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WHO/PSM/PAR/2006.52006©WHOFIPWHOFIPWHOFIPWHOFIPQuimMartellminimumgraphicsKarinWiedenmayer·RobS.SummersMEDUNSAClareA.Mackie-AndriesG.S.GousMEDUNSAMartheEverard·FIPDickTrompMsChristalAlbertDrRosariod’AlessioWHO/PAHOMsTeresaAlvesFIPDrDouglasBallDrShalom‘Charlie’BenrimojDrJan-OlofBrånstadDrPerlaM.DeBuschiazzo,DrMhinaChambusoTTDaresSalaam,DrGregDuncanParkvilleMsSoniaMotaFariaMsBenteFrokjaerFIPProfessorWilliamFutterGrahamstownProfessorAbdulGhaniMsIdaGustafsenProfessorEbbaHolmeHansenProfessorAbrahamHartezemaPerryA.footeGainesvilleDrKurtHersbergerMrTonHoekFIPCEODrRossHollandBowieMDDrAdrianaMitsueIvama/WHODrNellyMarinJaramillo/WHODrRichardThuoKamauMrBalkrishnaKhakurelWHODrRosalynKingSilverSpringMDMsMirjamKokenbergDrHlonelikhayaMasizaMsLindsayMcClureProfessorGuruPrasadMohantaAnnamalaiDrB.G.NagaviJSSProfessorLarsNilssonDrChristineNimmoBowieMDDrAtienoOjooGertrudeDrJoséMariaParisiDrRoseMarieParrStrathclydeGlasgowDrSusanPutterProfessorRalphRaaschUNCChapelHillDrFerozaSircar-RamsewakNovaSoutheasternPalmBeachGardensMrHowardRiceFIPDrPhilipSchneiderOhioMrKarlFriedrichSteinhausenMsLindaStoneFIPProfessorLindaStrandMinneapolisDrNippeStrandqvistFIPDrSriSuryawatiGadjahMadaYogyakartaMsSatuTainioFIPMsKarinTimmermansWHODrBirnaTrapSoborgMrFransvanderVaartFIP,MsAgatheWehrliFIPDrAlbertWertheimerTempleFIPDrCliveOndariWHODrHansHogerzeilWHODrSabineKoppWHOMonikaZweygarthSheilaDaveyWHOP1,p.x.PWHOFIP1WHOFIPHansV.HogerzeilWHO20AvenueAppia1211Geneva27+41227914167e-mail:everardm@who.intA.J.M.(Ton)HoekFIPP.O.Box842002508AE+31703021999e-mail:fip@fip.org40HeplerandStrand,1990P2PFIP1998“…………”WHOFIP2000“”P3P“”,GoodPharmacyPractice1.vanMilJW,SchulzM,TrompTF.Pharmaceuticalcare,Europeandevelopmentsinconcepts,implementation,teaching,andresearch:areview.PharmWorldSci.2004Dec;26(6):303–11.2.HeplerCD,StrandLM.Opportunitiesandresponsibilitiesinpharmaceuticalcare.AmJHospPharm.1990;47:533–43.3.Theroleofthepharmacistinthehealthcaresystem.Preparingthefuturepharmacist:Curriculardevelopment.ReportofathirdWHOConsultativeGroupontheroleofthepharmacist,Vancouver,Canada,27–29August1997.Geneva:WorldHealthOrganization;1997.WHO/PHARM/97/599.Availableat:(PPAC)71.781.7.191.7.291.7.391.8101.8.1101.8.2101.9111.1011152162.1162.2172.3172.4232.5242.6272.7273293.1293.2293.3CPD293.4313.4.1313.4.2323.4.3333.4.4343.5393.6EML403.7423.8423.9443.104446150257359 1 2 1TTT1.1P1PP2P50%~90%()10%~20%FIPIFPMA(InternationalFederationofPharmaceuticalManufactureAssociations)2000AStatementonEnsuringtheQualityandtheSafetyofMedicinalProductstoProtectthePatientP3PWHOP4P90%70%98%70%2000FIP(StatementofPolicyonControlofResistancetoAntimicrobials)P5P————P6P40“” 3 1.2••••(GoodPharmacyPractice)•••1.31946WHO“”(WHO,1946)P7PWHO1984“””(WHO,1984)P8PHIV/AIDS1.4“”••4~10%4-6130020044.66(8.12)1998FIP(ProfessionalStandardsonMedicationErrorsAssociatedwithPrescribedMedication)“(Medicationerror)” 4 ——--------1.51.5.12070----“”P9P1998FIPFIP1.5.2 5 1.5.32000“”P10P,P11P1.5.4——HIV/HIV/HIV/AIDSHIV2004HIV/AIDSP12P2004HIV/P13PARTP14PHIV/AIDSP15PART20032005P16P20057G8HIV/AIDS2010ARTARTARTARTART2003FIP1997FIPWHO2004FIP 6 1.5.51996FIPFIP1999WorldSelf-MedicationIndustry,WSMI1.5.6DonabedianP17P““(QualityAssuranceProject,1993)P18P“”Bethesda”1/2341.124:Whatwedo.RoyalPharmaceuticalSocietyofGreatBritain. 7 P19P207080DoctorofPharmacy1.5.8(Pharmacovigilance)P20PWHO()P23PP24P1.6.1PPACTheAmericanPharmacistsAssociation,APhAThe 8 PharmacyPracticeActivityClassification,PPACP25PPPACPPAC••••••1-1AA.1A.2A.3BB.1B.2B.3CC.1C.2C.3DD.1D.2D.3D.4D.51.7TheWorldHealthProfessionsAlliance1999(InternationalPharmaceuticalFederation,FIP)TheWorldMedicalAssociation,WMAInternationalCouncilofNurses,ICNWorldDentalFederation,FDIWHO 9 1.7.1NGO1.7.2P26PDrugandTherapeuticsCommitteesP27PNationalEssentialMedicinesCommitteesP28PP29P1.7.3WHO2000FIPGoodPharmacyEducationPracticeP30P••• 10 •••••1.81.8.11988WHOWHOConsultativeGroups1993P31P199447WorldHealthAssemblyNationalmedicinespolicies100WHOWHO1994P32P19971998P3334PWHOGoodPharmacyPrctice,GPPinCommunityandHospitalPharmacySettingsP35PFIP19931997P3637PFIPP38PP39P1.8.2WHOFIPP40P1999EAFPP41PP42~45P 11 P46Pcontinuingprofessionaldevelopment,CPDFIPCPD1.9APhAPPACWHOFIPP26P31.402.3.Pharmacypracticepharmaceuticalservicepharmaceuticalsupply4. 12 :1.2.HIV/AIDS3.4.1.10DubosRJ.Thethreefacesofmedicine.BullAmCollPhys1961;2:162–6.Globalpharmacyworkforceandmigrationreport.Acallforaction.TheHague,TheNetherlands:InternationalPharmaceuticalFederation;2006.Availableat::11–16.SeedhouseD.Health:Thefoundationsforachievement.Chicester,UK:WileyandSons,1986.TietzeK.Clinicalskillsforpharmacists.Apatient-focusedapproach,MosbyInc.USA,1997.MedicinesPartnershipUK,