OUTCOMES OF WORKSHOP 3 Medication review in the community pharmacy Arijana Meštrović & Saija Leikola

What type of medication review available? Country Type I Type 2a Type 2b Type 3 Estonia x - Finland (x) projects Croatia Lithuania X (asthma etc.) Latvia (x)

Do you need a certificate Country Type I Type 2a Type 2b Type 3 Estonia NO - Finland (SOME) YES Croatia Lithuania YES (asthma etc.) Latvia

Law frame Country Estonia NWNF Finland WNF Croatia Lithuania Latvia Not forbidden in any country Either not forbidden or not mentioned at all

Main challenges in implementing MR Country Estonia Lack of staff, lack of clinical skills, afraid of change Finland Money, pharmacy owners, GPs are busy etc. Croatia Time, clinical skills, lack of leadership Lithuania Lack of knowledge and communication strategies, motivation Latvia Payment, time, lack of staff, lack of clinical skills

Facilitators of that change? Country Estonia To go to the next level, money, patient outcomes Finland Patient, outcomes, support from the authorities, pharmacist attitudes Croatia Initiatives, Lithuania Patient satisfaction, standards, support Latvia Patient feedback, will to improve

COLLECTED OUTCOMES DATA Country Estonia - Finland Clinical & economical outcomes (studies), DRPs (e.g., ADRs) Croatia DRPs, adherence, outcomes Lithuania DRPs Latvia DRPs, some patient outcomes, errors

SOMEONE PAYING? Country Estonia - Finland Patient, very few local agreements Croatia Lithuania Latvia

2 case studies