Primary health care policy and vision for community pharmacy and pharmacists in Jordan
Main Article Content
Keywords
Pharmacies, Primary Health Care, Delivery of Health Care, Integrated, Ambulatory Care, Community Health Services, Pharmacists, Community Pharmacy Services, Professional Practice, Jordan
Abstract
Jordan is considered a low middle-income country with a population of 9.956 million in 2018. It is considered the training center for healthcare professions in the region, as the Jordanian healthcare sector has seen remarkable development. In 2017, the expenditure on health as a percentage of Gross Domestic Product (GDP) was estimated to be around 8%. The healthcare sector is divided into two main sectors; the public and the private sector with both including hospitals, primary care clinics and pharmacies. The Jordanian government has a strong commitment to health and educational programs; hence, an increase in the number of pharmacy schools and pharmacy graduates has occurred in the past few years. Health authorities, such as the Jordan Food and Drug Association (JFDA) and the Jordan Pharmaceutical Association (JPA) have played an important role in ensuring the availability and affordability of medications, and has influenced the practice of pharmacists. Protecting the pharmaceutical market and professional interests, preserving pharmacists' rights, building needed cooperation with the internal federation, and maintaining professional ethics are some of the objectives for the JPA. Hence, the integration of community pharmacists into the primary healthcare system is considered vital to the different health authorities in Jordan, emphasizing the fact that community pharmacists are the most trusted, accessible, and affordable healthcare providers in the country. There have been many developments in the pharmacy practice in the past recent years, including the establishment of ‘Good Pharmacy Practice’, new curricular development based on the international accreditation (the ACPE), a new immunization program, and health services research aimed to save patients’ lives, influence expenses, and improve patients’ quality of life. Although these developments in pharmacy practice are promising, challenges continue to exist, specifically the establishment of an evidence base for pharmaceutical care services such as the medication management review service.
References
2. Nazer LH, Tuffaha H. Health Care and Pharmacy Practice in Jordan. Can J Hosp Pharm. 2017;70(2):150-155. https://doi.org/10.4212/cjhp.v70i2.1649
3. United Nations Development Program. Human Development Report, 2014. Available at: http://hdr.undp.org/en/content/human-development-report-2014 (accessed Nov 10, 2020).
4. Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet. 2020;395(10224):e37-e38. https://doi.org/10.1016/s0140-6736(20)30309-3
5. Jordan Life Expectancy 1950-2020. Avaliable at: https://www.macrotrends.net/countries/JOR/jordan/life-expectancy#:~:text=The%20current%20life%20expectancy%20for,a%200.14%25%20increase%20from%202017 (accessed Oct 9, 2020).
6. Jordan maternal mortality rate sees decline — health minister, 2019. Avaiable at: https://www.jordantimes.com/news/local/jordan-maternal-mortality-rate-sees-decline-%E2%80%94-health-minister (accessed Oct 22, 2020).
7. Alefan Q, Halboup A. Pharmacy Practice in Jordan. In: Fathelrahman AI, Ibrahim MIM, Wertheimer AI, eds. Pharmacy Practice in Developing Countries. Boston: Academic Press; 2016.
8. Current health expenditure (% of GDP) - Jordan. Available at: https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS?locations=JO (accessed Oct 9, 2020).
9. Ministry of Health: Hashemite Kingdom of Jordan. Available at: https://www.moh.gov.jo/ (accessed Oct 9, 2020).
10. Xiao C. A Novel Approach of Consultation on 2019 Novel Coronavirus (COVID-19)-Related Psychological and Mental Problems: Structured Letter Therapy. Psychiatry Investig. 2020;17(2):175-176. https://doi.org/10.30773/pi.2020.0047
11. World Health Organization. Jordan pharmaceutical country profile. Available at: https://www.who.int/medicines/areas/coordination/Jordan_PSCPNarrativeQuestionnaire_27022012.pdf (accessed Oct 9, 2020).
12. Ministry allows citizens to apply for gov’t health insurance online. Available at: http://www.jordantimes.com/news/local/ministry-allows-citizens-apply-gov%E2%80%99t-health-insurance-online (accessed Oct 10, 2020).
13. Bader LR, McGrath S, Rouse MJ, Anderson C. A conceptual framework toward identifying and analyzing challenges to the advancement of pharmacy. Res Social Adm Pharm. 2017;13(2):321-331. https://doi.org/10.1016/j.sapharm.2016.03.001
14. Jordanian Pharmacists Association. Community pharmacies. Available at: https://www.jpa.org.jo/fy-stwr (accessed Oct 9, 2020).
15. Jordanian Pharmacists Association. The JPA role. Available at: https://jpa.org.jo/ahdaf-alnqabt (accessed Oct 9, 2020).
16. Jordanian Pharmacists Association. Joining the JPA. Available at: https://www.jpa.org.jo/alantsab-llnqabt (accessed Oct 9, 2020).
17. Statistics of number of pharmacists in Jordan. Available at: https://jps-jo.com/archives/9222 (accessed Oct 22, 2020).
18. Mukattash TL, Bazzi NH, Nuseir KQ, Jarab AS, Abu-Farha RK, Khdour MR. Pharmaceutical care in community pharmacies in Jordan: a public survey. Pharm Pract (Granada). 2018;16(2):1126. https://doi.org/10.18549/pharmpract.2018.02.1126
19. Asab MA, Abushams L, Albsoul AM, Wazaify M. "A Decade in Leaps and Bounds": Pharmacy in Jordan- revisited. Jordan J Pharm Sci. 2019;12(3):51-60.
20. Drug pricing regulations in Jordan. Jordan food and drug administration. Available at: http://www.jfda.jo/EchoBusV3.0/SystemAssets/PDF/AR/LawsAndRegulation/Drug/PricingSection/%D8%A7%D8%B3%D8%B3%20%D8%AA%D8%B3%D8%B9%D9%8A%D8%B1%20%D8%A7%D9%84%D8%AF%D9%88%D8%A7%D8%A1%20%D9%84%D8%B3%D9%86%D8%A9%202016%20%D9%88%D8%AA%D8%B9%D8%AF%D9%8A%D9%84%D8%A7%D8%AA%D9%87%D8%A7%20%D9%84%D8%BA%D8%A7%D9%8A%D8%A9%20%D8%AA%D8%B9%D8%AF%D9%8A%D9%84%202020.pdf (accessed Oct 10, 2020).
21. Profit percentage in pharmacies in Jordan. Act international news report. Available at: http://factjo.com/news.aspx?Id=66262 (accessed Oct 10, 2020)..
22. Al-Qudah RA, Al-Badriyeh D, Al-Ali FM, Altawalbeh SM, Basheti IA. Cost-benefit analysis of clinical pharmacist intervention in preventing adverse drug events in the general chronic diseases outpatients. J Eval Clin Pract. 2020;26(1):115-124. https://doi.org/10.1111/jep.13209
23. Basheti IA, Nassar R, Barakat M, Alqudah R, Abufarha R, Mukattash TL, Saini B. Pharmacists' readiness to deal with the coronavirus pandemic: Assessing awareness and perception of roles. Res Social Adm Pharm. 2020;[ahead of print]. https://doi.org/10.1016/j.sapharm.2020.04.020
24. Al Alawneh M, Nuaimi N, Basheti IA. Pharmacists in humanitarian crisis settings: Assessing the impact of pharmacist-delivered home medication management review service to Syrian refugees in Jordan. Res Social Adm Pharm. 2019;15(2):164-172. https://doi.org/10.1016/j.sapharm.2018.04.008
25. Basheti IA, Rizik M, Bulatova NR. Home medication management review in outpatients with alarming health issues in Jordan: a randomized control trial. J Pharm Health Serv Res. 2018;9(2):91-100. https://doi.org/10.1111/jphs.12213
26. Elayeh E, Akour A, Almadaeen S, AlQhewii T, Basheti IA. Practice of pharmaceutical care in community pharmacies in Jordan. Trop J Pharm Res. 2017;16(2):463-470. http://doi.org/10.4314/tjpr.v16i2.27
27. Aburuz S, Al-Ghazawi M, Snyder A. Pharmaceutical care in a community-based practice setting in Jordan: where are we now with our attitudes and perceived barriers?. Int J Pharm Pract. 2012;20(2):71-79. https://doi.org/10.1111/j.2042-7174.2011.00164.x
28. Ministry of health. Strategic plan 2018-2022. Available at: https://moh.gov.jo/EchoBusV3.0/SystemAssets/PDFs/PDFs%20AR/%D8%A7%D9%84%D8%AE%D8%B7%D8%A9%20%D8%A7%D9%84%D8%A7%D8%B3%D8%AA%D8%B1%D8%A7%D8%AA%D9%8A%D8%AC%D9%8A%D8%A9%20%20new.pdf (accessed Nov 8, 2020).
29. Wazaify M, Al-Bsoul-Younes A, Abu-Gharbieh E, Tahaineh L. Societal perspectives on the role of community pharmacists and over-the-counter drugs in Jordan. Pharm World Sci. 2008;30(6):884-891. https://doi.org/10.1007/s11096-008-9244-1
30. Al-Qudah RA, Tuza O, Tawfiek H, Chaar B, Basheti IA. Community pharmacy ethical practice in Jordan: assessing attitude, needs and barriers. Pharm Pract (Granada). 2019;17(1):1386. https://doi.org/10.18549/pharmpract.2019.1.1386
31. Al-Qudah RA, Bulatova NR, Obeidatc NM, Basheti IA. Impact of home medication management review on medication adherence among Jordanian patients. J Pharm Health Serv Res. 2018;9(3):227-235. https://doi.org/10.1111/jphs.12243
32. Abu Hammour K, Abu Farha R, Rizik M, Mukattash T, Alnan M, Alkhader A, Aljanabi R, Basheti I. Pharmacy drive-thru service in Jordan: assessing customers' awareness, perceptions and factors affecting the use of this service. J Pharm Health Serv Res. 2019;10(1):141-147. https://doi.org/10.1111/jphs.12245
33. Rosado H, Bates I. An overview of current pharmacy impact on immunization: a global report; 2016. Available at: https://www.fip.org/www/streamfile.php?filename=fip/publications/FIP_report_on_Immunisation.pdf (accessed Feb 1, 2020).
34. Nusair MB, Arabyat R, Mukattash TL, Alhamad H, Abu Ghaida MT, Momani MY. Pharmacists' Perspectives on Providing the Influenza Vaccine in Community Pharmacies: A Qualitative Study. Risk Manag Healthc Policy. 2020;13:2179-2187. https://doi.org/10.2147/rmhp.s265133
35. Basheti IA, Al-Qudah RA, Obeidat NM, Bulatova NR. Home medication management review in outpatients with chronic diseases in Jordan: a randomized control trial. Int J Clin Pharm. 2016;38(2):404-413. https://doi.org/10.1007/s11096-016-0266-9
36. Abu Farha R, Abu Hammour K, Mukattash T, Alqudah R, Aljanabi R. Medication histories documentation at the community pharmacy setting: A study from Jordan. PLoS One. 2019;14(10):e0224124. https://doi.org/10.1371/journal.pone.0224124
37. Hammour KA, Farha RA, Basheti I. Hospital pharmacy medication reconciliation practice in Jordan: perceptions and barriers. J Eval Clin Pract. 2016;22(6):932-937. https://doi.org/10.1111/jep.12565