Groupement Pharmaceutique de l'Union Européenne. Austria. Belgium. Bulgaria. Croatia. Cyprus ... Large portion of total
The role of pharmacists in protecting people with diabetes against influenza infection Jamie Wilkinson
MPH, MSc, MPharm, Dip HE, FRSPH, MRPharmS, PFPH
Director of Professional Affairs, PGEU #PGEUSoH
www.pgeu.eu
01 Introduction
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Pharmaceutical Group of European Union Members: Professional Bodies & Pharmacists’ Associations
2017: 31 Countries
PGEU GPUE
Austria Belgium Bulgaria Croatia Cyprus Czech Rep Denmark Estonia Finland France Germany Greece Hungary Ireland Italy Luxembourg Malta
Pharmaceutical Group of European Union Groupement Pharmaceutique de l’Union Européenne
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Netherlands Poland Portugal Romania Slovakia Slovenia Spain Sweden United Kingdom FYR Macedonia Norway Serbia Switzerland Turkey
Overview of Presentation
Community Pharmacy: At a Glance
Trends in Pharmacy Services
At the hearth of European communities At the heart of European communities
Self-care, Prevention and Vaccination Awareness
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Vaccination in the Pharmacy
Next Steps
02 Community Pharmacy: At a Glance
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1959
2016 400.000
Community Pharmacists
At the hearth of European communities At the heart of European communities
160.000
Pharmacies
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46 million
citizens visit a pharmacy every day
At the heart of communities
At the hearth of European communities At the heart of European communities
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Responding to Change Pharmacy practice has transformed from focusing only on medicines and disease to patient care and quality Large portion of total health care spending is on pharmaceuticals and chronic diseases, imperative to improve healthcare quality and personal outcomes Pharmacy services aim to achieve the ‘triple aim’:
• Better quality of care • Better health outcomes • Lower costs
At the hearth of European communities At the heart of European communities
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03 Trends in Pharmacy Services
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Overview of Pharmacy Services Essential Services • Dispensing prescriptions • Repeat dispensing • Waste medicines disposal • Night / on call services • Diet & healthy lifestyle advice • Signposting & referral Various Services • Emergency contraception • Smoking cessation 04 • Pregnancy testing • Homecare services
Advanced Services • Medication reviews • New medicines services • Therapeutic patient education • Needle exchange service • Vaccinations • Prescribing
Chronic Disease Management • Diabetes management • Asthma management • Hypertension management
Measurement Services • Blood pressure measurement • Cholesterol measurement • Glucose measurement • Weight measurement
At the hearth of European communities At the heart of European communities
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04 Self-care, Prevention and Vaccination Awareness
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At the hearth of European communities At the heart of European communities
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Self-care & Support for Chronic Disease No appointment needed Five years (min) of education & training Patient education: Good hygeine practices, prevention and referral Support for chronic disease management (e.g. diabetes) At the hearth of European communities At the heart of European communities
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Self-care & Support for Chronic Disease Glucose measurement Weight management Almost all countries in EU Services for new medicines Medication reviews More common in EU pharmacies (specific focus on insulins, high risk medicines for CHD, diabetes etc)
These services can also provide opportunities for awareness and referral for vaccination (as well as prevention)
At the hearth of European communities At the heart of European communities
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At the hearth of European communities At the heart of European communities
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https://fip.org/files/fip/publications/FIP_report_on_Immunisation.pdf
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05 Vaccination in the Pharmacy
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‘Flu Vaccination in Pharmacy (by Pharmacist)
Yes 7
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‘Flu Vaccination in Pharmacy (by other HCPs)
Yes 8
At the hearth of European communities At the heart of European communities
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‘Flu Vaccination in Pharmacy (total)
Yes 12
At the hearth of European communities At the heart of European communities
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22
Ireland
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http://ipu.ie/wpcontent/uploads/2017/09/IPUReview-SEPTEMBER-2017.pdf
23
Video (Ireland)
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UK - England
http://www.pharmaceuticaljournal.com/news-and-analysis/news-inbrief/community-pharmacistsadministered-nearly-1nbspmillion-fluvaccinations-in-20162017/20203039.article
http://www.pharmaceutical-journal.com/news-andanalysis/news/flu-survey-finds-99-of-patients-wouldhave-their-vaccination-at-a-pharmacyagain/20203614.article
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France
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06 Next Steps
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What are the Barriers and Facilitators? To really make a difference, such services need to be scalable; Services are unlikely to be sustainable on a large scale without funder support – little evidence that patients are willing to pay out of pocket; Pharmacy IT systems need to be integrated with the national eHealth systems (beyond only ePrescribing); Support from the medical profession helps; Problems such as diversion of staff from dispensing / increased risk / need for additional training have to be addressed. At the hearth of European communities At the heart of European communities
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THANK YOU! Pharmaceutical Group of the European Union (PGEU) Rue du Luxembourg 19, 1000 Brussels, Belgium +32 (0)2 238 08 18
[email protected] www.pgeu.eu
