An anonymous questionnaire survey among healthcare professionals in Ukraine (n = 10737) showed contradictions in the attitude to the peculiarities of clinical pharmacy compared to a general pharmacy, the relation to the specialists who provide clinical pharmacy services, and the healthcare settings for them. The respondents considered the activity of clinical pharmacist necessary in 74.2%. The community pharmacies were identified as prior professional settings for clinical pharmacists in 55.3%; hospitals – 47.7%, hospital pharmacies – 45.0%. Among the directions of the clinical pharmacist’s activity at the hospital, monitoring of drug safety and efficacy was stated by 69.9%, provision of the pharmaceutical care – 50.5%, evaluation of pharmacotherapy – 42.1%, processing of the local drug formulary – 26.8%. The respondents saw prospects for the development of clinical pharmacy in Ukraine in 54.2%. Therefore, there were differences in views on the key issues of clinical pharmacy throughout Ukraine and the insufficient support for its prospects.
Applying the Classification for Drug-Related Problems (DRPs) of the Pharmaceutical Care Network Europe (V 9.00, 2019) allowed to systematize the information on the use of drugs in elderly patients given in the Annex of the State Drug Formulary of Ukraine. As a result of this work, special warnings and recommendations of the State Drug Formulary were presented together with the possible causes for potential DRPs, which they allow to prevent. The lists of potentially inappropriate medications (PIMs) for the elderly (n = 98), drugs the dosage of which in patients of this age group should be adjusted (n = 127), and drugs that need monitoring (n = 108) were formed. The obtained results can serve as a basis for the development of a specialized geriatric tool to ensure rational pharmacotherapy, in particular in the provision of pharmaceutical care.
Objective. Our aim was linguistic adaptation the Thrombocytopenia Symptoms and their Impact on patients Daily Activities Assessment Vignette (TSIDAV) into Ukrainian. Methods: In the translation process were involved two translators who took into account the cross-cultural aspects during translation of the vignette. The translation was done from Polish to Ukrainian and then was translated back into Polish. The translated version was validated by the vignettes’ Polish authors in order to verify the maintains the content, purpose and estimated tool properties of translated version. Results: Vignettes were adapted according to the algorithm described in the methodology of the research. The adaptation algorithm of the vignettes into Ukrainian language follows ISPOR recommendations for translation. The obtained Ukrainian version of the vignettes was tested on a small group of lay people (n=9) in order to test alternative wording and to check understandability, interpretation, and identify potential cultural issues related to the translation. Thus, the last step of vignettes adaptation, such as a review of cognitive debriefing results, finalization and proofreading occurred with involving an Ukrainian professional philologist. As the final result, it was obtained a tool for evaluating the thrombocytopenia symptoms impact on patients’ daily activities in Ukraine. Conclusions: The obtained Ukrainian version of the vignette is a simple and fast instrument to assess the impact of symptoms of thrombocytopenia in patients’ daily activities. The next step is the process of validating the instrument in Ukraine.
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