Main Article Content
Pharmacies, Primary Health Care, Delivery of Health Care, Integrated, Ambulatory Care, Community Health Services, Pharmacists, Community Pharmacy Services, Professional Practice, Denmark
In 2014, the Danish government launched a plan for health entitled: “Healthier lives for everyone – national goals for the health of Danes within the next 10 years”. The overall objective is to prolong healthy years of life and to reduce inequality in health. In Denmark, the responsibility for health and social care is shared between the central government, the regions and the municipalities. National and local strategies seek to enhance public health through national and local initiatives initiated by different stakeholders. The Danish community pharmacies also contribute to promoting public health through distribution of and counselling on medication in the entire country and through offering several pharmacy services, six of which are fully or partly remunerated on a national level. Because of greater demands from patients, health care professionals and society and a lack of general practitioners, the Danish community pharmacies now have the opportunity to suggest several new functions and services or to extend existing services. The Danish pharmacy law changed in 2015 with the objective to maintain and develop community pharmacies and to achieve increased patient accessibility. The change in the law made it possible for every community pharmacy owner to open a maximum of seven pharmacy branches (apart from the main pharmacy) in a range of 75 km. This change also increased the competition between community pharmacies and consequently the pharmacies are now under financial pressure. On the other hand, each pharmacy may have been given an incentive to develop their specific pharmacy and become the best pharmacy for the patients. Community pharmacies are working to be seen as partners in the health care system. This role is in Denmark increasingly being supported by the government through the remunerated pharmacy services and through contract with municipalities. Concurrent with the extended tasks for the Danish community pharmacies and utilisation of their excellent competencies in medication the community pharmacies need to focus on their main tasks of supplying medicines and implementing services. This requires efficient management, an increased use of technology for distribution and communication and continuing education and training.
2. Statistics Denmark. [Public health spending has increased by 69 per cent since 2000]. https://www.dst.dk/da/presse/Pressemeddelelser/2019/2019-01-18-udgifter-til-offentlig-sundhed-er-steget-med-69-pct-siden-2000# (accessed Feb 27, 2020).
3. [Statistics Denmark Analysis]. https://www.dst.dk/Site/Dst/Udgivelser/nyt/GetAnalyse.aspx?cid=31651 (accessed Feb 27, 2020).
4. Danish Regions. https://www.regioner.dk/services/in-english (accessed Jun 25, 2020).
5. KL – Local Government Denmark. https://www.kl.dk/english/ (accessed Jun 25, 2020).
6. Danish Health Authority. https://www.sst.dk/en/English (accessed Jun 25, 2020).
7. Danish Health Authority. Strategy mission and values. https://www.sst.dk/en/English/About-us/Strategy-and-aims/Strategy-mission-and-values (accessed Jun 25, 2020).
8. The Danish Government. [Healthier lives for everyone – National goals for the health of the Danes for the next ten years]. https://sum.dk/Media/1/7/Nationale-Maal.pdf (accessed Jul 2, 2020).
9. Danish Medicines Agency. https://laegemiddelstyrelsen.dk/en/ (accessed Sep 23, 2020).
10. Danish Patient Safety Authority. https://en.stps.dk/en/ (accessed Jun 25, 2020).
11. The Danish Institute for Quality and Accreditation in Healthcare. [The Danish Quality Model. Accreditation standards for pharmacies. Third version, second edition, valid from August 1st, 2020]. https://www.ikas.dk/deltagere-i-ddkm/apotek/standardsaet/ (accessed Oct 7th, 2020).
12. The Association of Danish Pharmacies. [Medicines in Denmark 2019-2020]. https://www.apotekerforeningen.dk/publikationer/analyser-og-fakta/aarbog-laegemidler-i-danmark (accessed Nov 11, 2020).
13. The Danish Ministry of Health. [Public announcement of the Pharmacy Operation Act. Act No. 801]. https://www.retsinformation.dk/eli/lta/2018/801 (accessed Nov 11, 2020).
14. The Association of Danish Pharmacies. [Bringing pharmacies closer to the customers – Strategy for Danish pharmacies]. Available at: https://www.apotekerforeningen.dk/om-os/~/media/Apotekerforeningen/publikationer/Strategibrochure%202016.ashx (accessed Jul 2, 2020).
15. The Association of Danish Pharmacies. [Making pharmacies geographically accessible]. Available at: https://www.apotekerforeningen.dk/-/media/apotekerforeningen/analysertilgaengelighed/19-12-2018-konkurrence-ventetid-aabningstid-tilgaengelighed.pdf (accessed Mar 10, 2020).
16. The Association of Danish Pharmacies. [Preventing together]. Available at: https://www.apotekerforeningen.dk/-/media/apotekerforeningen/publikationer/apotekets-folder-sammen-forebygger-vi-bedst.pdf (accessed Jul 2nd, 2020).
17. Haugbølle LS, Herborg H. Adherence to treatment: practice, education and research in Danish community pharmacy. Pharm Pract (Granada). 2009;7(4):185-194. https://doi.org/10.4321/s1886-36552009000400001
18. Herborg H, Sørensen EW, Frøkjaer B. Pharmaceutical care in community pharmacies: practice and research in Denmark. Ann Pharmacother. 2007;41(4):681-689. https://doi.org/10.1345/aph.1h645
19. Abrahamsen B, Burghle AH, Rossing C. Pharmaceutical care services available in Danish community pharmacies. Int J Clin Pharm. 2020;42(2):315-320. https://doi.org/10.1007/s11096-020-00985-7
20. The Association of Danish Pharmacies. [Better treatment with the right inhalation technique]. https://www.apotekerforeningen.dk/apoteket-i-sundhedssektoren/~/media/Apotekerforeningen/sundhedsydelser/fakta_tjek_inhalation.ashx (accessed Oct 7, 2020). 2020.
21. The Danish Ministry of Health. [Public announcement of the calculation of pharmacy charges and the provision of public subsidy for pharmacies etc.]. https://www.retsinformation.dk/eli/lta/2020/1029 (accessed Nov 11, 2020).
22. The Danish Ministry of Health. [Public announcement of free flu vaccinations for certain groups of citizens]. https://www.retsinformation.dk/eli/lta/2020/1331 (accessed Nov 11, 2020).
23. The Danish Ministry of Health. [Public announcement of free pneumococcal vaccination for certain groups of citizens]. https://www.retsinformation.dk/eli/lta/2020/840 (accessed Nov 11, 2020).
24. The Danish Ministry of Health. [Public announcement on new medicines service at pharmacies]. https://www.retsinformation.dk/eli/lta/2015/924 (accessed Nov 11, 2020).
25. The Danish Ministry of Health. [Public announcement on medicine adherence at pharmacies]. https://www.retsinformation.dk/eli/lta/2018/277 (accessed Nov 11, 2020).
26. The Association of Danish Pharmacies. [Gross profit]. Available at: https://www.apotekerforeningen.dk/om-os/regulering-af-apotekerne/bruttoavance (accessed Oct 7, 2020).
27. The Danish Ministry of Health. [Public announcement on the activities of prescribing pharmacists]. https://www.retsinformation.dk/eli/lta/2020/688 (accessed Nov 11, 2020).
28. Kaae S, Nørgaard LS. How to engage experienced medicine users at the counter for a pharmacy-based asthma inhaler service. Int J Pharm Pract. 2012;20(2):99-106. https://doi.org/10.1111/j.2042-7174.2011.00170.x
29. Herborg H, Soendergaard B, Jorgensen T, et al. Improving drug therapy for patients with asthma-part 2: Use of antiasthma medications. J Am Pharm Assoc (Wash). 2001;41(4):551-559. https://doi.org/10.1016/s1086-5802(16)31279-7
30. Herborg H, Soendergaard B, Froekjaer B, et al. Improving drug therapy for patients with asthma--part 1: Patient outcomes. J Am Pharm Assoc (Wash). 2001;41(4):539-550. https://doi.org/10.1016/s1086-5802(16)31278-5
31. Klinke B, Fonnesbæk L. [Inhaler technique service – Testing the service]. School of Pharmaceutical Sciences, University of Copenhagen and Pharmakon. 2005.
32. Fonnesbæk L, Bolvig T, Gustafsen I. [Inhalation techniques – National pseudo customer survey]. Hillerød: Pharmakon. 2007.
33. Kaae S, Dam P, Rossing C. Evaluation of a pharmacy service helping patients to get a good start in taking their new medications for chronic diseases. Res Social Adm Pharm. 2016;12(3):486-495. https://doi.org/10.1016/j.sapharm.2015.08.002
34. Herborg H, Haugbølle LS, Sørensen L, Rossing C, Dam P. Developing a generic, individualised adherence programme for chronic medication users. Pharm Pract (Granada). 2008;6(3):148-157. https://doi.org/10.4321/s1886-36552008000300006
35. Rossing C, Agergaard M, El-Souri M, Pultz K. [Evaluation of medicines review with adherence counselling – Counselling patients with heart diseases]. Hillerød: Pharmakon. 2010.
36. Dam P, El-Souri M, Herborg H, Nørgaard LS, Rossing C, Sodemann M, Thomsen LA. Safe and effective use of medicines for ethnic minorities – A pharmacist-delivered counseling program that improves adherence. J Pharm Care Health Sys. 2015; 2:1. https://doi.org/10.4172/2376-0419.1000128
37. Kjeldsen LJ, Bjerrum L, Dam P, et al. Safe and effective use of medicines for patients with type 2 diabetes - A randomized controlled trial of two interventions delivered by local pharmacies. Res Social Adm Pharm. 2015;11(1):47-62. https://doi.org/10.1016/j.sapharm.2014.03.003
38. Dam P, Herborg H, Rossing C, Sørensen L. [Safe and effective use of medicines for users of blood pressure medicines]. Hillerød: Pharmakon. 2007.
39. Herborg H, Haugbølle LS, Lee A. Automated dose dispensing in Danish primary health care - a technology under construction. Pharm Pract (Granada). 2008;6(2):103-112. https://doi.org/10.4321/s1886-36552008000200008
40. Larsen AB, Haugbølle LS. The impact of an automated dose-dispensing scheme on user compliance, medication understanding, and medication stockpiles. Res Social Adm Pharm. 2007;3(3):265-284. https://doi.org/10.1016/j.sapharm.2006.10.002
41. The Danish Ministry of Health. [Public announcement on authorised health officials’ use of assistance (delegation of rights to activities restricted to health officials]. https://www.retsinformation.dk/eli/lta/2009/1219 (accessed Nov 11, 2020).
42. Björkman IK, Fastbom J, Schmidt IK, Bernsten CB; Pharmaceutical Care of the Elderly in Europe Research (PEER) Group. Drug-drug interactions in the elderly. Ann Pharmacother. 2002;36(11):1675-1681. https://doi.org/10.1345/aph.1a484
43. Bernsten C, Björkman I, Caramona M, et al. Improving the well-being of elderly patients via community pharmacy-based provision of pharmaceutical care: a multicentre study in seven European countries. Drugs Aging. 2001;18(1):63-77. https://doi.org/10.2165/00002512-200118010-00005
44. Pultz K, Hansen RN, Rossing C. [Testing medication meetings with home care services – a health service provided by pharmacies]. Hillerød: Pharmakon. 2019.
45. Rossing C, El-Souri M, Herborg H, Pultz K, Thomsen L. [Better use of medication in home care services and nursing homes. A development and pilot project for a controlled review]. Hillerød: Pharmakon. 2010.
46. Dam P, Almársdottir AB, Bagger B, Aarup KFH, Pottegard A, Pultz K, Rossing C, Sporrong AK, Thomsen LA. [Better use of medication in home care services]. Hillerød: Pharmakon. 2015.
47. El-Souri M, Agine J, Egsgaard J, Herborg H, Kjærsgard J, Pedersen K, Pultz K, Riise M, Rossing C, Søndergaard B. [Better use of medication in nursing homes – An implementation project]. Hillerød: Pharmakon. 2012.
48. Mygind A, El-Souri M, Pultz K, Rossing C, Thomsen LA. Community pharmacists as educators in Danish residential facilities: a qualitative study. Int J Pharm Pract. 2017;25(4):282-291. https://doi.org/10.1111/ijpp.12300
49. Mygind A, El-Souri M, Rossing C, Thomsen LA. Development and perceived effects of an educational programme on quality and safety in medication handling in residential facilities. Int J Pharm Pract. 2018;26(2):165-173. https://doi.org/10.1111/ijpp.12361
50. Hansen RN, Husted GR, Rossing C. Evaluation of a user-driven teaching programme delivered by the community pharmacy for relatives of people with chronic diseases to achieve medication safety (poster). https://www.pharmakon.dk/media/2035/2020_evaluation-of-a-user-driven-teaching-programme-delivered-by-community-pharmacy-for-relatives-to-achieve-medication-safety_poster.pdf (accessed Nov 11, 2020).
51. El-Souri M, Abrahamsen B, Pultz K, Rossing C, Thomsen LA. [Quality and safety in medication handling in municipal residential facilities – From training to new routines]. Hillerød: Pharmakon. 2016.
52. Thomsen L, Pultz K, Rossing C. [Medicine and medication handling – Evaluation of a competence programme for employees at municipal residential facilities]. Hillerød: Pharmakon. 2015.
53. Husted GR, Hansen RN, El-Souri M, Rossing C. [Medication safety – A user-driven teaching programme for relatives delivered by the community pharmacy]. Hillerød: Pharmakon. 2019.
54. Friese B, Hansen RN, Rossing C. [Safe medication for vulnerable children and young people in residential facilities. Results of the project]. Hillerød: Pharmakon. 2020.
55. Disabled People's Organisations Denmark; Association of Danish Pharmacies; Danish Society for Patient Safety. [Increasing medication safety in residential facilities for people with a disability]. Hillerød: Pharmakon; 2011.
56. Hepler CD, Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm. 1990;47(3):533-543.
57. Haugbølle LS, Sørensen EW, Gundersen B, Petersen KH, Lorentzen L. Basing pharmacy counselling on the perspective of the angina pectoris patient. Pharm World Sci. 2002;24(2):71-78. https://doi.org/10.1023/a:1015575731203
58. Charlotte R, Dam, P, Bang-Hansen N, Faber N. Collaboration between municipalities and community pharmacies on health promotion – Exploring barriers and facilitators (poster). https://www.pharmakon.dk/media/2006/2017-07-06-fokal-fip-17.pdf (accessed Nov 11, 2020).
59. Abrahamsen B, Andrés L, Burghle AH, Faber NH, Friese B, Husted GR, Rossing C. Cooperation between municipalities and community pharmacies on local prevention and health promotion – What are the opportunities? (poster). https://www.pharmakon.dk/media/2007/poster_cooperation-between-municipalities-and-community-pharmacies.pdf (accessed Aug 29, 2020).
60. Husted GR, Faber NH, Rossing C. [A long-term perspective on prevention]. https://dsr.dk/sygeplejersken/arkiv/ff-nr-2020-1/det-lange-lys-sat-paa-forebyggelse (accessed Aug 29, 2020).
61. Haugbølle LS, Sørensen EW. Drug-related problems in patients with angina pectoris, type 2 diabetes and asthma--interviewing patients at home. Pharm World Sci. 2006;28(4):239-247. https://doi.org/10.1007/s11096-006-9023-9
62. Nørgaard LS, Nielsen BN, Holst H, Riise MK. Medicine education in Danish schools – A pharmacist activity. Poster at FIP World Congress 2018.
63. Dam P, Bang-Hansen N, Faber NH, Friese B, Hulvej-Rod M, Langkilde SM, Rossing C, Thomsen LA. [Cooperation between municipalities and community pharmacies on local prevention and health promotion – Discovering opportunities]. Hillerød: Pharmakon; 2017.
64. The Association of Danish Pharmacies. [The role of pharmacies in local health services]. https://www.apotekerforeningen.dk/-/media/apotekerforeningen/input-til-sundhedsreform/et-medicinsikkert-danmark-apotekernes-input-til-regeringens-sundhedsreform.pdf (accessed Aug 29, 2020).
65. Baines D, Nørgaard LS, Babar ZU, Rossing C. The Fourth Industrial Revolution: Will it change pharmacy practice?. Res Social Adm Pharm. 2020;16(9):1279-1281. https://doi.org/10.1016/j.sapharm.2019.04.003
66. The Association of Danish Pharmacies. [Easier access to a pharmacy with 500 pharmacies across Denmark]. https://www.apotekerforeningen.dk/-/media/apotekerforeningen/analysertilgaengelighed/nyhedsbrevsanalyse---oget-tilgaengelighed-med-apotek-nummer-500.pdf?la=da&hash=B80806C6354688E1F58A0351313ED63E27B68968 (accessed Aug 29, 2020).
67. The Association of Danish Pharmacies. [High satisfaction with the accessibility of and counselling at pharmacies]. https://www.apotekerforeningen.dk/nyheder/nyhedsbreve/2014/09042014_hoj_tilfredshed_raadgivning (accessed Mar 10, 2020).