Table 2 Challenges of drug supply at the pharmacy level
Principle | Category | Sub-category |
|---|---|---|
Autonomy | Patient independence | Participating patient in decision-making Giving patient the required information |
Communication principles | Pharmacist-patient relationship/communication Physician-pharmacy relationship/communication | |
Patient privacy | Preserving patient physical privacy Privacy and confidentiality Gender proportion or same-sex care delivery | |
Non-maleficence | Patient harm avoidance | Educational system Pharmacists’ awareness of own professional commitment Not letting pharmacy license Lack of ignorance and not rushing to deliver drug to patient |
Supervision | Pharmacist’s monitoring of drug storage condition in the pharmacy Monitoring the import of foreign and smuggled drugs Advertising drugs based on their effectiveness and not just paying attention to their brand Disposal of pharmacological waste | |
Beneficence | Patient-centered services | Considering patient’s interests Increasing patient’s awareness Sense of responsibility in pharmacological system Acceptable quality of medication |
Drug supplier | Standardization of pharmacies in terms of space, temperature, humidity, and shelving The criteria for entry or exit of drug to drug list Culturizing prescription and rational drug use Drug hoarding by distribution companies | |
Justice | Equitable distribution | Equitable distribution of drugs Justice in the supply and distribution of medicines Equitable distribution of responsibilities and interpersonal interests |
Procedural justice | Justice in law enforcement | |
Interactive justice | Justice in protecting people’s rights |