TY - JOUR
T1 - Primary health care policy and vision for community pharmacy and pharmacists in indonesia
AU - Hermansyah, Andi
AU - Wulandari, Luh
AU - Kristina, Susi A.
AU - Meilianti, Sherly
N1 - Publisher Copyright:
© 2020, Grupo de Investigacion en Atencion Farmaceutica. All rights reserved.
PY - 2020
Y1 - 2020
N2 - The practice of community pharmacy in low and middle-income countries, including in Indonesia, is often described as in the state of infancy with several intractable barriers that have been substantially and continuously hampering the practice. Such description might be valid in highlighting how pharmacy is practiced and the conditions within and beyond community pharmacy organizations. Therefore, it is not surprising that the concept of integrating community pharmacy into the primary care system may not be considered in the contemporary discourse despite the fact that community pharmacy has been operating within communities for years. However, in the case of Indonesia, we argue that changes in the health care system within the past decade parti cularly with the introduction of the universal health coverage (UHC) in 2014, may have significantly amplified the role of pharmacists. There is good evidence which highlights the contribution of pharmacist as a substantial health care element in primary care practice. The initiative for employing pharmacist, identified in this article as primary care pharmacist, in the setting of community health center [puskesmas] and the introduction of affiliated or contracted community pharmacy under the UHC have enabled pharmacist to work together with other primary care providers. Moreover, government agenda under the “Smart Use of Medicines” program [Gema Cermat] recognizes pharmacists as the agent of change for improving the rational use of medicines in the community. Community pharmacy is developing, albeit slowly, and is able to grasp a novel position to deliver pharmacy-related primary care services to the general public through new services, for example drug monitoring and home care. Nevertheless, integrating community pharmacy into primary care is relatively a new notion in the Indonesian setting, and is a challenging process given the presence of barriers in the macro, meso-and micro-level of practice.
AB - The practice of community pharmacy in low and middle-income countries, including in Indonesia, is often described as in the state of infancy with several intractable barriers that have been substantially and continuously hampering the practice. Such description might be valid in highlighting how pharmacy is practiced and the conditions within and beyond community pharmacy organizations. Therefore, it is not surprising that the concept of integrating community pharmacy into the primary care system may not be considered in the contemporary discourse despite the fact that community pharmacy has been operating within communities for years. However, in the case of Indonesia, we argue that changes in the health care system within the past decade parti cularly with the introduction of the universal health coverage (UHC) in 2014, may have significantly amplified the role of pharmacists. There is good evidence which highlights the contribution of pharmacist as a substantial health care element in primary care practice. The initiative for employing pharmacist, identified in this article as primary care pharmacist, in the setting of community health center [puskesmas] and the introduction of affiliated or contracted community pharmacy under the UHC have enabled pharmacist to work together with other primary care providers. Moreover, government agenda under the “Smart Use of Medicines” program [Gema Cermat] recognizes pharmacists as the agent of change for improving the rational use of medicines in the community. Community pharmacy is developing, albeit slowly, and is able to grasp a novel position to deliver pharmacy-related primary care services to the general public through new services, for example drug monitoring and home care. Nevertheless, integrating community pharmacy into primary care is relatively a new notion in the Indonesian setting, and is a challenging process given the presence of barriers in the macro, meso-and micro-level of practice.
KW - Ambulatory Care
KW - Community Health Services
KW - Community Pharmacy Services
KW - Delivery of Health Care, Integrated
KW - Indonesia
KW - Pharmacies
KW - Pharmacists
KW - Primary Health Care
KW - Professional Practice
UR - http://www.scopus.com/inward/record.url?scp=85090639157&partnerID=8YFLogxK
U2 - 10.18549/PharmPract.2020.3.2085
DO - 10.18549/PharmPract.2020.3.2085
M3 - Article
AN - SCOPUS:85090639157
SN - 1885-642X
VL - 18
SP - 1
EP - 12
JO - Pharmacy Practice
JF - Pharmacy Practice
IS - 3
M1 - 2085
ER -