| Abstrakt | | Introduction: Pharmaceutical care (FC) is the new general health care, which as a part of the one health care system prevents and resolves drug-therapy problems. On the direct patient level it improves the patient quality of life.On the social level it contributes to lessen the morbidity and mortality and brings positive economic outcomes. Methods: FC has been defined as a whole health care event for the every individual patient. The social burden inSlovenia due to the drug-therapy problems and at the same time the benefit of FC for the population aged over 65 have been estimated on the basis of American macroeconomic propositions and the data of our own pilot study led on50 patients in the Pharmacy of Gornja Radgona in the year 2005. The possibility of using expert systems to support the time frame demands for leading FC was examined in the Pharmacy Špringer in Gornja Radgona in the year2007. Results: FC is one of the sub-levels of the whole health care system. The later is occupied with health needs and problems, and the first especially with drug-therapy needs and problems, having in mind that the patient is a person, who is really or just potentially ill. The active principle is essential for every event and so it is true for the health care. It expresses itself as an empirical event through its sub-levels. The essential sub-level of the FC is the process of the FC, which makes therapeutic outcomes from the drugs with the help of the direct partnership relation between the pharmacist and the patient. The essential sub-level of the process of the FC is the pharmaceutical intervention regarding the pharmaceutical assessment of individual patient needs and problems in the beginning of the health care event, and the assessment of therapeutic outcomesat the end of the health care. FC is in about 2/3 cases preventive, and in about 1/3 cases curative practice. (Abs. trunc. at 2000 ch.)
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| Izvleček | | Uvod: Farmacevtska skrb (FS) je nova splošna zdravstvena dejavnost, ki kot sestavina enotnega zdravstvenega varstva preprečuje in odpravlja težave, povezane z zdravili. Na neposredni ravni izboljša kakovost bolnikovega življenja, na družbeni pa prispeva k zmanjšanju zbolevnosti in umrljivosti teromogoča pozitivne ekonomske izide. Metode: FS smo opredelili kot celosten zdravstveni dogodek za posameznega bolnika. S pomočjo ameriških makroekonomskih predpostavk in izsledkov svoje pilotske raziskave, opravljene pri 50 bolnikih v Lekarni Gornja Radgona leta 2005, smo ocenili družbeno škodo, ki jo prinašajo težave, povezane z zdravili v Sloveniji, in družbeni prihranek, ki ga lahko obrodi FS za populacijo ljudi, starejšo nad 65 let v Sloveniji. Nakazano rešitev, kako farmacevtu omogočiti več časa za vodenje FS s pomočjo ekspertnih sistemov, smo preizkusili v Lekarni Špringer v Gornji Radgoni leta 2007. Rezultati: FS je eno od področij celostnega zdravstvenega varstva. To obravnava bolnikove potrebe in težave, povezane z zdravjem, FS pa bolnikove potrebe in težave, povezane z zdravili, pri čemer je bolnik človek, ki ga bolezen ogroža ali mu le preti. Za vsak dogodek in tudi za zdravstveno varstvo je bistveno dejavno načelo, ki se uresniči na svojih podrobnih ravneh (podravneh). Bistvena podraven FS je proces FS, ki dela iz zdravila pozitivni terapevtski izid s pomočjo neposrednega partnerskega odnosa med farmacevtom inbolnikom. Bistvena podraven procesa FS pa je farmacevtski ukrep glede na farmacevtovo oceno bolnikovih potreb in težav na začetku zdravstvenega dogodkater farmacevtovo oceno izidov zdravljenja glede na prej postavljene cilje na koncu zdravstvenega dogodka. FS je dveh tretjinah preventivna in v eni tretjini kurativna dejavnost. (Izvl. skrajšan na 2000 zn.)
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