Conceptual model of pharmaceutical care for patients with coronary heart disease and comorbid conditions in Ukraine.

IF 3.3 Q1 HEALTH POLICY & SERVICES
Journal of Pharmaceutical Policy and Practice Pub Date : 2025-04-08 eCollection Date: 2025-01-01 DOI:10.1080/20523211.2025.2484577
Natalia Bilousova
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Abstract

Background: According to WHO's data, a significant number of deaths from CVD is observed in Ukraine. In today's conditions, the problems of ensuring the availability of medicines and pharmaceutical care for patients with CHD and comorbid conditions are being addressed at all levels of management of the Ukrainian healthcare sector in conditions of limited funds, resources and martial law. The scientific development of a conceptual model for providing pharmaceutical care to such patients, aimed at reducing the burden on the healthcare system and ensuring the safe use of medicines in compliance with European legislation, is highly relevant. Methods: The methods used in this work include information retrieval, analysis, synthesis, generalisation, induction and deduction, synergistic, dialectical, and modelling. Results: The conceptual model of pharmaceutical care for patients with CHD and comorbid conditions was developed and substantiated. The place and role of pharmacists in the context of participation in interprofessional collaboration in multidisciplinary teams is defined. The rationale for involving pharmacists in multidisciplinary teams has been substantiated, as this will enhance the quality of personalised care, prevent potential medicines interactions considering their metabolic profiles, reduce the risk of adverse reactions and improve patient adherence to pharmacotherapy. Conclusion: The model of pharmaceutical care for patients with CHD and comorbid conditions takes into account the cardiovascular continuum and pharmacotherapy, which will lead to a decrease in disease progression, pharmacotherapeutic risks, reduce the burden on the healthcare system and guarantee the safety of medicines use. Implementation of the conceptual model of pharmaceutical care for patients with CHD and comorbid conditions in pharmaceutical practice requires revision of educational training programmes.

乌克兰冠心病和合并症患者的药学护理概念模型。
背景:根据世卫组织的数据,在乌克兰观察到大量心血管疾病死亡。在今天的条件下,在资金、资源有限和戒严令的情况下,乌克兰卫生保健部门的各级管理人员正在解决确保冠心病和合并症患者获得药品和药学护理的问题。科学地发展一种概念模式,为这类患者提供药学服务,旨在减轻卫生保健系统的负担,并确保药物的安全使用符合欧洲立法,这是高度相关的。方法:本文采用的方法包括信息检索、分析、综合、概括、归纳演绎、协同、辩证、建模等。结果:建立并证实了冠心病及合并症患者药学服务的概念模型。在多学科团队参与跨专业合作的背景下,药剂师的位置和作用是明确的。让药剂师参与多学科团队的基本原理已经得到证实,因为这将提高个性化护理的质量,考虑到他们的代谢特征,防止潜在的药物相互作用,减少不良反应的风险,并提高患者对药物治疗的依从性。结论:对冠心病合并合并症患者的药学服务模式兼顾了心血管的连续性和药物治疗,降低了疾病的进展,降低了药物治疗的风险,减轻了医疗系统的负担,保证了用药安全。在药学实践中实施对冠心病和合并症患者的药学护理概念模式需要修订教育培训计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Pharmaceutical Policy and Practice
Journal of Pharmaceutical Policy and Practice Health Professions-Pharmacy
CiteScore
4.70
自引率
9.50%
发文量
81
审稿时长
14 weeks
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