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Table 2 Challenges of drug supply at the pharmacy level

From: The challenges of ethical behaviors for drug supply in pharmacies in Iran by a principle-based approach

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