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Pharmaceutical Care - Pharmaceutical Services in Greece and the European Surrounding
Karageorgiou, Eleftheria ; Kolář, Jozef (advisor) ; Kotlářová, Jana (referee)
Pharmaceutical Care-Pharmaceutical Services and the European Surrounding Karageorgiou E., Kolář J. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University in Prague, Czech Republic e-mail: karageoe@faf.cuni.cz The political line of the health systems in EU is patients oriented and demands increased rates of training and well understanding of pharmaceutical services and pharmaceutical care, either in hospital pharmacies or in community pharmacies. Almost half of the annual pharmaceutical expenses accrued by the so called expensive drugs special category. Almost half of the annual turnover of community pharmacies is of the OTCs and the negative list of medicines. So examine the aspects of Continuing Professional Development (CPD) within deepened economic crisis in Greece in order to find professional solutions for the near future as well as by means of survival. We deal with European surrounding and the present situation in basic education and continual training of community pharmacies in Greece taking into account the assumption that community pharmacies are part of the primary health care. We trace the real needs of well-trained community pharmacists to improve value for both the benefit of patients and the Health Care System. It is the outcome of collaboration...
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Regulation and Safety of Non-prescription Medicines
Kopečná, Eva ; Vlček, Jiří (advisor) ; Býma, Svatopluk (referee) ; Kolář, Jozef (referee)
Charles University in Prague, Faculty of Pharmacy in Hradec Kralove Department of Social and Clinical Pharmacy Candidate: Eva Kopecna, M.D., MSc. Supervisor: Prof. RNDr. Jiri Vlcek, CSc. Title of dissertation: Regulation and safety of non-prescription medicines REGULATION AND SAFETY OF NON-PRESCRIPTION MEDICINES INTRODUCTION Non - prescription medicines (NPM) have become a major pillar of healthcare systems. Individual countries apply their politics of health care by implementation of legislation and rules which govern entry and access of NPM to the market. Among the main stakeholders who play an important role in regulation and safety of NPM in the Czech Republic (CZ) are the Government, Ministries, State Institute for Drug Control (SIDC), manufacturers and distributors, associations of manufacturers and consumers, healthcare professionals, and finally consumers. OBJECTIVES The aim of the theoretical part of our research was analysis of the legislative framework for NPM in CZ and to assess if the current legislation and educational environment for NPM can ensure safety of patients in their self-medication with NPM. METHODS For the theoretical part literature and internet research reviews have been conducted. The experimental part comprised of three studies analysing relations and behaviour of...
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Pharmacoeconomic view on the treatment of rheumatic diseases
Petříková, Alena ; Kolář, Jozef (advisor) ; Foltán, Viliam (referee) ; Suchopár, Josef (referee)
Charles University in Prague, Faculty of Pharmacy in Hradec Králové Department of Charles University in Prague, Faculty Of Pharmacy Candidate PharmDr. Alena Petříková Supervisor Doc. RNDr. Jozef Kolář, CsC. Title of Doctoral Thesis Pharmacoeconomic view on the treatment of rheumatic diseases The aim of this thesis is to evaluate the impact of selected rheumatic diseases on health and social insurance, and to investigate the severity and cost of individual items and the distribution of costs among specific subgroups of patients according to type of therapy or disease severity. The methodology used was a Cost-Of-Illness analysis from the societal perspective. Data on treatment, reduction of labour productivity and level of disability were collected through questionnaires (between members of patient organizations or doctors). Indirect costs for all diagnoses were calculated by using the Friction Cost Approach and due to the same methodology can be compared. The dissertation is presenting cost analysis of ankylosing spondylitis (AS), psoriatic arthritis (PsA), psoriasis (Ps) and rheumatoid arthritis (RA). Study cohorts included 1 008 and 509 patients with AS, 256 patients with Ps and 88 patients simultaneously with PsA and 261 patients with RA. Total costs ranged from 94 492 CZK (Ps) to 228 623 CZK...
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Hospital Drug Formularies in the Czech Republic
Kočí, Michal ; Kolář, Jozef (advisor) ; Kotlářová, Jana (referee)
Charles University in Prague, Faculty of Pharmacy in Hradec Králové Department of Social and Clinical Pharmacy Candidate Mgr. Michal Kočí Consultant doc. RNDr. Jozef Kolář, CSc. Title of Thesis Hospital Drug Formularies in the Czech Republic Drug formularies have been used for more than 50 years. Their importance in the hospital sector is increasing as more and more therapeutic alternatives arise and the drug-costs grow as well. Hospital drug formulary system is one of the most widely used mechanisms hospitals use to optimise their drug policy. The goal of the thesis was to evaluate the usage of the system on the sample of the Czech hospitals and to offer potential improve-ment. The starting point was to compile the current knowledge on the hospital drug formulary usage. The questionnaire based on the found data was designed to obtain the information on drug formulary system usage in the particular hospital. Then the questionnaire was sent to various Czech hospitals; at the same time, the questionnaire (translated into English) was sent to a German university hospital. By analyzing the obtained data a summary on up-to-date state of hospital drug formulary usage in the Czech Republic was produced. The principal result is that out of thirteen hospitals that sent the required information back, three...
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Antibiotic use by pharmacy employees
Duvanova, Natalia ; Vlček, Jiří (advisor) ; Kolář, Jozef (referee)
Charles University in Prague, Faculty of Pharmacy in Hradec Králové Department of social and clinical pharmacy Candidate Natalia Duvanova Consultant Prof. RNDr. Jiří Vlček, CSc. Title of Thesis «Antibiotic use by pharmacy employees» Introduction: This thesis discusses the issue of the purchase and use of antibiotics pharmacy employees in Saint-Petersburg, Russian Federation. The objectives of the study were to investigate their level of knowledge, attitudes, and behaviors regarding antibiotics. The frequency of consulting the pharmacists about diseases that often require antibiotics is rather high among patients in the Russian Federation. And many pharmacists provide their recommendations. Opinion polls held by WCIOM (Russian Public Opinion Research Center) in 2011 showed that 46% of respondents believe antibiotics kill viruses. Moreover, since 2007 this figure has even increased slightly - then it was 45%. According to the European Surveillance of Antimicrobial Consumption (ESAC) total outpatient antibiotic use in Russian Federation from 1997 to 2009 expressed in DDD per 1000 inhabitants and per day was 9.8 (2003), 9.3 (2004), 9.1 (2005), 9.6 (2006), 10.2 (2007), 10.0 (2008) and 12.2 (2009). Methodology: A cross-sectional survey was conducted on a random sample of 308 respondents using a...
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Analysis of the Use of Antibiotics in the United Arab Emirates
Abasaeed Elhag, Abobakr ; Vlček, Jiří (advisor) ; Kolář, Jozef (referee) ; Urbánek, Karel (referee)
Charles University in Prague, Faculty of Pharmacy in Hradec Králové Department of Social and Clinical Pharmacy Candidate PharmDr. Abobakr Abasaeed Elhag Supervisor prof. RNDr. Jiří Vlček, CSc. Title of Doctoral Thesis Analysis of the Use of Antibiotics in the United Arab Emirates Introduction and Aims: The misuse of antibiotics for viral infections (for which they are of no value) and the immoderate use of broad spectrum antibiotics instead of narrower spectrum antibiotics have been well-documented and reported. Therefore the inappropriate use of antibiotics is getting a global problem, mainly in the developing countries. Emergence of antibiotics resistance is often a result of irrational prescribing patterns, misuse of the antibiotics as well as self-medication. Although the United Arab Emirates (UAE]) antimicrobial policy restricts dispensing of antibiotics without prescription , studies revealed the wide availability of these agents over the counter (OTC), their over prescribing pattern and the high prevalence of self-medication with antibiotics, unfortunately and regardless of this results, there is a lack and paucity in studies that tracking the prevalence of antibiotics resistance. The aim of our research was to evaluate the attitude of the community towards the use of antibiotics, estimate...
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Selected Informations about Medicinal Products III. - Pharmindex kompendium
Čechová, Lenka ; Kotlářová, Jana (advisor) ; Kolář, Jozef (referee)
SELECTED INFORMATIONS ABOUT MEDICINAL PRODUCTS III. - PHARMINDEX KOMPENDIUM INVESTIGATION FOCUSED ON PATIENT'S HAIR LOSS Author: Čechová L., Lékárna Vitapharma, Tusarova 36, 170 00 Praha 7 Scientific Advisor (Tutor): Kotlářová J., Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Kralove, Charles University in Prague, Czech Republic ------------------------------------------------------------------------------------------------------------------------------------------------------ Introduction: The main mission of current pharmacists is to provide quality pharmaceutical care to their patients, which requires continual education and learning. Objective: The dissertation consists of two studies. The first study sets itself the goal of providing a comprehensive overview of the five selected adverse manifestations of pharmacotherapy, namely the effect on hair and body hair (quantity and quality), sweating as affected by the drugs administered, the interaction between medicines and ingested alcohol or the alcohol content in medication, the likelihood of developing drug addiction, and the occurrence of hallucinations. The aim of the second study is to gain practical knowledge and opinions of patients on one of the observed negative effects of drugs - hair loss and other hair -...
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System of Education of Pharmacists in Greece
Mougiou, Eirini-Georgia ; Kotlářová, Jana (advisor) ; Kolář, Jozef (referee)
SYSTEM OF EDUCATION OF PHARMACISTS IN GREECE Author: Eirini-Georgia Mougiou Tutor: RNDr. Jana Kotlářová, Ph.D. Department of social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Kralove, Charles University in Prague, Czech Republic Aim of study: The aim of diploma thesis is to get current knowledge about system of education of pharmacists in Greece, their vocational employment and to shortly compare situation in this field in Greece with Czech Republic. A survey whose goal is the gathering of information from foreign students about their experience in universities abroad, especially at Charles University. Methods: Data collection through appreciation of information and studying of literature. Questionnaire answered by 61 following students of pharmacy on March 2013. Results: Studies in high school, entrance examination of students in University , undergraduate and postgraduate studies in discipline of pharmacy are the main characteristics of both educational systems. Comparison and report of differences between the studies in Greece and studies abroad. Importance of life-long learning for professional pharmacists. Students answered questionnaire are 47,54 % males and 52,46 % females, most of them 68,84 % are from Greece and 14,74% from Cyprus. 67,21 % are not satisfied with Charles...
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An outlook of a European Health System based on existing health care systems across EU
Pantositi, Maria ; Kolář, Jozef (advisor) ; Kotlářová, Jana (referee)
5 Abstract This thesis deals with common European Health System policies and attempts to compare them in order to present the different approaches to health care constitution in single European countries, aiming, primarily, to define common targets and goals to be met in creating European healthcare standards. The main aim of composing this thesis is to characterize healthcare system trends within Europe through data provided by official institution, and furthermore, to interpret and evaluate them. This thesis also defines basic models of healthcare systems and their functioning as well as common action undertaken by European Union in the field of health systems. By assessing all gained information we created recommendations for further development and mutual recognition of healthcare policies. Keywords: Health Care, Health System, European Union, Cross-border Health Care
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Retrospective Analysis utlilization of Lipid Modifying Agents
Bartas, Robert ; Kolář, Jozef (advisor) ; Solich, Jan (referee) ; Urbánek, Karel (referee)
Charles University in Prague, Faculty of Pharmacy in Hradec Králové Department of Social and Clinical Pharmacy Candidate PharmDr. Robert Bartas, MBA Supervisor Doc. RNDr. Jozef Kolář, CSc. Title of Doctoral Thesis Retrospective analysis utilization of lipid modifying agents Lipid lowering agents have been repeatedly the objective of studies analysing their utilization and costs. The objective of this study was to evaluate the structure and development of consumption of hypolipidemic agents. Material and methods. Data concerning utilization of individual hypolipidemic drugs from 2002 to 2009 were obtained from the State Institute for Drug Control database and General Health Insurance Company - Karvina district database. Utilization of hypolipidemic drugs were stated in DDDs in correspondence with the ATC Classification, and the costs in CZK. Information on utilization is expressed in the number of DDD per 1,000 inhabitants per 1 day (DID). Results. The utilization of fibrates slightly decreased, while statins an increase from 13.55 DID (2002) to 60.10 DID (2009) was observed. The total utilization of hypolipidemic drugs in DID has been continuously increasing (32.34 DID in 2002, 76.30 DID in 2009). Hypolipidemic drugs take the 5th place in the Czech Republic from the standpoint of expenses....
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