THE TRIANGLE PHYSICIAN-PHARMACIST-PHARMACEUTICAL REPRESENTATIVE IN THE PRESCRIBING-PROMOTING-DISPENSING DRUG PROCESS – ETHICAL ISSUES

Laszlo-Zoltan  SZTANKOVSZKY; Beatrice-Gabriela  IOAN; Vasile  ASTĂRĂSTOAE; Magdalena IORGA

Authors

Laszlo-Zoltan SZTANKOVSZKY MD PhD, Grigore .T.Popa University of Medicine and Pharmacy, Iasi, Romania. Email: sztankovszky@yahoo.com.
Beatrice-Gabriela IOAN Professor MD, PhD, Grigore T. Popa University of Medicine and Pharmacy, Iasi, Romania. Email: ioanbml@yahoo.com. https://orcid.org/0000-0002-0005-9139
Vasile ASTĂRĂSTOAE Professor MD, PhD, Grigore T. Popa University of Medicine and Pharmacy, Iasi, Romania. Email: astarastoae@gmail.com.
Magdalena IORGA Senior Lecturer PhD, clinical psychologist, Department of Behavioral Sciences, Grigore T. Popa University of Medicine and Pharmacy, Iasi, Romania. Email: magdalena.iorga@umfiasi.ro. https://orcid.org/0000-0002-7074-959X

Keywords:

ethics, pharmaceutical industry, patient, quality of life, healthcare policy.

Abstract

The research highlights the way in which, within the activity of drug promotion, prescribing and dispensing, pharmaceutical company representatives, physicians and pharmacists in community pharmacies respect the following ethical principles: autonomy, beneficence, fairness, and social justice in order to assure the quality of life for the patients. The paper presents also some general conclusions regarding the promotion-prescribing-dispensing drug process pointing the main risks and also proposes some actions for limiting the negative consequences. The patients’ quality of life must come first, for the main three stakeholders (pharmaceutical representatives, doctors and pharmacists) and also for the policy health makers.

Triunghiul Medic-Farmacist-Reprezentant farmaceutic în procesul de prescriere-promovare-distribuire a medicamentelor – Probleme etice. Studiul evidenţiază modalitatea în care reprezentanţii companiilor farmaceutice, medicii şi farmaciştii din farmaciile comunitare respectă următoarele principii etice: principiul autonomiei, principiul binefacerii, principiul dreptăţii şi principiul justiţiei sociale, cu scopul de a asigura calitatea vieţii pacienţilor. Lucrarea prezintă, de asemenea, câteva concluzii generale cu privire la procesul de promovare-prescriere-eliberare a medicamentelor, punând în evidenţă cele mai importante riscuri şi propune acţiuni de limitare a consecinţelor negative. Calitatea vieţii pacientului trebuie să primeze, atât în cazul celor implicaţi în politicile de sănătate, cât şi în activitatea desfăşurată de cele trei părți interesate (reprezentanții farmaceutici, medicii și farmaciștii) care trebuie să asigure sănătatea pacienţilor.

Cuvinte-cheie: etică, industria farmaceutică, pacient, calitatea vieţii, politici de sănătate.

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