Health

Mandelli: “Pharmacist, professional role finally recognized. But much remains to be done”

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Rome, November 26 – It was the balance of a 15-year trip planned by the president Andrea Mandelli (in the picture) in his report to the National Council of the Federation of Orders of the Italian Pharmacists, held yesterday in Rome at the Noble Pharmaceutical Chemical College at the Imperial Forums. A path based on the vital need for a change that would lead the policy in principle to reconsider the importance, value and operation of the pharmacy and the professional figure of the pharmacist, in order to re-evaluate him and, above all, his more appropriate relocation in the field. proximity, a real strategic scenario for tomorrow’s health.

For Mandelli, this path has yielded significant results, achieving many of the goals set, most notably the explicit recognition that – in the last two years – the professional role of pharmacists has been established by institutions, along with increasing appreciation and support from the citizens. In particular, the president of Fofi reminded, the commitment of drug professionals was assessed, their preparation, the ability to resist pressure adapting to the new needs that – and due to the emergency of the pandemic – emerged, until they reached several cases. to take over the system and its shortcomings.

For the president of Fofi, it is obvious that today a new and different perception has been created within the “palaces” not only of the local pharmacists and the capillary network of pharmacies, but also of the important, decisive functions performed in hospitals and local services. health. in industry and research. And it was from here that the significant results that “brought home” gradually emerged, from the space gained in participating (even for the experimental moment) in services such as vaccination and swabs to obtain additional remuneration for the compensation of drugs that provided under the NHS.

The road, however, reminded Mandelli, is not over, it must be consolidated and this will continue to be extremely challenging, especially to adequately play the crucial game of reorganizing territorial aid and primary care, which – said the president of Fofi, “It has not yet been fully identified and it has not even been fully clarified what role is envisaged for pharmacists and pharmacies.” In this respect, the Pnrr game will be crucial, where there are contradictions: if on the one hand (Mission 5) the issue of pharmacies in small towns with a population of up to 3000 inhabitants is addressed, defining their functions and predetermining public resources to motivate individuals to invest in adapting these vital health devices in order to strengthen their role as health care providers, while also integrating themselves into home care service (Mission 6) “The role of the pharmacist and the pharmacies are not mentioned. There is a widespread discussion about interdisciplinary groups, about structures to help proximity. It is clear that in these general definitions we must ensure that our role and that of our presidencies are included. “The alternative we were talking about, the community houses, sees us confused.”
Another contradiction, Mandelli pointed out, is the provision to raise the billions expected to be made available for telemedicine nationwide in community homes, a solution that would keep citizens in the ungrateful need to move to reach structures instead of strengthening a network that has been around for decades and has shown plenty of evidence that it works and works well.

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In short, there is still a long way to go and the road is not downhill, said Mandelli, who in his lengthy report addressed many other critical issues that still need to be addressed (from the electronic health record and the pharmacopoeia to the strengthening of hospital pharmacists. and local health authorities, up to the critical dossier of the revision of the degree in Pharmacy and Industrial Pharmacy).

The new, important and positive fact is that today we do not start from scratch, but from a new and much more adequate view of the pharmaceutical profession and the pharmacy by the public decision-makers, who have seen and know how much the profession “It can do for the citizens and for the health service”, if the perspective – foreshadowed 15 years ago – of the “service pharmacy” is completed. And from here, according to the president of Fofi, we must start to acquire “What we are asking for in order to be able to function in the best possible way: a new contract, a new fee, a new governance of pharmaceutical aid, the stabilization of the services that have been given to us in the emergency phase.”

The full text of Mandeli’s report to the National Council follows.

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