Dispensing and Medication
Counseling
Unit I
Introduction: Theretical Perspectives
and Contemporary Issues on
Dispensing and Patient medication
Counseling
A. Recent Developments in Service
Being Provided by Pharmacists.
Contribution of pharmacy to Todays
Health Care Provision
Pharmacists have expanded their roles and
responsibilities as a result of primary health
care reform. There is currently no consensus
on the core competencies for pharmacists
working in these evolving practices. The aim
of this study was to develop and validate
competencies for pharmacists' effective
performance in these roles, and in so doing,
document the perceived contribution of
pharmacists providing collaborative primary
health care services
The increasing burden of chronic conditions is leading the
developed world to investigate new approaches to caring :
1. on patients,
2. their families
3. Communities
4. the health system
Primary health care, as the first level of contact with the health
system for many individuals, has been refocused to emphasize
health promotion, illness prevention and chronic disease
management [1]. To address the challenge of access to primary
health care, interprofessional models are emerging. Pharmacists
are playing a growing part in primary health care reform by
fulfilling an increasing range of roles and responsibilities.
As Medication Therapy Experts, primary
health care pharmacists (PHCPs
1. integrate knowledge,
2. skills
3. professional attitudes
to effectively contribute to
improved quality of drug therapy
through the provision of patientcentered care and in collaboration
with health care providers.
Role Definitions: emphasizing the
responsibilities of pharmacists
Advocate: Primary health care
pharmacists use their expertise and
influence to advance the health and wellbeing of individual patients, communities
and populations.
Care Provider: Primary health care
pharmacists use their knowledge and
skills to provide pharmaceutical care and
to facilitate management of patient's
medication and overall health needs.
Collaborator: Primary health care
pharmacists work collaboratively
with patients, family physicians, and
other primary health care
professionals and in teams to provide
effective, quality health care and to
fulfill their professional obligations to
the community and society at large.
Communicator:Primary health care
pharmacists communicate with diverse
audiences, using a variety of strategies that
take into account the situation, intended
outcomes of the communication and the
target audience.
Manager:Primary health care pharmacists
use management skills in their daily practice
to optimize the care of patients, and to make
efficient use of health resources.
Professional: Primary health care
pharmacists honour their roles as selfregulated professionals through both individual
patient care and fulfillment of their
professional obligations to the community and
society at large.
Scholar:Primary health care pharmacists
have and can apply the core information
required to be a medication therapy expert,
and are able to master, generate, interpret and
disseminate pharmaceutical knowledge.