Conducting Public Health Outreach, Education and Prevention Through Pharmacies

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Conducting Public Health Outreach, Education and
Prevention Through Pharmacies

• Eugene B. Smith, Pharm.D., M.P.H.

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Changes in Pharmacy

• Mail order pharmacy
• Internet
• Technology and automation
• Increased prescription load with chronic disease
  management
• Increased self care by patients

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Pharmaceutical Care(1990 Hepler and Strand)

• Responsible for outcomes
• Member of the medical care team
• Mutually beneficial exchange with the patient

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Indian Health ServiceStandards of Practice

• Assure appropriateness of drug therapy
• Verify patient understanding of medications
• Improved medication use systems

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American Public Health Association (APHA)
Principles for Pharmaceutical Services

• Over 1/3 of the patient rights relate to health
  education

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Health Education Issues (Pharmacy)

• Chronic disease-prevention, detection and
  monitoring
• Medication errors and adverse drug reactions

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Health Education Issues (Pharmacy - cont)

• Patient non-compliance (attitude, skills,
  knowledge)
• Drug information (herbal, otc,
  substance abuse)
• Coordination/continuity of care

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Changes in Pharmacy

• OBRA '90 and patient consultation
• Patient consultation courses taught to 60,000
  pharmacists (Pfizer)

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Changes in Pharmacy(cont.)

• Adult immunization programs in pharmacies
• Tennessee pharmacy-county extension agent project

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Changes in Pharmacy(cont)

• Pharmacist credentials for primary
  care
• National associations organizing

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Pharmacists An Untapped Resource

• Interactive patient consultation
• Integration with community, culture, and
  lifestyles

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PHARMACY IS CHANGING
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Contact Information

• American Pharmaceutical Association (APhA)
• www.aphanet.org
• Mitch Rothholtz
• 1-800-237-2742 x 7549
• Mcr_at_mail.aphanet.org

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Contact Information (cont)

• Schools of Pharmacy
• - Jean Schreck
• -Schreck_99_at_yahoo.com
• National Association of Boards of Pharmacy (NABP)
  
• http//www.nabp.org

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Contact Information (cont)

• Eugene B. Smith, Jr., PharmD, MPH
• Division Director, Pharmacy Services, Navajo Area
  Indian Health Service
• P.O. Box 9020
• Window Rock, Arizona 86515
• Phone [phone]
• Fax [phone]
• Email esmith_at_navnaob.navajo.ihs.gov