Separation of prescribing and dispensing in Malaysia: the history and challenges

The International Journal of Pharmacy Practice
John Jeh Lung TiongVivienne Sook Li Mak

Abstract

This article serves as an update to the work by Shafie et al. (2012) which previously reviewed the benefits of policies separating prescribing and dispensing in various countries to advocate its implementation in Malaysia. This article seeks to strengthen the argument by highlighting not only the weaknesses of the Malaysian health care system from the historical, professional and economic viewpoints but also the shortcomings of both medical and pharmacy professions in the absence of separation of dispensing. It also provides a detailed insight into the ongoing initiatives taken to consolidate the role of pharmacists in the health care system in the advent of separation of dispensing. Under the two tier system in Malaysia at present, the separation of prescribing and dispensing is implemented only in government hospitals. The absence of this separation in the private practices has led to possible profit-oriented medical and pharmacy practices which hinder safe and cost-effective delivery of health services. The call for separation of dispensing has gained traction over the years despite various hurdles ranging from the formidable resistance from the medical fraternity to the public's scepticism towards the new policy. With histo...Continue Reading

References

Oct 1, 1992·Medical Care·M T RuppS W Schondelmeyer
Dec 1, 1992·The Annals of Pharmacotherapy·M T Rupp
Aug 10, 2011·Research in Social & Administrative Pharmacy : RSAP·Asrul Akmal ShafieOoi Guat See
Dec 27, 2012·BMC Family Practice·Ee Ming KhooMaimunah A Hamid

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Citations

Mar 16, 2018·The International Journal of Pharmacy Practice·Boon Phiaw KhoFahad Saleem
Dec 3, 2016·Frontiers in Microbiology·John J L TiongChun-Wai Mai
Dec 19, 2018·Proceedings of the National Academy of Sciences of the United States of America·J P SevillaMarc Lipsitch
Feb 2, 2020·International Journal of Clinical Pharmacy·Amutha SelvarajErnieda Hatah
Aug 7, 2021·Healthcare·Wei-Ho ChenShinn-Jang Hwang

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