European International Journal of Multidisciplinary Research
and Management Studies
75
https://eipublication.com/index.php/eijmrms
TYPE
Original Research
PAGE NO.
75-78
DOI
OPEN ACCESS
SUBMITED
25 March 2025
ACCEPTED
21 April 2025
PUBLISHED
23 May 2025
VOLUME
Vol.05 Issue05 2025
COPYRIGHT
© 2025 Original content from this work may be used under the terms
of the creative commons attributes 4.0 License.
Improvement of Medical
Services in Healthcare
Facilities
Tukhtaeva Shokhsanam
Department of Organization of Pharmaceutical Work, Samarkand State
Medical University, Uzbekistan
Kodirov N.D.
Scientific Adviser, Department of Organization of Pharmaceutical Work,
Samarkand State Medical University, Uzbekistan
Abstract:
It is imperative to improve patient outcomes
and healthcare delivery by enhancing pharmaceutical
services in pharmacies. This paper evaluates the
present state of pharmacy services, pinpoints
deficiencies in practice, and suggests methods for
enhancement. This research emphasises the necessity
of extending the role of chemists in patient care by
conducting a systematic review of literature and
analysing case studies. The results indicate that the
integration of sophisticated pharmaceutical services
can result in a decrease in medication-related
problems, improved medication management, and
improved patient education.
Keywords:
Pharmaceutical services, pharmacies,
patient care, medication management, healthcare
delivery, pharmacist roles.
Introduction:
Pharmacies have historically been
perceived as dispensers of medications; however, the
changing
healthcare
environment
requires
pharmaceutical
services
to
assume
a
more
comprehensive role. The necessity for chemists to
become more actively involved in patient care is
emphasised by the growing complexity of drug therapy
and the rise in chronic diseases. The objective of this
investigation is to evaluate the efficacy of the
pharmaceutical services currently available in
pharmacies and to suggest strategies for enhancement.
Aim of the research
European International Journal of Multidisciplinary Research
and Management Studies
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European International Journal of Multidisciplinary Research and Management Studies
The principal objectives of this research are as follows:
1. To assess the current pharmaceutical services
offered by community pharmacies.
This entails an evaluation of the current selection of
services and their efficacy in satisfying patient
requirements.
2. To identify obstacles to the delivery of
pharmaceutical services in an optimal manner.
Strategies for surmounting these obstacles will be
informed by an understanding of the obstacles that
chemists encounter.
3. To suggest evidence-based strategies for improving
pharmaceutical services.
These strategies will be based on research findings and
the most effective practices from successful pharmacy
models.
METHODS
This investigation implements a mixed-methods
approach that includes qualitative case studies and a
systematic literature review.
The literature review examined peer-reviewed articles
published within the past decade, with an emphasis on
studies that assess the efficacy of pharmaceutical
services in a variety of contexts. "Patient outcomes,"
"pharmacist intervention," and "pharmaceutical
services" comprised the primary search terms. The
inclusion criteria were studies that reported
measurable outcomes related to pharmaceutical
services.
Search Strategy
Using a combination of Boolean operators and
keywords, a systematic search was conducted across
multiple databases, including PubMed, Scopus, and
Google Scholar. A final selection of 50 studies that
satisfied the inclusion criteria was made after the
abstracts and entire texts of articles were screened for
relevance. The studies were categorised according to
the services that were assessed, including patient
education initiatives, disease management programs,
and medication therapy management.
Case Studies
The selection of three community pharmacies was
determined by their diverse service offerings. The
satisfaction and outcomes of pharmaceutical care were
evaluated through patient surveys, observations of
service delivery, and interviews with chemists.
Process of Data Acquisition
The interviews with chemists were conducted in a semi-
structured format, with an emphasis on their
experiences in the provision of pharmaceutical
services, perceived challenges, and recommendations
for enhancement. The workflow of the pharmacies,
interactions between pharmacists and patients, and
the services offered were all examined during the
observations. The satisfaction levels with pharmacy
services were evaluated through patient surveys, which
also collected feedback on the perceived value of
pharmacist interventions.
Outcomes
Pharmaceutical Services in Their Present State
The literature review demonstrated that numerous
pharmacies provide fundamental services, including
counselling and medication dispensing. Nevertheless,
the implementation of sophisticated services, including
medication therapy management (MTM), chronic
disease management, and immunisation services, was
inconsistent.
•Basic Services: The majority of pharmacies offer
standard services, such as prescription fulfilment, over-
the-counter medication recommendations, and basic
counselling on medication use.
•Advanced Services: Comprehensive medication
therapy management is only implemented by a small
number of pharmacies, despite the fact that it has been
demonstrated to enhance patient adherence and
health outcomes.
Patient Perceptions: The function of chemists beyond
dispensing medications is frequently underestimated
by patients, suggesting a need for improved
communication regarding the services that are
available.
Obstacles to the Provision of Ideal Service
Several common barriers were identified, including:
Inadequate Training: A significant number of chemists
expressed a sense of being underprepared to offer
advanced services. Continuous education is frequently
neglected, resulting in deficiencies in the knowledge
and skills necessary for improved patient care.
•Time Constraints: The time available for patient
interactions was restricted by the high volume of
prescriptions. Pharmacists frequently encounter
substantial duties that impede their ability to allocate
sufficient time for patient education and follow-ups.
Reimbursement Issues: Pharmacists were discouraged
from expanding their roles due to insufficient
compensation for services rendered. Numerous
chemists expressed their dissatisfaction with the
current reimbursement models, which fail to
acknowledge the importance of clinical services.
Strategies for Enhancement Proposed
1. Improved Training Programs: The implementation of
European International Journal of Multidisciplinary Research
and Management Studies
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European International Journal of Multidisciplinary Research and Management Studies
ongoing professional development programs that
concentrate
on
the
provision
of
advanced
pharmaceutical care. This may encompass seminars,
online courses, and collaborative training with
healthcare providers to improve the chemists' skill set.
2. Technology Integration: The use of electronic health
records (EHR) to optimise communication between
healthcare providers and chemists. This would allow
chemists to more effectively access patient
information, thereby facilitating improved medication
management and care coordination.
3. Advocacy for Reimbursement Models: Working with
policymakers to establish reimbursement frameworks
that facilitate comprehensive pharmaceutical services.
This would entail advocating for policies that
acknowledge the contributions of chemists to patient
care and guarantee that they receive fair compensation
for their services.
CONCLUSION
It is imperative to improve healthcare outcomes by
enhancing pharmaceutical services in pharmacies.
Pharmacists can significantly contribute to patient care
by
addressing
the
identified
obstacles
and
implementing the proposed strategies. This research
emphasises the necessity of a paradigm shift in the
perception of pharmacy services, from the sole
dispensation of medication to the provision of
comprehensive patient-centered care. The chemist's
evolving function in the healthcare system and the
long-term
outcomes
associated
with
the
implementation of advanced pharmaceutical services
should be considered in future research.
Pharmacists are in a unique position to make a
substantial contribution to the health outcomes of
patients by leveraging their expertise in medication
management. The pharmacy profession can improve
the quality of healthcare delivery and increase its
impact on public health by adopting evidence-based
strategies and embracing an expanded role.
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