Primary health care policy and vision for community pharmacy and pharmacists in Estonia
Main Article Content
Keywords
Pharmacies, Primary Health Care, Delivery of Health Care, Integrated, Ambulatory Care, Community Health Services, Pharmacists, Community Pharmacy Services, Professional Practice, Estonia
Abstract
Estonia, with a population of 1.3 million, is the smallest country in the three Baltic States. As a post-soviet country, Estonia over the past 30 years has built up a new health care system, including the pharmaceutical sector. The GDP allocated to cover health care costs is significantly lower in Estonia compared to the EU average. Despite this, Estonia has excelled in the development of digital e-services in healthcare at both the domestic and international levels. The development and integration of the Estonian community pharmacy sector into primary health care has been influenced and affected by the liberalization within pharmaceutical policy and the lack of cooperation with the rest of the health care sector. Community pharmacy ownership and location matters have been prevalent. The promotion of the pharmacy services has mostly taken place on the basis of a professional initiative, as cooperation with the state has not been active. Possibly the professional fragmentation of the pharmacy sector may have played a negative role. The community pharmacy network in Estonia, especially in cities, enables fast and convenient access to the pharmacy services. Community Pharmacy Service Quality Guidelines support the harmonization of the provided services and patient-centered concept to enhance the patient role and involvement in their care. In recent years, community pharmacies in Estonia have also offered various extended services that are more or less integrated with the primary health care system. New developments may be affected by frequent changes in legislation and a shortage of professional staff in community pharmacies. The ownership reform of pharmacies in 2020 has so far not had a significant impact on the operation of pharmacies or the quality of services provided.
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46. Health Board. Register for pharmacists and assistant pharmacists. http://mveeb.sm.ee/Apteekrid/ (accessed Jan 5, 2020).
47. Estonian Pharmacies Association. Community Pharmacy Service Quality Guidelines. 2016. https://www.ravimiamet.ee/sites/default/files/documents/publications/apteegiteenuse_kvaliteedijuhis_2016/apteegiteenuse_kvaliteedijuhis_2016.html (accessed Jan 20, 2021).
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49. Apotheka. Smoking cessation campaign in community pharmacies. https://www.apotheka.ee/teenused/tubakast-loobumine (accessed Mar 15, 2021).
50. National Institute for Health Development. Cardiovascular Prevention campaign for cardiovascular disease. https://tai.ee/et/koolitused-ja-sundmused/event/1146-sudamekuu (accessed Mar 15, 2021).
51. Apotheka. Pharmacists encouraging participation in screening program. https://www.apotheka.ee/terviseinfo/apteekrid-julgustavad-inimesi-soeluuringutes-osalema/ (accessed Mar 15, 2021).
52. Tuula A, Randmäe L, Volmer D. [Evaluation of drug use - testing of a new additional service in Estonian general pharmacies]. Perearst. 2020;155(3):18-21.
53. Sepp K, Kukk C, Cavaco A, Volmer D. How involvement of community pharmacies improves accessibility to and awareness about flu vaccination? - An example from Estonia. Expert Rev Vaccines. 2020;19(10):983-990. https://doi.org/10.1080/14760584.2020.1825949
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55. Benu homepage. Extended pharmacy services at BENU pharmacies. https://benutervisepunkt.ee/ (accessed Jan 15 2021)
56. Südameapteek homepage. Extended pharmacy services in Südameapteek. https://www.sudameapteek.ee/teenused/ (accessed Mar 17 2021)
57. Valge-Rebane K, Sepp K. [Involvement of pharmacists in diabetes risk assessment of patients] Apteek Täna. 2021; 2:22-29.
58. Tuula A, Šorina E, Jõhvik L, et al. [Investigation of the possibilities of applying the international classification for the evaluation of drug related problems of polypharmacy patients at community pharmacies in Estonia]. Aptek Täna. 2021;2 [in press].
59. University of Tartu. Clinical pharmacy e-learning programme. 2020. https://clinicalpharmacy.ut.ee/avaleht (accessed Jan 5 2021).
60. Volmer D, Tuula A, Randmäe L, et al. Medication use review at community pharmacies: an international pilot project. European Drug Utilisation Research Group Conference 2020. Szeged (Hungary), 4-7 March 2020,
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68. Saapar M. [The role of community pharmacy in smoking cessation.] Apteek Täna. 2019;3:18-19.
69. National Institute for Health Development. Sigarexit. https:www.tubakainfo.ee (accessed Jan 26, 2021).
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Primary health care policy and vision for community pharmacy and pharmacists in Estonia. Pharm Pract (Granada) [Internet]. 2021 May 2 [cited 2025 Mar. 23];19(2):2404. Available from: https://pharmacypractice.org/index.php/pp/article/view/2404
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International Series
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
How to Cite
1.
Primary health care policy and vision for community pharmacy and pharmacists in Estonia. Pharm Pract (Granada) [Internet]. 2021 May 2 [cited 2025 Mar. 23];19(2):2404. Available from: https://pharmacypractice.org/index.php/pp/article/view/2404