Հայաստանի ատենախոսությունների բաց մատչելիության պահոց = Open Access Repository of the Armenian Electronic Theses and Dissertations (Armenian ETD-OA) = Репозиторий диссертаций Армении открытого доступа

Դեղագետների մասնագիտական և կարիերային բարելավման ռազմավարության առանձնահատկությունները

Սուլաշվիլի, Նոդար Վախթանգի (2019) Դեղագետների մասնագիտական և կարիերային բարելավման ռազմավարության առանձնահատկությունները. PhD thesis, Երեվանի Մխիթար Հերացու անվան պետական բժշկական համալսարան.

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      Abstract

      An integral part of the state social security system is an implementation the citizens’ rights and protection of their health. The grade of the health care system partly relies on provision of the quality of pharmaceutical care services, which is largely dependent on the public pharmaceutical organizations’ personnel qualifications. In this regard, the professional qualification of pharmacists should be under the state control, and is one of the objects of the state regulation in the pharmaceutical field in particular, and the medical field in general with the purpose to maintain the highest possible level of pharmacist specialists’ competences throughout their careers. The modern system of pharmaceutical care is to improve and enhance the life quality of patients by promotion of highly skilled professionals in pharmacies, whose competence has been growing along the process of professional development. Pharmacists must not only be capable to use their knowledge and skills gained at the educational institutions, but also should be ready and motivated for the professional self-development, since without qualified pharmaceutical care there is no qualified health care system. Since the pharmacy is one of the most socially significant aspects of the state regulation, the order of carrying out the reform measures, accumulation of experience, and also new methods fluent introduction and application become crucial nowadays. For the development of an organizational and functional model of licensing of pharmaceutical activities, pharmacists’ work can improve the efficiency of public pharmaceutical administration, which is of great relevance, scientific and practical value. In the pharmacy field an increase of negative trends, such as poor mechanisms of interaction between the professional education and the pharmaceutical market, a slow adaptation of graduates to the market reality is being observed. A blank between the increasing demands of the patients’ and the level of specialists’ knowledge, as well as adaptation to market reality can affect the process of professional development of pharmacists and the quality of pharmaceutical care in general. The mentioned trends, as well as the professionals’ increasing role and responsibility in the health care system make necessary to analyze the current practical experience and evaluate the theoretical background of the specialists’ development, as well as identify new contributing factors for their development as professional pharmacist practitioners. The literature analysis showed that a study of individual aspects of the pharmacists’ professional development is directed to elaborating the necessary requirements to ensure effective pharmaceutical care, postgraduate education, finding strategies for the better management of pharmaceutical personnel, pharmacists’ job satisfaction and issues of their psycho-social adaptation to the emerging market conditions. However, weighable studies aimed at understanding the perspectives of a pharmacist in his career aspect and the ways to provide high-quality pharmaceutical care have not been carried out yet. In the developed countries and many developing ones there are also state regulations like in family medicine in the pharmacy field. A pharmacist, as a family doctor, should have the higher, post-graduate and consistent education in pharmacy, and also needs to hold the pharmacist license and periodic accreditation by the board of pharmacy (BOP). In the western countries, pharmacists are the specialists with the higher pharmaceutical education who have graduated from the state-recognized and accredited colleges and universities, and only such qualification specialists are allowed to work in the pharmacy. A pharmacy opening permission is issued only for the pharmacists who hold higher pharmaceutical education with the pharmacist’s diploma. In this concern a study of the peculiarities of professional and career improvement strategy for pharmacists in Georgia, the pharmacist’s professional features, the factors influencing on the pharmacists’ profession (occupational) choice and career satisfaction, pharmacists’ work satisfaction by the duration of job and income, a balance between the pharmacists’ workload and their personal life, professional peculiarities of student pharmacists and the employed pharmacist students, professional peculiarities of the pharmacists with the perspectives of chief, peculiarities of pharmacist’ professional features according to the health-care specialists and patients (customers), and professional peculiarities of young pharmacists became of high actuality and the essence of our study. Therefore, analyses of the current situation of pharmacist’s profession in Georgia and analyses of the official statistical data should be done. We studied the awareness level regarding the roles, liabilities, duties and responsibilities of the pharmacy staff in Georgia. Basing on the analysis of the current situation and identifying gaps in the pharmaceutical system, as well as considering international regulations and the peculiarities available in Georgia, elaboration of the recommendations aimed at solving the existing problems have been encountered. A comprehension of these problems urgency moved us to perform the given research with the selected design, which defined such objectives, as assessment and analyzing of the pharmacists’ current situation in Georgia, development and justifying the practical recommendations for improving the professional development of pharmacists and the quality of pharmaceutical care in general. Based on the analyzed available foreign literature, it became clear that for such chosen types of studies the following 7 types of questionnaires developed in 2009 by O. Sokolova were most valuable, acceptable and approved. The goal and objectives of the research. The research goal was to provide a complex study, analysis and evaluation of the professional peculiarities of pharmacists and the pharmacy faculty students, to develop a methodological approach for improving the process of professional development and the career improvement strategy of pharmacists. To get the assigned goal the study’s objectives include: to reveal the factors and motivations influencing on the professional choice, the process of professional formation, occupational development and career growth process of the pharmacy faculty students, pharmaceutical specialists and young pharmacists. to conduct sociological studies of pharmacists, the chief pharmacists, the patients (customers of pharmacies), the pharmacy faculty students, young pharmacists, the public health specialists and employed pharmacy faculty students to further determine the function, importance and role of a pharmacist, pharmaceutical activities, some professional peculiarities, pharmaceutical education, and opinion about regulation of the professional pharmaceutical activities (continuous professional education, certification, attestation). to perform a complex investigation of the process of pharmacists' professional development and adaptation at different stages and the working activities characteristics. to study the satisfaction of pharmacists by professional choice, the work load, duration of work time, income and career.to elaborate the practical recommendations and outline the perspectives for improving the professional enhancement of a pharmacist and the quality of pharmaceutical care in the whole. The scientific novelty of the research. First time complexly were studied the professional peculiarities of a pharmacist per vision of pharmacists, of the employed pharmacist-students, of the chief-pharmacists, of the young pharmacist-specialists, of the public health specialists; pharmacists’ professional features as per view of the patients, customers (consumers/buyers), as well as to reveale influencing factors for the peculiarities of professional and career improvement strategy for pharmacists. In the result of the study and evaluation of the pharmacist’s professional peculiarities novelties, the objectively reasoned comprehension of the problems in this field has been adopted, which became a base for the recommendations developing. For the first time the following have been studied and established: the peculiarities of professional and career improvement strategy for pharmacists, pharmacist’s professional features, factors which are mostly influencive on the pharmacist’s occupational choice, pharmacist’s professional satisfaction, his career satisfaction, work satisfaction, satisfaction by the balance between the pharmacist’s workload and his personal life, pharmacist’s work satisfaction by the time duration of his job and by income. First time the process of professional formation of pharmacists in the scope and context of pharmaceutical care, including the stages of professional development was studied and scientifically established. The most influencive factors for the pharmacist’s professional formation were first identified. Role of pharmacist and the specific features for the pharmacists’ formation at various stages were also studied and identified. On the bases of comprehensive studies, versus the other medical specialists, like physicians, dentists, etc., it was revealed that the pharmacists do not have continuous education, periodic certification and licensing. Moreover, pharmacists’ profession is removed from the regulated and certified health professional members’ team. The results of our study have been shown and substantiated, that the pharmacists, as well as doctors and dentists are obliged to undergo the mandatory certification by the Government in order to increase the responsibility on their own professional specialization to motivate and to improve their skills thereby continuous education. This innovative strategy and practical recommendations are applicable for a wide range of specialists of the health service and educational administrative organizations for different countries, as well as Georgia. This should be promoted for making the pharmacist to become more responsible, reportable and liable to enhance their professional knowledge, skills and competencies. Considering the above mentioned we first time conducted a comprehensive and deep study for the professional and career improvement for pharmacists in Georgia. The theoretical and practical value of the research. The dissertation work is adopted as the general and specific theoretical and practical scientific innovation with the developed results of the studies, conclusions and practical recommendations, which can be used: by different stakeholders such as state structures, private sectors, pharmacists, students, employers, pharmaceutical companies; by scientific and educational sectors: higher educational institutions, the universities’ tutorial staff and students as additional literature for pharmaceutical faculties during the educational process procurement; by employees of the pharmaceutical industry and pharmacies as the basic set of recommendations for the scientifically methodological framework development for the further investigations of the professional process; by researchers to develop a set of performance criteria for evaluation of the process in questions. The results of the dissertation thesis work were reported at Georgian National Academy of sciences (Tbilisi, Georgia, 2015), at 3-rd International Conference on Pharmaceutical Sciences at Tbilisi State Medical University(TSMU, Tbilisi, 2015), at YSMU Science Week 2017 (Yerevan, Armenia, 2017), at the Department of Pharmaceutical Management of the YSMU (Yerevan, 2017), at the Pharmacy Department Council in the University of Georgia (Tbilisi, 2018), at the International Conference in Georgian Technical University (Tbilisi, 2017), at the International Conference “Healthy Lifestyle-Scientific Evidence and Controversial issues” and “Innovation in Medicine” in TSMU (Tbilisi, 2017), at the International Medical Conference in the University of Georgia (Tbilisi, 2018), at the International Medical Conference “Healthcare Plus Dedicated to the 100th Anniversary of the Independence of Georgia in the University of Georgia (Tbilisi, 2018), at the International Scientific Medical Conference in Davit Agmashenebeli University (Tbilisi, 2018), at the X International Conference "Health and Ecology" In Telavi state University organized by TSMU (Telavi, Georgia, 2018). The results of the dissertation thesis were declared and passed preliminary defence (Approbation) on the Academic Council session of the Department of Pharmacy in Georgian Technical University (Tbilisi, 2018). The given dissertation was performed by the author in terms of “About the collaboration between the Republic of Armenia and Georgian Ministries of Education and Science” double-sided signed international memorandum in 2013. The final results of the dissertation thesis were declared in YSMU at the “Theoretical medicine" experimental council session and approved by the Scientific Coordination Council on 04.10.2018. On the base of the dissertation topic 14 scientific works were published,which reflect the main content of the dissertation work; from them 10 are articles (one of them is in the list of Scopus, 4 others are in the list of Pubmed) and 4 are the theses. Structure and volume of the thesis. The thesis is set on 149 pages of printed text and includes: the introduction, 3 chapters: a review of the literature, a description of the research methods, the results of the research, study results overview, assessment, analysis, summary and discussion. The dissertation contains conclusions, practical recommendations, literature and appendixes. There are 55 tables and 69 figures given in the section of research results. The list of the bibliography contains 196 sources. Սոցիալական ապահովության պետական համակարգի անբաժանելի մասը քաղաքացիների կողմից իրենց առողջության իրավունքի պաշտպանումն է, ինչպես նաև դեղագործական հոգածությունը, որի որակն էլ, իր հերթին, մեծապես կախված է դեղագործական կադրերի որակավորումից: Այս առումով դեղագործական աշխատակիցների մասնագիտական որակավորումը գտնվում է պետական հսկողության ներքո և դեղերի ոլորտի պետական կարգավորման օբյեկտներից մեկն է: Քանզի ամբողջ կարիերայի ընթացքում դեղագործական կադրերի մասնագիտական որակավորման պահանջները փոխվում են, ուստի դեղագետ/դեղագործների արհեստավարժության բարձր մակարդակի ապահո-վումը դառնում է առողջապահության կարևոր հիմնախնդիրներից մեկը: Դեղագործական հոգածության ժամանակակից հայեցակարգի կիրառումը հնարավոր է միայն դեղատներում բարձր որակավորում ունեցող մասնագետների առկայության դեպքում: Դեղագործական ոլորտի մասնագետները պետք է ոչ միայն ի վիճակի լինեն օգտագործել իրենց գիտելիքներն ու հմտությունները, որոնք ձեռք են բերել ուսումնական հաստատություններում, այլև շահագրգռված լինեն մասնագիտական հմտությունների զարգացման մեջ: Քանի որ դեղորայ¬քային բուժումը առողջապահության պետական կարգավորման առավել նշանա¬կալից ոլորտներից մեկն է, ապա բարեփոխումների իրականացումը, այս ոլորտում մասնագիտական փորձի կիրառումը, ինչպես նաև ժամանակակից դեղագոր¬ծական գործունեության նոր մեթոդների ներդրումն ու կիրառումն այսօր դառնում են վճռորոշ: Որպես դեղագործության կառավարման արդյունա¬վե¬տության բարձրացման մեխանիզմ՝ դեղագործական աշխատակիցների գրագետ գործունեությունը մեծ գիտա-գործնական նշանակություն ունի: Դեղագիտական ֆակուլտետի ուսանողների, դեղատների ղեկավարների և երիտասարդ մասնագետների, հանրային առողջապահության մասնագետների, դեղերի սպառողների (դեղատների հաճախորդների) կարծիքների վերլուծության հիման վրա բացահայտվել են դեղագործական աշխատակիցների մասնագիտական հմտությունների առանձնահատկությունները: Մասնագիտական գործու¬նեու¬թյան մեջ տեղի ունեցած փոփոխությունների, նորույթների, առանձնահատկությունների ուսումնասիրության և օբյեկտիվ գնահատման արդյունքում բացահայտվել են որոշակի հիմնախնդիրներ, որոնց հիման վրա էլ հեղինակի կողմից մշակվել են գործնական առաջարկություններ: Մասնավորապես, առա¬ջին անգամ ուսումնասիրվել և վերլուծվել են դեղագործական ոլորտի մասնագետների և կարիերային հատկանիշների բարելավման ռազմավարության առանձնահատկությունները, որոնք հիմնականում ազդում են դեղագետի մասնագիտության ընտրության, կարիերայից և աշխատանքից բավարարվա¬ծության և այլ ցուցա-նիշների վրա: Բոլոր վերը նշված ուղղություններով Վրաստանում առաջին անգամ անց է կացվել համապարփակ և խորը գիտական հետազոտություն, ինչպես նաև տեսական և համեմատական վերլուծությու

      Item Type: Thesis (PhD)
      Additional Information: Դեղագետների մասնագիտական և կարիերային բարելավման ռազմավարության առանձնահատկությունները: Особенности улучшения профессиональной и карьерной стратегии провизоров.
      Uncontrolled Keywords: Սուլաշվիլի Նոդար Վախթանգի, Сулашвили Нодар Вахтангович
      Subjects: Medicine
      Divisions: UNSPECIFIED
      Depositing User: NLA Circ. Dpt.
      Date Deposited: 27 Nov 2019 13:25
      Last Modified: 01 Feb 2020 09:43
      URI: http://etd.asj-oa.am/id/eprint/10782

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