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[Tempatan] Pendapatan klinik merosot 30 peratus, kenapa salahkan farmasi ? UPDATE #64

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Post time 15-9-2017 03:19 PM | Show all posts |Read mode
Edited by R2D2 at 17-9-2017 12:13 AM

PETALING JAYA: The Malaysian Pharmaceutical Society (MPS) today clarified the role of pharmacists after some general practitioners (GPs) blamed pharmacies for their drop in business.

MPS president Amrahi Buang said pharmacists were no longer just dispensers of medication but also partners in health care and providers of care for consumers and patients.

“The role of a pharmacist in the community setting has evolved. The community pharmacists today assist patients in self-monitoring of their blood glucose levels and blood pressure levels.

“They also provide medication counselling for non-communicable diseases and help to increase patient compliance and adherence to medication therapy,” he said in a statement today.

In a recent FMT article, several GPs had said pharmacies were behind their “lacklustre” business as pharmacists were now assuming the functions of doctors by diagnosing patients, recommending alternatives to prescription medicines and even dispensing medication without prescriptions.

One of the doctors said business at his clinic had decreased by some 30% over the past year, adding that it was important for the public to realise that doctors prescribe specific medications according to a patient’s condition.

“Pharmacists cannot diagnose patients, that’s what doctors are for,” he said.

Addressing the claim that pharmacists dispense medication without prescriptions, Amrahi said there were strict rules governing the supply of medicines at clinics and pharmacies.

“Only pharmacists with a Type A licence are allowed to sell medicines by retail to patients. As per Malaysian law, only board-registered pharmacists can apply for the Poison A licence which gives them the right to provide medicine by retail.”

He said only Group B poisons required prescriptions, adding that these were hard to come by because most doctors refuse to release prescriptions for them.

“This puts the patient at a cost disadvantage and leaves the pharmacist in a situation of having to decline service to patients with chronic diseases on long-term medication.”

Amrahi said there was also a lack of clarity on the term “over-the-counter” (OTC) medication.

“The term over-the-counter (OTC) medicine is defined as medicines that are not controlled under the Poisons Act 1952.

“Examples of OTC medicines are non-poison cough preparations, sore throat preparations, anti-diarrhoea preparations and anti-constipation preparations, among others.

“These types of medicines are available at department stores, convenience stores, clinics and pharmacies, and sundry shops. It is possible that due to the vast amount of places to get these medications, clinics may be feeling the pinch.”

In Malaysia, unfortunately, there was no separation of dispensing from prescribing at the private primary community level, despite the fact that this had been proven at the worldwide level to provide additional patient safety, he said.

“The Poison Act 1952 does give doctors the full freedom to dispense medication by themselves after examining a patient.

“However they do not have the freedom to supply medicines by retail from their clinics without providing consultation to the patient first. This legislation is in place to prevent harm to the person seeking treatment.

“Patients not only have the right to request for a prescription, they also have the right to know the name (brand/generic) of the medicinal product they have been provided, and finally the medication needs to be handed over to the patient by the doctor and not the clinic staff who may or may not have the correct pharmaceutical training.”

He agreed with those who said a separation in the roles of doctors and pharmacists would save doctors a large amount of expenditure in terms of medication procurement and management of stock.

“Separation of dispensing happens in the public hospital, private hospital, and public health clinic setting. Almost three quarters of the health care system practises separation of dispensing except for the quarter that does not, namely the primary healthcare clinics,” he said.
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Post time 15-9-2017 03:26 PM | Show all posts
tak silap kalau kt belah euro gitu, dr. akan diagnose symptoms je....yang prescribe ubat mmg pharmacist.....ni yg kwn aiol pharmacist ckp lah...
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Post time 15-9-2017 03:28 PM From the mobile phone | Show all posts
Dah tu sape suruh caj mahal2..demam ngan batok skit dh caj 60-70..ingat kitrg chop duit ke
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Post time 15-9-2017 03:34 PM From the mobile phone | Show all posts
Boleh jd sbb doc malas bercakap dan charge ubat klinik jauh lebih mahal dr farmasi.
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Post time 15-9-2017 03:39 PM | Show all posts
Okeyh je tajuknya. Tepat dan jelas!

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Post time 15-9-2017 03:41 PM | Show all posts
aku rasa bukan farmasi jek pendapatan merosot...
sektor lain pun sama
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Post time 15-9-2017 03:43 PM From the mobile phone | Show all posts
Edited by sarahmirza at 15-9-2017 03:44 PM
kentel replied at 15-9-2017 03:26 PM
tak silap kalau kt belah euro gitu, dr. akan diagnose symptoms je....yang prescribe ubat mmg pharmac ...


Kat dubai jumpa doktor
Lepas tu pergi farmasi beli ubat.

Kat Msia, jumpa doktor sakit perut.
Tapi ubat demam, antibiotik segala bagai semua di bagi.
Dah satu klinik I banned tak payah dah pergi lagi.
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Post time 15-9-2017 03:54 PM | Show all posts
palmolive replied at 15-9-2017 03:41 PM
aku rasa bukan farmasi jek pendapatan merosot...
sektor lain pun sama

cerita kt sini bkn pendapatan farmasi tp pendapatan klinik yg merosot.

btw aku klu dh biasa n tau certain ubat tu gi beli kt farmasi je
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Post time 15-9-2017 03:55 PM | Show all posts
dah klinik charge mahal sgt dekkk....klinik tahap pprt pun sekali dtg charge sampai 90 hengget, walhal bagi atibiotik dan ubat selsema je pun....cashlah jika pendapatan merudum....kakak pun kalau bukan kerana medical card, memang tak hingin akak berkunjung ke klinik ini....
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Post time 15-9-2017 04:08 PM | Show all posts
adeqbun replied at 15-9-2017 03:28 PM
Dah tu sape suruh caj mahal2..demam ngan batok skit dh caj 60-70..ingat kitrg chop duit ke

setuju.... aku dulu pi klinik sebab sakit mata... kena rm 50 x silap... ubat mata 1 pastu krim ointment 1... mc standad 3 hari...

pastu dalam tahun yg sama gak... pi la klinik swasta lg... tp nak mc saja...sebab ubat mata ade lg dpt kat klinik kesihatan... aku puas ckp ubat ade lg... pastu mc dpt 2 hari ..dr bg ubat makan antibiotik 1 papan... kena RM 45... tp yg x tahan nyer.. ubat mata yg dia bg sebelum ni.. aku ingat mahal giler... rupanya gi farmasi baru Rm4.00...


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Post time 15-9-2017 04:19 PM | Show all posts
ubat yang dijual kat farmasi lebih murah compare kalau beli ngan klinik.
Bukan murah 2-3 ringgit, but sometime murah 20-30 ringgit.

So bagi ubat yg dah biasa aku consume, aku beli kat farmasi jer.
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Post time 15-9-2017 04:20 PM | Show all posts
iols sakit mata, jumpa doktor minta krim antibiotik utk mata. dia bagi segala mak bapak ubat demam, batuk, selsema, antibiotik, krim mata.. totl RM100.

pegi farmasi beli krim tu RM5 je.

scam.
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Post time 15-9-2017 04:21 PM | Show all posts
mokcikKSKB replied at 15-9-2017 03:34 PM
Boleh jd sbb doc malas bercakap dan charge ubat klinik jauh lebih mahal dr farmasi.

well
banyak klinik begini
terutama 24hours punya klinik

bila kita tanya lebih sikit, mula la dia nak melenting
padahal berkaitan kot
bukan kita tanya dia brapa kali main malam tadi
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Post time 15-9-2017 04:24 PM | Show all posts
yelah ai pun kalau setakat batuk gi aje farmasi beli ubat batuk rm7-rm8 tu.. tanya kat pharmacist ada tak ubat batuk untuk batuk berkahak ke takde kahak ke nanti heshe suggest la ubat mana yang patut.. malas gi klinik.. lama benor nak menunggu.. lebih2 lagi klinik panel company
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Post time 15-9-2017 04:25 PM From the mobile phone | Show all posts
Kalau clinic utk ambik antibiotic, kena byr svc Dr,  kalau setakat demam flu sore throat pg pharmacy beli ubat jer.
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Post time 15-9-2017 04:33 PM | Show all posts
bomoh xnak salahkan ke? tabib tabib ustad ustad dah amik separuh client pesakit
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Post time 15-9-2017 04:35 PM From the mobile phone | Show all posts
Aku ingatkan hardware.pc je.gi lowyat pasang sendiri. Kesihatan pun sama jugak? Patut dalam mudah bersepah2 orang jual klinik
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Post time 15-9-2017 04:47 PM From the mobile phone | Show all posts
Tapi ada lg klinik yg murah..yg iols x sangka murah sangat sampai terkujat veruk...sebab klinik mesra ni terletak kat area batu caves..last monday iols pi cek up pregnancy and scan kat klinik deyols caj rm29 sajok...tak de ubat and mc cuma test air kencing dgn scan...rm 29 murah gila bagi iols sebab 8 years ago iols pregnant sekali scan rm90++ kat klinik alam damai...
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Post time 15-9-2017 04:55 PM From the mobile phone | Show all posts
mokcikKSKB replied at 15-9-2017 03:34 PM
Boleh jd sbb doc malas bercakap dan charge ubat klinik jauh lebih mahal dr farmasi.

Sbb kt frmasi.. 1 jenis ubat,  ada mcm2 brand..nk yg ori,  generic,  pilih ja... Klo kt clinic.. 1 ubat 1 brand je.. So pilihan terhad.. Tp rsenye frmasi pun agak semput skarg.. Mcm byk jah bungkus.. Ade tempat aku nih,  da 3x tukr nama.. Tukr pngurusan.
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Post time 15-9-2017 04:58 PM From the mobile phone | Show all posts
kentel replied at 15-9-2017 03:26 PM
tak silap kalau kt belah euro gitu, dr. akan diagnose symptoms je....yang prescribe ubat mmg pharmac ...

Doctor yg prescribed medicine..kena bwk kertas prescription tu to pharmacy, then pharmacist yg dispense ubat..kat clinic gp xde jual ubat
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