Organizacija i upravljanje opskrbom lijekovima tijekom poplava

professional thesis

• Title (english): Organization and management of drug supply in floods
• Author: Marko Letić
• Mentor: Iskra Alexandra Nola (mentor)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2017-05-17, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Public Health

Abstract

Poplava je prirodna katastrofa u kojoj dolazi do privremenog prekrivanja vodom terena koji se uobičajeno ne nalazi pod vodom. Uzimajući u obzir klimatske promjene koje pogađaju i Republiku Hrvatsku moguće je primijetiti kako je incidencija poplava značajno porasla.
Kvalitetna organizacija i upravljanje opskrbom lijekovima tijekom poplava zahtjeva točno razrađene strategije i upute za djelovanje koje će pomoći nacionalnim, regionalnim i lokalnim tijelima da u suradnji sa zdravstvenim radnicima kvalitetno i na odgovarajući način provedu menadžment katastrofa kroz 4 faze: ublažavanje rizika (odgovarajuće zakonodavstvo), pripravnosti (standardizirani postupci), odgovora na katastrofu (uključenost i farmaceuta, ljekarni, proizvođača lijekova, veledrogerija) i oporavka od katastrofe (implementacija nužnih promjena temeljem povratnih informacija s terena za bolje funkcioniranje u budućnosti).
Značaj dobro organizirane opskrbe lijekovima tijekom poplava sastoji se u točno i jasno definiranim postupcima i koracima tj. standardiziranim operativnim postupcima koje trebaju sprovesti nacionalna i regionalna tijela, industrija i pojedine bolničke i javne ljekarne. Posebnu pozornost treba posvetiti razlici u liječenju akutnih bolesti nastalih kao posljedica poplave i kroničnih bolesti koje mogu uzrokovati smrtnost stanovništva ako zbog poplave i nekvalitetne organizacije opskrbom lijekovima tijekom poplava takvi pacijenti s kroničnim bolestima ostanu bez svoje terapije. Ti postupci moraju biti jasno definirani u svakoj fazi organizacije i upravljanja opskrbom lijekovima tijekom katastrofe.
Pregledom literature ustanovljeno je da općenite preporuke za organizaciju i upravljanje opskrbom lijekovima tijekom poplava postoje, ali detaljne uloge i zaduženja farmaceuta i ostalih zdravstvenih radnika za vrijeme poplava nisu sistematično razrađene stoga je upitno da li bi trenutna organizacija i upravljanje opskrbom lijekovima stanovništvu pogođenom poplavom mogla osigurati pravovremenu i dovoljnu količinu lijekova za liječenje akutnih i kroničnih bolesti.

Abstract (english)

Flood is a natural disaster where there is a temporary overlap of water over the soil, which normally is not underwater. Related to the present climate change affecting the Republic of Croatia may be noted that the incidence of flooding has increased significantly.
Well organized management of drug supply during a flood requires exact strategies and guidelines that will help national, regional and local authorities in cooperation with health care workers to adequately implement disaster management through four phases: mitigation (the relevant legislation), preparedness (standardized procedures), disaster response (involvement of pharmacists, pharmacies, drug manufacturers and wholesalers) and disaster recovery (implementation of necessary changes for the better functioning in the future).
The importance of well-organized drugs supply during a flood incorporate accurately and clearly defined procedures and steps - standardized operating procedures to be followed by national and regional authorities, industry and individual hospital and public pharmacies. Special attention should be paid to the difference in the treatment of acute diseases resulting from floods and chronic diseases that can cause mortality of the population if, due to flooding and poor organization of the drugs supply during floods, such patients with chronic diseases remain without their therapy. These procedures must be clearly defined at each stage of disaster management.
A review of the literature shows that the general recommendations for the organization and management of the drugs supply during the flood exist, but detailed roles and responsibilities of pharmacists and other health workers during the floods are not systematically designed, so it is questionable whether the current organization and management of the drug supply to flood affected population could provide timely and sufficient amount of drugs for the treatment of acute and chronic diseases.

• Keywords: opskrba lijekovima; poplave; uloga farmaceuta
• Keywords (english): drug supply; floods; role of pharmacists
• Language: croatian
• URN:NBN: urn:nbn:hr:105:013930
• Study programme: Title: Leadership and management of health services; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/magistra menadžmenta u zdravstvu (sveučilišni/a magistar/magistra menadžmenta u zdravstvu)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-04-23 10:50:06