Dispensing practice in the community pharmacies in the Turkish Republic of Northern Cyprus
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Background Good Pharmacy Practice is the process of supplying the accurate drug to the right patient for an adequate period of time with the lowest cost to the patient and the community. Pharmacist have a crucial role in promoting good pharmacy practice. Objective To assess the dispensing practice of the community pharmacists in the Turkish Republic of Northern Cyprus (TRNC) regarding RDU and to evaluate the quality of dispensing. Setting Community pharmacies in TRNC. Method The study consists of two parts: a face to face interview and a simulated patient visit to these pharmacies. Main outcomes measure Rationality indicators (average dispensing time, stock availability and adequate labelling), presence of the pharmacist on the premises, dispenser characteristics, prescription checking, and the provided patient information. Results The majority of the prescriptions (73.3%) were dispensed by the pharmacists. None of the pharmacy employees had pharmacy based training. Eighty nine percent of the pharmacists believed that their employees could very well dispense drugs on their own. The declared average dispensing time for a prescription of a single drug was 233 s while the measured one was 149 s. Few dispensers in reality warned the patient about potential interactions. The difference between the average dispensing scores of the pharmacists and the non-pharmacist dispensers was not significant. Conclusions The dispensing practice in the community pharmacies in the Turkish part of Cyprus seems inadequate in terms of GPP.
KeywordsAverage dispensing score Average dispensing time Community pharmacist Cyprus Pharmacy Rational drug use Rationality indicators
The authors are grateful to Prof. Dr. Alper Iskit for preparing the prescriptions. Dr. Evren Hıncal and Dr. Nil Resatoglu had the valuable contribution in the statistical analysis. We also would like to thank Near East University Faculty of Pharmacy second and third classes students for conducting the face to face interview and playing the simulated patients and Prof. Huseyin Gokcekus for transportation.
Conflicts of interest
- 1.Toklu HZ, Akici A, Oktay S, Cali S, Sezen SF, Keyer-Uysal M. The pharmacy practice of community pharmacists in Turkey. Marmara Pharm J. 2010;14:53–60. Available in: http://www.marmarapharmaceuticaljournal.com/pdf/pdf_MPJ_242.pdf. Accessed 3 Dec 2011.Google Scholar
- 2.Rational Use of Medicines. [Online]. Available in: http://www.who.int/medicines/areas/rational_use/en/. Accessed 1 May 2011.
- 3.Rational Drug Use. Prescribing, dispensing, counselling and adherence in ART programs. MHS-Management Sciences for Health. [Online]. Available from: http://www.who.int/hiv/amds/RationalDrugUseBKK.ppt. Accessed 1 May 2011.
- 4.Laing R. Role of dispensers in promoting rational drug use. [Online]. Available in: http://dcc2.bumc.bu.edu/prdu/Session_Guides/role_of_dispensers_in_rational_d.htm. Accessed 1 May 2011.
- 5.Promoting Rational Use of Medicines: Core Components. WHO Policy Perspectives on Medicines, No. 005, September 2002. [Online]. Available from: http://apps.who.int/medicinedocs/en/d/Jh3011e/. Accessed 1 May 2011.
- 6.Popovich NG. Ambulatory patient care. In: Gennaro AR, editor. Remington’s pharmaceutical sciences. 17th ed. USA: Mack Pub. Co.; 1985. p. 1681–1701 (ISBN-10: 0912734035).Google Scholar
- 9.KTEB, Kıbrıs’ta Eczacılık. Available from: http:\\www.saglikbakanligi.com. Accessed 1 May 2011.
- 10.Azgin Fatma. Pharmacy law in Cyprus. [Kibris’ta Eczacılık Mevzuati] Lefkosa: Ileri Basımevi; 1986. p. 16–7, 164–5. Available from: http://www.kteb.org/ecz_kteb_tarih.htm. Accessed 1 May 2011.
- 11.WHO, World Health Organization. How to investigate drug use in health facilities. Selected drug use indicators. EDM Research Series No: 007; WHO/ DAP/93.1. Geneva: WHO; 1993.Google Scholar
- 26.Toklu HZ, Dulger G, Yaris E, Gumusel B, Akici A. First impressions from a short training course in rational use of drugs for the pharmacologists in the pharmacy schools in Turkey. Value Health. 2009;12(7):A249.Google Scholar
- 27.Toklu HZ, Dulger GA, Gumusel B, Yaris E, Kalyoncu NI, Akici A. Developing a model checklist for the evaluation of the dispensing scores in the pharmacy. Basic Clin Pharmacol Toxicol. 2010;107(supl 1):617–8.Google Scholar
- 28.Toklu HZ, Dülger GA. Rational drug use and the role of the pharmacist. Marmara Pharm J. 2011;15(3):89–93. Available in: http://www.marmarapharmaceuticaljournal.com/pdf/pdf_MPJ_271.pdf. Accessed 3 Dec 2011.Google Scholar