists beyond the traditional framework of dispensing medications. One direction of these
changes is the concept of independent pharmacist prescribers, which has been successfully implemented in several
countries worldwide. In the UK, as of 2024, independent pharmacist prescribers are allowed to assess patients, diagnose,
and prescribe medications for any condition or illness (excluding diamorphine, cocaine, and dipipanone), as well as for
any patient within their clinical competence. The scope of these pharmacists' work is broad, covering both primary and
secondary healthcare.
The aim of this research was to determine the attitudes of Croatian pharmacists towards the independent pharmacist
prescriber program. Through an online survey, respondents were able to express their views on the program, its
advantages and disadvantages, as well as its potential implementation and execution in Croatia.
The study involved 455 respondents, 82.6% of whom were women, and 17.4% men, with a median age of 34. Most
respondents (85.5%) believe that pharmacist prescribing would have a positive impact on the healthcare system.
Additionally, all listed advantages were predominantly rated as extremely important. "Lack of acceptance by doctors"
was seen by Croatian pharmacists as the biggest obstacle to the potential implementation of the program, while "Time
constraints" were considered the smallest obstacle. Nearly all respondents believed that the role of pharmacists as
prescribers represents professional development, and 63.5% strongly agreed that they would become independent
pharmacist prescribers if given the opportunity. Postgraduate training, specialist studies, and university curriculum were
the most common answers regarding how and where the training for achieving the title of independent pharmacist
prescriber should take place.
In conclusion, the attitudes of Croatian pharmacists towards the independent pharmacist prescriber program are very
positive and optimistic, with approximately two-thirds expressing a desire to obtain the title. These results suggest a
strong willingness for further professional development and point to the need for discussions on potential expansions of
pharmacists' roles within the Croatian healthcare system.
Keywords
samostalni farmaceut propisivač
farmaceut propisivač
stavovi ljekarnika
anketa
Keywords (english)
independent pharmacist prescriber
pharmacist prescriber
pharmacists' attitudes
survey
Language croatian URN:NBN urn:nbn:hr:163:209177 Study programme Title: Pharmacy - integrated undergraduate and graduate - university study Type of resource Text File origin Born digital Access conditions Embargoed access Terms of use Created on 2024-10-09 11:13:49
