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PGEU

The Role of Pharmacists in

Cross-border Healthcare

Giovanna Giacomuzzi, PGEU

PGEUContent

The Directive

Recognition of Prescriptions

eHealth and Continuity of Care

Keeping the patient at the Centre

12/04/2011 Pharmacists & Cross-border Healthcare

PGEUThe European Patient

12/04/2011

Is the health professional I am dealing

with appropriately

qualified? What happens

if things go

wrong?

What will I

have to pay? Who will I

have to pay? What if they don’t have the medicine back

home?

Will I have to break off the treatment

when I go home?

Pharmacists & Cross-border Healthcare

PGEUThe Directive

A step in the right direction but still a long way to go...

12/04/2011

The emphasis on cooperation in the Directive (e.g. European Reference Networks, eHealth, HTA) is a major step forward on the road to a more European approach to health issues and to patients rights.

But there is a long way to go, European health systems remain fragmented, and health inequality is a major and growing concern.


PGEUThe European Prescription

Different:Different:

Medicine Names,

Medicines Prices,

Rates of Reimbursement,

Prescription Forms,

Prescribing Practices,

Dispensing Practices,

Availability of Some Medicines.


PGEUThe European Prescription


PGEURecognition of Prescriptions


PGEUThe Directive

Why Cooperation Matters for Patients Rights and for Health?Why Cooperation Matters for Patients Rights and for Health?

Health systems are entering a new phase of growing demand and more limited resources the development of best practice and the encouragement of innovation has never been more important,

Cooperation is crucial between Member states , but also at the level of health professionals- as recognised by the provisions of the Directive relating to E Health.


PGEU


eHealth and Continuity of Care

Accessing Information contained in eHealth Record:Accessing Information contained in eHealth Record:Reduction of costs,Improve quality of care and patient safety,Ensure continuity of care,Improve communication and collaboration within the healthcare team,Promote-evidence based medicine, Record keeping and mobility,Supporting development of pharmacy services.

Not just a cross border issue!

PGEUThe potential of eHealth RecordStudy involving 160 French Community Pharmacies that used Study involving 160 French Community Pharmacies that used

Dossier Pharmaceutique for 2 months: Dossier Pharmaceutique for 2 months:

577 adverse drug reactions were identified and reported including 482 drug interactions,

In 77% of the interaction cases the pharmacist provided appropriate advice,

16% of the cases the prescriber was contacted, which lead to a modification in the prescription in at least 1 of 10 interventions,

60 were interventions concerning an oral anticoagulant treatment.


PGEUKeeping the Patient at the Centre

We must not loose sight of the patient – processes such as HTA cooperation must make a robust commitment to consulting with patients and patient organisations,

eHealth development must not be dominated by industrial concerns – we need systems which ‘fit for purpose’ from the patients’ point of view, and recognise patient autonomy and the key role of consent,

We are a long way from a European health system, but the Directive is a big step toward a Europeanised health system...


PGEU

12/04/2011

Online access to registers of health

professionals!

Patient participation in Reimbursement decisions!

Technological development that is both efficient and put

patient interests first!

Affordable medicines!

Rapid adoption of

Best practice!

Rising quality standards across

the board!…


PGEU

12/04/2011

THANKTHANK YOUYOU

www.pgeu.euPharmacists & Cross-border Healthcare