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ETHICAL ISSUES AND VALUES IN PHARMACY PRACTICE

DUSANKA KRAJNOVIC 1*, TATJANA CRNJANSKI 2, SAVIC MIRKO 3

1.Department for Social Pharm. and Pharm. Legislation, Faculty of Pharmacy, Belgrade University, 450 Vojvode Stepe, 11221, Belgrade, Serbia
2 .Subotica Pharmacy, 26 Matije Gupca, 24000, Subotica, Serbia
3 .Department of Business Informatics and Quantitative Methods, Faculty of Economics in Subotica, University of Novi Sad, Serbia

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During their work, pharmacists are faced with a number of ethically difficult situations which include consideration of the values, rights and responsibilities. The overall aim of this study was to analyse the factors that influence the ethical values of pharmacists. We aimed to determine the relationship of these factors and the pharmacists’ perceptions of difficulty and frequency of ethical issues in community pharmacy settings. The research design was cross-sectional and descriptive; the data were gathered from a sample of community pharmacists in Serbia by using validated self-administered survey instrument. In all, 590 pharmacists participated (94.06% females) with working experience from 1 to 39 years (mean 15.17 ± 10.04 years). The majority of respondents stated that the main factor influencing the ethical values of pharmacists is professional ethics, followed by family norms. The most common reasons for addressing ethical issues associated with values are related to the following: importance of cooperation with other healthcare professionals, respect for the rules and regulations, patients` wellbeing, working within one’s competence to limit liability, controlling and monitoring the organizational and occupational framework of pharmacy profession. The respondents in our study identified an ethical imperative for pharmacists in limiting harm to patients and resistance to commercial pressures which might compromise their judgment. The results demonstrate a need for careful examination of the values that could be identified and explored in dilemmas created by commercial environment and dual personality of users (patients, costumers) of community pharmacy service.