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master's thesis
Implementacija usluge upravljanja farmakoteraijom s ciljem postizanja očekivanih kliničkih ishoda bolesnika s kroničnim bolestima
Zagreb: University of Zagreb, Faculty of Pharmacy and Biochemistry, 2021. urn:nbn:hr:163:141963
Matijević, Andrea
University of Zagreb
Faculty of Pharmacy and Biochemistry
Centre for applied pharmacy

Institutional repository: Repository of Faculty of Pharmacy and Biochemistry University of Zagreb

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Matijević, A. (2021). Implementacija usluge upravljanja farmakoteraijom s ciljem postizanja očekivanih kliničkih ishoda bolesnika s kroničnim bolestima (Master's thesis). Zagreb: University of Zagreb, Faculty of Pharmacy and Biochemistry. Retrieved from https://urn.nsk.hr/urn:nbn:hr:163:141963

Matijević, Andrea. "Implementacija usluge upravljanja farmakoteraijom s ciljem postizanja očekivanih kliničkih ishoda bolesnika s kroničnim bolestima." Master's thesis, University of Zagreb, Faculty of Pharmacy and Biochemistry, 2021. https://urn.nsk.hr/urn:nbn:hr:163:141963

Matijević, Andrea. "Implementacija usluge upravljanja farmakoteraijom s ciljem postizanja očekivanih kliničkih ishoda bolesnika s kroničnim bolestima." Master's thesis, University of Zagreb, Faculty of Pharmacy and Biochemistry, 2021. https://urn.nsk.hr/urn:nbn:hr:163:141963

Matijević, A. (2021). 'Implementacija usluge upravljanja farmakoteraijom s ciljem postizanja očekivanih kliničkih ishoda bolesnika s kroničnim bolestima', Master's thesis, University of Zagreb, Faculty of Pharmacy and Biochemistry, accessed 25 November 2024, https://urn.nsk.hr/urn:nbn:hr:163:141963

Matijević A. Implementacija usluge upravljanja farmakoteraijom s ciljem postizanja očekivanih kliničkih ishoda bolesnika s kroničnim bolestima [Master's thesis]. Zagreb: University of Zagreb, Faculty of Pharmacy and Biochemistry; 2021 [cited 2024 November 25] Available at: https://urn.nsk.hr/urn:nbn:hr:163:141963

A. Matijević, "Implementacija usluge upravljanja farmakoteraijom s ciljem postizanja očekivanih kliničkih ishoda bolesnika s kroničnim bolestima", Master's thesis, University of Zagreb, Faculty of Pharmacy and Biochemistry, Zagreb, 2021. Available at: https://urn.nsk.hr/urn:nbn:hr:163:141963

Metadata
TitleImplementacija usluge upravljanja farmakoteraijom s ciljem postizanja očekivanih kliničkih ishoda bolesnika s kroničnim bolestima
Title (english)Implementation of Comprehensive medication management with the aim of achieving the expected treatment outcomes of patients with chronic diseases
AuthorAndrea Matijević
MentorIva Mucalo (mentor)
Committee memberIva Mucalo (predsjednik povjerenstva)
Committee memberDubravka Vitali Čepo (član povjerenstva)
Committee memberŽivka Juričić (član povjerenstva)
GranterUniversity of Zagreb
Faculty of Pharmacy and Biochemistry
(Centre for applied pharmacy)
Zagreb
Defense date and country2021-09-10, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Pharmacy
Pharmacy
Abstract
Prevalencija kroničnih bolesti je u stalnom porastu i predstavlja veliki javnozdravstveni problem, naročito u razvijenim zemljama. Povećana prevalencija i popratni komorbiditeti često dovode do iracionalnog propisivanja lijekova čime se povećava rizik od nastanka terapijskih problema koji dodatno opterećuju pacijenta i zdravstveni sustav. Jedan od potencijalnih načina racionalizacije potrošnje lijekova je implementacija sveobuhvatne usluge upravljanja farmakoterapijom u zdravstveni sustav. Riječ je o standardiziranoj usluzi koju pružaju posebno educirani farmaceuti u svrhu identifikacije i rješavanja terapijskih problema, povećanja suradnje unutar zdravstvenog tima koji skrbi o pacijentu, poboljšanja ishoda liječenja te prevencije nastanka novih zdravstvenih problema. Obzirom da se ova usluga više godina provodi u državama diljem svijeta, cilj ovog rada bio je, na temelju publiciranih radova, istražiti utjecaj provođenja sveobuhvatne usluge upravljanja farmakoterapijom na kliničke ishode pacijenata s kroničnim bolestima. U izradi rada su korišteni znanstveni radovi iz časopisa dostupnih u bazama podataka PubMed, Medline, Web of Science te udžbenici i ostala dostupna literatura. Rezultati su pokazali da usluga upravljanja farmakoterapijom ima pozitivan utjecaj na smanjenje krvnog tlaka kod oboljelih od hipertenzije i šećerne bolesti. Također je pokazan utjecaj na smanjenje glikiranog hemoglobina HbA1c što govori o pozitivnom utjecaju upravljanja farmakoterapijom na kontrolu šećerne bolesti. Iako u manjem broju, publicirani su i radovi koji govore o pozitivnom utjecaju sveobuhvatne usluge upravljanja farmakoterapijom na poboljšanje kliničkog statusa kod osoba oboljelih od kronične opstruktivne plućne bolesti i karcinoma dojke. Integracijom usluge u zdravstveni sustav smanjuje se broj neželjenih terapijskih problema, dolazi do bolje kontrole bolesti što usporava progresiju bolesti. Također se povećava interdisciplinarna suradnja kojom se upotpunjuje zdravstvena skrb, racionalizira se potrošnja lijekova što rasterećuje zdravstveni sustav.
Abstract (english)
The prevalence of chronic diseases is constantly increasing, and it represents a major public health problem. The increased prevalence of chronic diseases and associated comorbidities lead to irrational prescribing of medicines. That increases the risk of developing drug therapy problems which additionally burdens the patient and the healthcare system. One of the potential ways to rationalize drug consumption is to implement a comprehensive medication management service in the health care system. It is a standardized service provided by trained pharmacists to identify and solve drug therapy problems, increase cooperation within the health care team, improve treatment outcomes and prevent the emergence of new health problems. Given that this service has been already implemented for many years in some countries, the aim of this paper was to show the impact of providing comprehensive medication management services on clinical outcomes of patients with chronic diseases. The research for this work has been done through academic scientific papers published in professional journals through the following databases: PubMed Central, Medline, Web of Science, as well as textbooks and other available literature. The results showed that implementing this service has a positive impact on lowering blood pressure in patients with hypertension and diabetes. The effect on the reduction of glycated hemoglobin has also been shown, which indicates a positive outcome on better control of diabetes. Also, some published studies show positive impact on the improvement of clinical status in patients with chronic obstructive pulmonary disease as well as breast cancer. Integrating this service reduces the number of unwanted drug therapy problems and improves disease control. Also, it increases multidisciplinary cooperation which complements health care, rationalizes the consumption of drugs which benefits the patients as well as the health care system.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:163:141963
Study programmeTitle: Pharmacy
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: magistar/magistra farmacije (magistar/magistra farmacije)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2022-02-10 15:58:34