Journal of Literature Pharmacy Sciences

.: REVIEW
İlaçta Taban Fiyat Uygulamasının Eczanelerde Sebep Olduğu Etik Problem
The Ethical Problem in Community Pharmacies Due to Drug Price-Based Policy
Metin Emrah KARTALa, Gülbin ÖZÇELİKAYa
aEczacılık İşletmeciliği ve Tarihi AD, Ankara Üniversitesi Eczacılık Fakültesi, Ankara, TÜRKİYE
J Lit Pharm Sci. 2019;8(1):43-50
doi: 10.5336/pharmsci.2018-61939
Article Language: TR
Full Text
ÖZET
 Günümüzde pek çok unsur gibi eczane eczacılığı da değişmektedir. Bitkilerle tedavi etme ve iyileştirme sanatı olarak ortaya çıkan eczacılık mesleği günümüzde bir çok değişik evreden geçmiştir. Son çeyrek yüzyılda da eczacılık mesleği klinik becerilerin kullanımına, farmasötik bakıma daha fazla önem verir hâle gelmiştir. Değişimin kaçınılmaz olduğu bu durumda, eczacılık mesleğinde yeni etik problemlerin de ortaya çıktığı bir gerçektir. "Sağlıkta Değişim Programı" adı altında, sağlık bileşenleri üzerindeki yeniliklerle birlikte, eczacılık mesleği ülkemizde son dönemlerin en zorlu günlerini geçirmektedir. Bu değişimle beraber, eczacılar yeni problemlerle karşı karşıya kalmışlardır. İlaçta taban fiyat uygulaması, bu problemler arasında en önemlilerinden biridir. Bu uygulamayla birlikte ilaçların bazınlarında fiyat farkı çıkmaya başlamış ve bu durum da eczacıların eş değer ilaç verme aşamasında değişik etik problemlerle yüzleşmelerine neden olmuştur. Eczacılar, ilaçlardan çıkan fiyat farklarından dolayı eş değer ilaç verme aşamasında nasıl davranmalarını belirlemek için değişik yol izleyebilmekte, kendi doğrularını belirlemeye çalışmaktadırlar. Bu çalışma, literatür eşliğinde gözleme dayanan bir araştırma olmakla birlikte; bu çalışmada, Türkiye'de ilaç fiyat politikasının bir çıktısı olan ilaçta taban fiyat uygulamasının yarattığı etik problemlere yine etik ilkeler çerçevesince çözüm bulunması ve eczacılara yol gösterilmesi amaçlanmıştır.

Anahtar Kelimeler: Eczacılık; ilaçta taban fiyat uygulaması; eş değer ilaç; fiyat farkı; etik problem; etik
ABSTRACT
 Nowadays everything is in change. Like everything else, community pharmacy is also changing. The pharmacy is profession which emerged as the art of curing and healing with plants has gone through many different steps. In the last quarter of the last century, the pharmacy profession has become more important for using clinical skills, paying more pharmaceutical care. It is a fact that new ethical problems arise in such situation in which change is inevitable. With the shift in health components under the "Health Transition Program", the pharmacy profession is experiencing the most challenging days of recent times in our country. Through this change in the pharmacy profession, pharmacists have faced new problems. Drug price-based policy is one of the most important problem of these problems. By this practice, some drugs have started to have extra over price which results in pharmacists to face with ethical problems as substituting generics. Pharmacists can follow different pathways to determine how to behave while in substituting generics due to extra over price and trying to determine their own truth. This review article is based on observation with a collection of published scientific papers, but on the other hand its purpose is to put forward a study in ethics and ethical problems posed by application of the drug based price policy which is an output of the drug price policy in Turkey to find solutions and guidance to pharmacists.

Keywords: Community pharmacy; drug price-based policy; generics; extra over price; ethical problem; ethics
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