Examining the frequency of some ethical and legal challenges in the pharmacies of Rasht in 1400
Subject Areas : Medical ethicsseyyedeh kausar Mousavi Nesab 1 , Mohammad Taghi Ashubi 2 , Sohail Soltanipur 3 , zahra hesary 4 , Kourosh delpasand 5
1 - PhD of Pharmacy, Department of Pharmacy, Faculty of Pharmacy, Gilan University of Medical Sciences, Rasht, Iran.
2 - Assistant Professor of General Surgery, Department of Surgery, Faculty of Medicine, Gilan University of Medical Sciences, Rasht, Iran.
3 - Associate Professor of Social Medicine, Department of Social Medicine, Faculty of Medicine, Gilan University of Medical Sciences, Rasht, Iran.
4 - Assistant Professor of Pharmaceutics, Department of Pharmacy, Faculty of Pharmacy, Gilan University of Medical Sciences, Rasht, Iran.
5 - Associate Professor of Medical Ethics, Department of Medical Ethics, Faculty of Medicine, Gilan University of Medical Sciences, Rasht, Iran.
Keywords: Pharmacist, pharmacy technician, ethical dilemma,
Abstract :
The word ethics can be defined as the knowledge of good and evil. A person knows good and evil and, in simpler terms, good and bad .This is why ethics and moral dilemmas have always been one of the concerns of human societies. Pharmacists are one of the important and complementary links in the health system in the treatment of patients and they play an important and undeniable role in improving the health status of people in the society. Pharmacists working in pharmacies due to the commercial nature of pharmacies, having health resources and their distribution and because they are always available to patients, they experience many challenges and moral dilemmas daily, in this research, we have examined some of these challenges. This cross-sectional descriptive study was conducted in the spring of 1400 on 151 pharmacists working in Rasht pharmacies. The data collection tool is a two-part questionnaire including the first part: Collect demographic information of participants, And the second part: There were 13 ethical challenges. After collecting the information contained in the questionnaires, the data was analyzed using SPSS 22 software. The results of this research show that some ethical and legal challenges, including the financial inability of patients to pay for vital drugs, request for drugs outside the pharmacopoeia, Prescriptions containing drugs outside the pharmacopoeia, Allocation of essential drugs to a specific pharmacy, returning unused non-refrigerated medicine to the pharmacy, Prescribing a supplement by a doctor for a patient whose disease is not related to this product. Forced to cooperate with a non-pharmacist to establish a pharmacy. The request for abortion medicine and changing the brand of the prescribed medicine by the pharmacist was reported with a percentage of over 60% among the pharmacists working in Rasht pharmacies. In the last century, we have seen a significant growth of ethical issues in measuring health care. Therefore, pharmacists need to be more familiar with ethical issues, implement the best solutions and make ethical decisions in critical and necessary situations. Pharmacists' awareness of their moral and legal responsibilities will empower these health professionals and improve the services provided to patients and other service recipients in the pharmacy.
1. Dale, R.J.H., History of Western Philosophy. 2008-3rd edition-7th edition, Tehran, Shahada Gendarmerie Martyrs St., Tehran: Phoenix Publications. Page 73.
2. Deans, Z., Ethics in pharmacy practice. 2010: Pharmacy Practice Research Trust London.
3. Bahrami, M. and F. Gharamaleki, Conceptual analysis of moral dilemmas. Iranian Journal of Medical Ethics and History of Medicine, 2012. 5(2): p. 32-44.
4. Kruijtbosch, M., et al., Moral dilemmas of community pharmacists: a narrative study. International journal of clinical pharmacy, 2018. 40(1): p. 74-83.
5. Fakuhi, N., One Hundred and One Questions of Culture. 2014-1st edition, Baharestan St., Tehran: Tisa Publications.
6. Al-Arifi, M.N., Community pharmacist perception and attitude toward ethical issues at community pharmacy setting in central Saudi Arabia. Saudi Pharmaceutical Journal, 2014. 22(4): p. 315-325.
7. https://www.webmd.com/a-to-z-guides/what-is-pharmacist
8. Delpasand, K., S. Tavakkoli, and H. Kojidi, The Relationship between the Pharmacist and the Patient from the Point of View of Ethics and Law. Medical Ethics Journal, 2019. 13(44): p. 1-12.
9. Ebrahimi, S., Ethical challenges in the community pharmacy setting from the perspective of the faculty members of Shiraz School of Pharmacy and pharmacy practitioners: a qualitative study. Iranian Journal of Medical Ethics and History of Medicine, 2016. 8(5): p. 77-93.
10. http://fnm.tums.ac.ir/userfiles/research/Ethiccomitte/guids/8.pdf.
11. Delpasand, K., et al., Ethical challenges in the relationship between the pharmacist and patient in Iran. International Journal of Human Rights in Healthcare, 2020.
12. Cooper, R., Ethical problems and their resolution amongst UK community pharmacists: a qualitative study. 2007, University of Nottingham.
13. Hibbert, D., J. Rees, and I. Smith, The ethical dilemmas of community pharmacists: a common core of issues. Journal of Social and Administrative Pharmacy, 1999. 16: p. 102-103.
14. DELPASAND, K., L. AFSHAR, and S.N. TAVAKKOLI, The Ethical Principles in Pharmacist-Patient Relationship. Journal of Clinical & Diagnostic Research, 2019. 13(3.)
15. Shakour, M., et al., The ethical aspects of abortion in medical education. Iranian Journal of Microbiology, 2014. 6(1).
16. Kajidi, H.M., et al., A Review of Medicine Counterfeiting in Medical History. Medical History, 2020. 12(43): p. 7-18.
17. Dessing, R.P. and J. Flameling, Ethics in pharmacy: a new definition of responsibility. Pharmacy World and Science, 2003. 25(1): p. 3-10.
18. Kourosh Delpasand, S.T.N., Mohamad Nourian, Conflict of Interest and Lack of Transparency as Corruption in the Health
System. Legal Thought, 2020. 1(3): p. 31-39.
19. Dabbagh, A., et al., A revision to the professional roles of pharmacists in the national health system: the attitudes of physicians and pharmacists regarding the impact on inter-professional relationships. Hakim Research Journal, 2006. 8(4): p. 26-36.
20. Dastmardie, S., et al., Analysis of the Criminal history of the Production and Supply of Smuggled and Counterfeit Medicines in Iran. Medical History, 2016. 8(28): p. 47-55.
21. Akbari, H., Drug crimes from the perspective of criminal law and criminology. Qom: Mofid University, 2006.
22. Bekker, C.L., et al., What does it cost to redispense unused medications in the pharmacy? A micro-costing study. BMC health services research, 2019. 19(1): p. 1-9.
23. Vlieland, N.D., et al., The majority of patients do not store their biologic disease-modifying antirheumatic drugs within the recommended temperature range. Rheumatology, 2016. 55(4): p. 704-709.
24. Vlieland, N.D., et al., Actual versus recommended storage temperatures of oral anticancer medicines at patients’ homes. Journal of Oncology Pharmacy Practice, 2019. 25(2): p. 382-389.
25. Bancsi, A. and K. Grindrod, Medical abortion: a practice tool for pharmacists. Canadian Pharmacists Journal/Revue des Pharmaciens du Canada, 2019. 152(3): p. 160-163.
26. Raifman, S., et al., Medication abortion: Potential for improved patient access through pharmacies. Journal of the American Pharmacists Association, 2018. 58(4): p. 377-381.
27. www.uptodate.com.
