UK Journal of Pharmaceutical and Biosciences Vol. 4(1), 63-64, 2016 MINI REVIEW

Clinical Pharmaceutical Care: A New Management Health Care Discipline in 2016 Mauro Luisetto1*, Ram Kumar Sahu2

1Pharm D., Pharmacologist, European Specialist in Laboratory Medicine, Hospital pharmacist’s manager, Italy 2Columbia Institute of Pharmacy, Tekari, Raipur (CG)-493111, India

Article Information Received 18 Feb 2016 Received in revised form 6 April 2016 Accepted 7 April 2016

Abstract

The development of clinical pharmacy in 1960-70s and pharmaceutical care in 1990 has

represented an interesting innovation in pharmacy field. However clinical pharmacy and

Pharmaceutical care showed some practice critical limits: (a) clinical pharmacy approach is more

oriented to clinical population needs or pathology but is not strictly request to manage at the level

of every single clinical case. (b) In hospital setting Pharmaceutical care can not to be applied to

the entire patient for economic reason (limited number of pharmacist applied). In order to give

more rationale priority of actions and to select the patient to be seen in priority way we think a

good solution to apply the principle of pharmaceutical care with the instrument of clinical

pharmacy into a new management systems.

Keywords: Clinical pharmacy, Pharmaceutical care, Management, Medical teamwork, Clinical outcomes

Corresponding Author: E-mail: maurolu65@gmail.com Mob. : 3402479620

1 Introduction

Using management philosophy added to the clinical pharmacy a

pharmaceutical care instruments (for example in priority way towards

critically ill patients, severe disease or therapy are very expensive).

We can improve also some clinical outcomes as reported in research

article but at the same time using in rational way the clinical

pharmacist resource1

Researcher reported “As a new innovative concept evidence-based

pharmaceutical care seems promising practice to improve the quality

of the pharmaceutical care”.

We encourage all hospital system pharmacists to promote this

phylosophy to improve the pharmacist profession. Other studies are

needed to transfer this concept in daily clinical pharmacy practice2

Observing some definitions and literature as:

ACCP:

The practice of clinical pharmacy embraces the philosophy of

pharmaceutical care3.

ESCP:

“The clinical pharmacist to develop and promote the rational and

appropriate use of medicinal products and devices”.

Clinical pharmacy is more oriented to give response to population

needs with regards to drugs therapies.

Clinical pharmacy and pharmaceutical care are related discipline but

with some relevant differences: (but this is not clear to all

pharmacist and health care professionals)4.

Is clear that the two disciplines are not the same even if oriented

towards Patients care in therapy field.

Clinical functions must be organized around patient need and

directed at clinical and economic outcomes and Clinical practice

should be core curriculum in practice of pharmacy.

(Pharmaceutical care as a practice application of a healthcare

science).

It describes a way that clinical pharmacy, especially specialists and

subspecialists, could coordinate their work more effectively5.

Both clinical pharmacy and pharmceuticalcare present advantages

but also have limitation. To improve their goal is need to join in a

single professional specialty.

UK Journal of Pharmaceutical and Biosciences

Available at www.ukjpb.com ISSN: 2347-9442

Luisetto et al. Clinical Pharmaceutical Care: A New Management Health Care Discipline in 2016

UK J Pharm & Biosci, 2016: 4(1); 64

2 Materials and Methods

Even if the term clinical pharmaceutica care was already using

Observing in PUBMED biomedical database and university course

we do not find a discipline named Clinical Pharmaceutical Care (until

today).

We find an article on teaching the basis of clinical pharmaceutical

care published on Pub Med6.

At the same way is demonstrated that the application of clinical

pharmacy or pharmaceutical care in medical team give general

positive effect also in different clinical outcomes1

3 Results and Discussions

Observing the corpus of clinical pharmacy and pharmaceutical care

discipline and their practical applications we noticed some relevant

difference that induce to create a new discipline to join the different

advantages provided by the two science.

4 Conclusions

We submit to the scientific community “Clinical Pharmaceutical Care”

as a new discipline .Discipline intended to improve clinical and

economic endpoint in pharmacological therapy reducing therapy

errors and with a more rational application of resource in medical

team (clinical pharmacist).This new approach take advantages using

the Management and ICT principles. We ask also to international

organization involved in hospitals accreditation and University to

recognize this new health care professional activity. We think that

core training must include principles of Management, ICT

Professional social media, psychological behavior skills for team

working added to be added to the classic clinical pharmacy

programs.

Theory and practical applications:

Also the knowledge in field of medical laboratory and imaging give a

great advantages in this new discipline for the hard relationship with

many drug therapy8 .For this reason also clinical pharmacist must be

involved. We strongly ask to public institution to apply this new

discipline to obtain more rational drug therapies and rational method

to use the clinical pharmacist resource.

5 Competing interests

No

6 Author’s contributions

All authors read and approved the final manuscript

7 References

1. Mauro L, Francesca C, Giovanni B, Behzad NA.

Pharmacist cognitive service and pharmaceutical care

today and tomorrow outlook. UKJPB. 2015; 3(6):67-72.

2. Osama MA, Amer MA. Evidence-based pharmaceutical

care: The next chapter in pharmacy practice. Saudi

Pharmaceutical Journal. 2014.

3. SI Ahmed. The definition of clinical

pharmacy.Pharmacotherapy 2008; 28(6):816–817.

4. Ahmed SI, Hasan SS. Clinical Pharmacy and

Pharmaceutical Care: A Need to Homogenize the

Concepts. Am J Pharm Educ. 2010 Dec 15; 74(10): 193.

5. Hepler CD. Clinical pharmacy, pharmaceutical care, and

the quality of drug therapy. Pharmacotherapy. 2004;

24(11):1491–1498.

6. Keller DR, O'Dell DV, Skochelak SE, Cochran GL, Shull

SJ, Gjerde CJ. Teaching the basics of clinical

pharmaceutical care: innovative pharmacy workshops at

the University of Wisconsin and the University of

Nebraska. Fam Med. 2004; 36: 89-92.

7. http://www.slideshare.net/MLuisettoWebsiteFARM/pharma

ceutical-care-management-2015-dr-mauro-luisetto

8. luisetto m. open letter to all clinical pharmacists

pharmaceutical care medical laboratory, nuclear medicine

and imaging 2016 Clinicians teamwork. Clinicians

teamworks bulletin issn usa.2016; 3(1): 2381-4357.

9. Luisetto M, Nili-Ahmadabadi B, Cabianca L, Ibne Mokbul

M. Steps and Impacts of Pharmaceutical Care and Clinical

Pharmacy Development on Clinical Outcomes 2016: A

Historical Analysis Compared with Results. Clinicians

Teamwork. 2016; 1: 4-8.

10. Nazir T, Muzzammil S, Zaidi M. Review of the basic

components of clinical pharmaceutical care in Pakistan.

Teacher Research Journal. 2011; 1(1): 1-5.