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Federation of Asian Pharmaceutical Associations
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44,000 = 88 Aircrafts with 500 seats each
= 1 Air crash every 4 days
98,000 = 196 Aircrafts with 500 seats each
= 1 Air crash every 2 days
44,000 : 98,000
“To Err is Human: Building A Safer Health System”
Institute of Medicine (IOM) Report , 1999
MEDICAL/MEDICATION ERRORS FATALITIES
John C P Chang , FAPA President
Philippines Pharmacist Association Convention Manila – 26 – 28 April, 2012
Unleashing the Pharmacy Power in Asia
John C P Chang , FAPA President
Philippines Pharmacist Association Convention Manila – 26 – 28 April, 2012
Unleashing the Pharmacist Power in Asia
POWER OVERCOMING WEAKNESSES
MAXIMISING STRENGTHS
Power Equation
= +
Remove Negative Perception
Leader
Recognition
Individual Level Education, Training, Attitude, Knowledge, Skill
Pharmacy Institution Level Association, Legislations, Ethical Code, Best Practices,
Pharmacy Council, CPD, etc
National Level (Healthcare System) Advocacy, Leadership, Healthcare Team
Sources of Pharmacist Power
Objective
Member associations in Asia despite making significant progress in recent decade continue to face challenges in developing and promoting an effective and deservingly recognised pharmacy profession. With collective action we can achieve better results and in contributing to the betterment of healthcare system nationally and within the Asian Region.
a. Overview on the Issues and Challenges facing Pharmacists
in National Associations in Asia
b. How Member Associations under FAPA Leadership, as an
Asian Pharmacist Regional Organisation can help meet these
Challenges
Pharmacy – among the most evolving Profession?
Favourite topics of pharmacy gatherings are on changing roles, new roles, etc
Evolving Roles Changing, Extending and Expanding
“A trend for pharmacy practice to move away from its original focus on compounding, medicine supply,
towards a more inclusive focus on patient care.”
Compounder Pre-packed
Medicines
Selling
Counseling
Service +
Information
Patient care
Pharmaceutical
Care
In 1995 PEW COMISSION IN THE US REPORT
“Revitalising the health profession for the
21st Century”
A SURPLUS OF 40,000
PHARMACISTS!
WHO Report Says……
“Effective medicine can be practised only where there is efficient drug management”
“Only when pharmacist has been accepted as a vital member of the health care team can the necessary supporting services be organised with the professionalism that they demand”
“ They are able to provide informed advice to patients with minor illnesses and often to those the more chronic conditions who are on established maintenance therapy
New tool to enhance role of pharmacists in health care
“The traditional role of pharmacists is to manufacture and
supply medicines. More recently, pharmacists have been faced with increasing health demands: an ever-growing and complex range of medicines, and poor adherence to prescribed medicines, have forced the evolution of the pharmacist’s role into a more patient centred approach (known as pharmaceutical care). Adherence to long-term therapy for chronic conditions in developed countries averages 50%, with even lower rates for developing countries”
ASIA 46 countries 4 billion people
(60% of the world's population)
Over US$4 trillion of foreign exchange reserves - more than half of the world's total.
FACTORS INFLUENCING HEALTHCARE
POTENTIAL IN ASIA
Population growth, huge market potential
Better education and access to healthcare information
through Internet
Rising income and affluence, demand for quality care
More healthcare professionals being trained
Growing ageing population, living longer
Lifestyle illness, threat from non-communicable diseases
Healthcare and medical technology driven demand
Better healthcare delivery system and governance
MANY CHALLENGES FACED BY
PHARMACISTS AT NATIONAL AND
INTERNATIONAL SCENE
Progress comes
with Challenges
REALITY Pharmacy and Pharmacists
although have come a long way
but we still have more distance to
cover!
Amidst the discussion at FIP Congress, reality sets in when delegates from
developing countries spoke out on the gaps in practice against developed
nations …
* Pharmacy Practice affected by the divide of advanced vs developing
healthcare system
CHALLENGES AT NATIONAL/PROFESSION LEVEL
Pharmacists’ Mindset
Evolving roles of Pharmacists
Acceptance as member of healthcare profession –
by others, including consumers
Professionalism & Governance - Image
Adoption of Best Practices in Pharmacy – Advancing
Hospital and Community Practice
Dispensing Separation
Quality Pharmacy Education
Pharmacy Advocacy and Leadership
Harness the energy of Young Pharmacists
Strengthening the Pharmacy Organisations
1970 1975 1980 1985 1990 1995 2000 2005 2010
8 7 6 5 4 3 2 1 0
235 265 434 893 1325 2100 3168 4793 8300
PHARMACISTS MANPOWER GROWTH TREND
Malaysia ‘000
Money
Job issues
Altruism
Health interest
Science
% c
as
es
(n
=1
30
8)
Slovenia
Romania
Swiss
NL
Portugal
Singapore
Nepal
Australia
Jamaica
Malaysia
0
25
50
75
MOTIVATION
in taking up Pharmacy Studies
Pharmacists’ Mindset
A consequence of past and historical
development , trapped
Pharmacy – majority not the first choice
as a career, but things are changing
Seeing pharmacy more as a job rather
than a vocation (profession)
Self-centered, rather than institutional
centered
Still pursuing a product/logistic based
practice
Subservient to the medical profession
Unsure of where their future is or where
they are heading?
“Only when the pharmacist has been accepted as a vital member of the health care team can the necessary supporting services be organized with the professionalism that they demand.” The Role of the Pharmacist in the Health Care System (1994; 60 pages)
WHO Collaborative Study
Pharmacy Practice in Brazil Submitted by Marco Antonio de Freitas (not verified) on Sat, 2007/04/14 -
19:22.
I'm a pharmacist in Brazil. In our country, every citizen has the right to own a pharmacy. You don't need to be a pharmacist to open a pharmacy. A pharmacy is considered a simple business like any other. Few pharmacists are pharmacy owners in Brazil. They are obliged to work for people with absolutely no qualification and earn very low salaries (US$ 9000,00 a year). The government do not include pharmacists in the national health programmes. The population don´t respect pharmacists as health professionals and usually treat them like pharmacy clerks(in our country one doesn´t need to be a pharmacy technician to work in a pharmacy side by side with a pharmacist. These unqualified people are like shop clerks in other countries). For these reasons many pharmacists abandon the career in Brazil. They feel very frustrated because of little recognition of their work and very low earnings.
PHYSICIANS
PHARMACISTS
COUNSELLING
SCREENING
OTC PRESCRIPTION
HEALTH
PROMOTION
DIAGNOSIS
TREATMENT VALIDATION
+ PHARMACEUTICAL CARE
MEDICAL CARE
Referring
Pharmacists and Physicians in the Value Chain
Dr Michel BUCHMANN, FIP vice-president, september 2001
“Pharmacists should move from behind the counter and start serving the public by providing care instead of pills only.
There is no future in the mere act of dispensing. That activity can and will be taken over by the internet, machines, and/or hardly trained technicians. The fact that pharmacists have an academic training and act as health care professionals puts a burden upon them to better serve the community than they currently do.”
(From: Pharmaceutical care, European developments in concepts,
implementation, and research: a review.1,p.x.)
Common GOAL for these Pharmacists
Hospital
Industrial Community
R&D
Marketing
Academia
Patient
Safety &
Outcome
Because WE share SIMILAR Issues and Problems!
Pharmacists’ Mindset
Evolving roles of Pharmacists
Acceptance as member of healthcare profession –
by others, including consumers
Professionalism & Governance - Image
Adoption of Best Practices in Pharmacy – Advancing
Hospital and Community Practice
Dispensing Separation
Quality Pharmacy Education
Pharmacy Advocacy and Leadership
Harness the energy of Young Pharmacists
Strengthening the Pharmacy Organisations
“Reengineering Pharmacy Practice in a Changing World”
Global concerns surrounding rational drug therapy, the quality of the drug supply, the responsiveness to patient needs around drug information, and the structuring of pharmacy practice to meet new governmental and social demands.
Ideals and Idealists: Striving to Achieve Our Societal Imperative Henri R. Manasse, Jr. 2007;64(16):1685-1692. © 2007 American Society of Health-System Pharmacists
As a result, our profession is becoming more globally connected. And we are coming to need each other as we position our profession for the future.
With the rapid pace of global change affecting our profession daily,
interconnections with our global counterparts is
vital. We must begin to work together to tackle these changes and
develop universal standards to improve the quality of care and
safety we provide our patients.
As an Asian
Regional Pharmacy
Organisation
FAPA will cooperate
with FIP as a global
leader and other
pharmacy related
organisations
to address these issues
Present at this
Workshop/Seminar in
Yogyakarta are international
pharmacy leaders from no less
than 14 countries
SHARING, INFLUENCING, and
BRINGING CHANGE To the Profession
Are We Together Again
All of the great leaders have had one
characteristic in common; it was the
willingness to confront unequivocally
the major anxiety of their people in
their time. This, and not much else, is
the essence of leadership.
- John Kenneth Galbraith
FAPA Federation of Asian Pharmaceutical Associations
COMMON ISSUES
PLATFORM FOR DISCUSSION
SHARING OF KNOWLEDGE, SKILL AND EXPERIENCES
DEVELOPING A STRONG NETWORK OF MEMBER
ORGANISATIONS
INSTITUTIONAL SUPPORT
Member Organisations
fully aware of the potential of
pharmacists contributing to national healthcare system
A Young Pharmacist Says: “The pharmacy profession is,
and always should be, a dynamic healthcare profession.
It has much potency that still needs to be developed so that
we may best meet the needs of the community”
“ In conclusions, FAPA Taipei had successfully met its objective in bringing pharmacists in different segment from all over the world in sharing the latest advancement in term of profession, technology, issues and pharmaceutical care as a whole. Representing Malaysia as a young pharmacist has provided me with the sense of where we are now compared to other developed Asia countries. .....We do have the ultimate goal which is to make our profession respectable and recognized in the community. We should have the vision and the goal to improve the current practices so that we will benefit not only in terms of workload relief but also entire health care system.” Mr Ong Aik Liang, Ward Supply Pharmacist at Pusat Perubatan University Kebangsaan Malaysia. He was one of the recipients of the FAPA Travel Scholarships
which enabled him to attend the FAPA2010 conference in Taiwan.
FAPA Travel Scholarships
The WHO UNESCO FIP Pharmacy Education Taskforce: Enabling Concerted and Collective Global Action
Claire Anderson, PhD,a Ian Bates,MSc,b Diane Beck, Pharm D,c Tina Brock, EdD,d Billy Futter, MComm,e
Hugo Mercer, PhD,f Mike Rouse, BPharm,g Tana Wuliji, BPharm,h and Akemi Yonemura, EdDi
Vision Against the background of complex pharmacy workforce trends,
changes in the roles of pharmacists and growing health challenges, an essential need exists to have a clear and shared vision for professional pharmacy education as well as a process for building collective action and momentum to develop quality pharmacy education.
Further consultation and research is needed in addition to the establishment of an effective global sharing platform.
Plans are also currently in the advanced stages of development for the establishment of a global pharmacy education network, GPhEd, of pharmacy schools through the UNESCO UNITWIN (university twinning) programme.
IMPORTANCE OF CREDENTIALS IN PHARMACY
A pharmacist’s credentials are indicators that he or she holds the qualifications needed to practice
the profession of pharmacy and is therefore worthy of the trust of patients, of other health care
professionals, and of society as a whole. In the profession of pharmacy, the interest in credentials
has been catalyzed in recent years by several factors.
* First among them are the pace of change and the increasing complexity of health
care.
* Second factor is the pharmacist’s expanding patient-centered role. Interest in
credentialing has likewise been stimulated by the growing trend toward specialization in
pharmacy practice and by the need to document the pharmacist’s ability to provide specialty
care.
* Third factor has been the need to assure the public, employers, payers, other
health providers, and other pharmacists that practitioners are competent no matter where they are
in their careers and where they practice.
* Fourth, economic realities enter the picture. Pharmacists who are providing cognitive services or
specialized care should be compensated for the services they provide. Similarly, payers rightfully
expect and deserve to receive validation that pharmacists are qualified to provide such services.
Credentials, and in many cases, more specifically, certification, can help provide the
documentation that Medicare and Medicaid, managed care organizations, and other third-party
payers require of pharmacists today and in the future.
PHARMACY TRAINING INSTITUTIONS
IN MALAYSIA
USM
UKM
UM
IIU
UiTM
IMU
UCSI
AIMST
NOTTINGHAM
CYBERJAYA
MASTERSKILL
MSU
MAHSA
SEGI –SUNDERLAND
MONASH
\
Public Private
CONCLUSION
Pharmacy Profession has evolved over time to meet the changing
healthcare needs of the people and nations
However there are still many issues and challenges confronting the
profession.
Asia as a region has enjoyed unprecedented socio-economic growth
leading to huge demand for pharmaceuticals and healthcare
services
Demand for pharmacists is expected to grow at fast pace
Promoting the evolving roles of pharmacists
Developing a strong Young Pharmacist Group to energize the
profession
Enhancing Professionalism & Governance - Image
Adoption of Best Practices in Pharmacy – Advancing Hospital and
Community Practice
Promoting Quality Pharmacy Education
Pharmacy Advocacy and Leadership
Strengthening management of member organisations
FAPA Federation of Asian Pharmaceutical Associations
COMMON ISSUES
PLATFORM FOR DISCUSSION
SHARING OF KNOWLEDGE, SKILL AND EXPERIENCES
DEVELOPING A STRONG NETWORK OF MEMBER
ORGANISATIONS
INSTITUTIONAL SUPPORT
HOW CAN FAPA CONTRIBUTE TO THE DEVELOPMENT OF PHARMACY IN ASIA?
Creating strong networking amongst pharmacist community, within
Asia and outside it, and with other international pharmacy
organisations
Creating opportunities for sharing of knowledge and information
Identifying common areas of concern and sharing experiences
Improving the perception on pharmacist’s role and image
Promoting the evolving roles of pharmacists
Developing a strong Young Pharmacist Group to energize the
profession
Enhancing Professionalism & Governance - Image
Adoption of Best Practices in Pharmacy – Advancing Hospital and
Community Practice
Promoting Quality Pharmacy Education
Pharmacy Advocacy and Leadership
Strengthening management of member organisations