Healthcare and proximity medicine are changing the role of the pharmacist

Regional diagnostics close to the citizen and included in the digital ecosystem were the main topics of the public meeting “Evolution and the Role of the Pharmacist in the Region: Local Health Care, NPT and Poct”, promoted by Altis Omnia Pharma Service and by the journal “Ihpb” (brief Italian Health Policy), which has devoted a special publication to this topic. On this occasion, we considered deploying and administering Near Patient Testing (NPT) and Point of Care Testing (Poct), which are proximity diagnostics devices that are an integral part of the current study on the renewal of local near-citizen health care.

The event, hosted today in Rome at the Nobile School of Pharmaceutical Chemicals, saw the participation of the President of the Federation of Italian Pharmacists Orders (FOFI), Andrea Mandelli, Director of the Center for Economics and Management in Health and Social Affairs at the Luke Business School, David Croce, and President of the Francesco Canavu Foundation and Vice-President of FOFI. , Luigi D’Ambrosio Lettieri. The discussion was also attended by Fernanda Gelona, ​​General Manager of Confindustria Medical Devices, Maria Vitale, Project Manager of Cittadinanzattiva Civil Evaluation Agency, Simona Barbaglia, President of Respiriamo together, and Lina Delle Monacci, representing the National Federation of the Federation. . Diabetics.

“The green crosses of pharmacies were one of the few signs of hope when every other sign was stopped during the pandemic – confirmed Mandeli – even after the first epidemic peak, pharmacies for Italian citizens remained a reference point on the unimaginable journey through the threats and uncertainties of Covid-19: First with swabs, then with vaccines, and finally with antiviral drugs.” Today the pharmacist has a new role “which is not only of a health nature – as defined by Mandele – but of a social and civic character. Indeed, formal recognition of citizens and institutions has been added to the formal nature of certain legislative acts. Texts that create new pharmacist jobs, partly presumably during emergencies , but for the future is more comprehensive and of a structural nature. Whether it is additional vaccines, additional diagnostic tests or dispensing new and increasingly complex drugs, Italian pharmacists have shown that they are prepared for the challenge of providing more and more services to citizens and patients.”

In the changing world of healthcare, today’s pharmacists – Highlights Note – are already and will increasingly be responsible for achieving some essential public health goals, such as increasing influenza vaccination coverage, as well as increasing citizens’ access to other adult vaccinations, such as hepatitis vaccines. A and B, pneumococcus, cholera, meningococcus, typhoid fever, papillomavirus, and herpes zoster. And then, as written in the decree on the new system of primary care, it is necessary for the pharmacist to measure himself also on the topic of non-communicable disease prevention.

“As outlined in the NRP,” the National Recovery and Resilience Plan,” “in the next five years, building community homes and community hospitals, increasing services provided in telemedicine and telehelp, and promoting home care, will give life to a health care system closer to the citizens.” And more rooted in the territory. And where there is land and where there is bet on proximity, there are pharmacists, ”emphasized Mandeli.

“The Italian pharmacy, despite the operational context burdened with problems of economic sustainability – said D’Ambrosio Lettieri – showed high levels of efficiency, continuity of operation, reliability and full integration with the mission of the National Health Service, which during the epidemiological emergency he emphasized as the “gateway to the health service”, while presenting Services of high social and health value which have integrated traditional professional activities related to dispensing of medicines.In the field of stimulating local health care: non-material prescribing, initiatives to ensure continuous availability of therapeutic oxygen, timely preparation of galenic antiseptic formulations, home delivery with professional assistance, massive release of Green Pass, carrying out diagnostic tests for Covid-19, and booking vaccination sessions, are just some of the services I am guaranteed of with efficiency, continuity, and meritorious scientific and humane extension activity that has provided comfort and safety to citizens in so many months of fear, anguish and loneliness.”

It is at this level that the new role of diagnostic testing devices emerges, which are not just a commodity – keep on observing – but authentic tools for health service innovation. Cross remembers that NTP, or near-patient testing, is defined as “an investigation carried out at the time of a consultation, with results immediately available to make immediate and informed decisions about a patient’s care.” Poct refers instead to “those tests that may be performed near the patient or in the place where health care is provided. In general we can say – as specified – that Poct can also be used by the patient independently, whereas Npt has The need for the presence of the operator.

“We recognize today that our commitment to the effective digitization of healthcare, even in the local area, will only pay off if it fits into a truly digital ecosystem. Thus, close healthcare is not just a new word, it is the challenge of the NHS,” Mandeli added. Renewed from its roots, able to bring a new vision of health to all and close to all.” According to Vitale, a local pharmacist can be key to therapeutic adherence, especially in the context of major chronic conditions such as respiratory and cardiovascular disease and diabetes. For Barbaglia, it is necessary that the alliance of all the actors that can create and consolidate “close health care”, also in the logic, emphasized by Delle Monacci, of clear social and health integration, which is the real landing point among all the innovations that have allowed investments NRP program.

“The new regional assistance is being implemented – noted Croce – through Pnrr funds and will become a reality from the end of 2026. It is hoped that there will be a parallel availability of appropriate tools for the care of chronic patients and emergencies, with special reference to the services pharmacy and its beneficial activity to take charge of the population. Improving the effectiveness of local health services, expanding them, focusing them and bringing them closer to the assistant person, is one of the tasks of Task 6 of the National Scientific Research Programme.

Leave a Comment