Skip to main navigation menu Skip to main content Skip to site footer

Articles

Vol. 135 (2023)

“Pharmacy for the pharmacist” or for the patient? On different trajectories of regulation on pharmacy markets across the CEE region

  • Emilia Szyszkowska
DOI
https://doi.org/10.19195/0137-1134.135.8
Submitted
June 27, 2024
Published
2024-06-28

Abstract

The landscape of the pharmacy market across the Central Eastern Europe (CEE) region has changed significantly in the past few years. Some countries have decided to liberalize their regulations regarding the shape and size of the pharmacy market (such as Romania and Slovakia), while others have decided to seriously tighten the restrictions and introduce quantitative, ownership, demographic or geographical restrictions according to the “pharmacy for the pharmacist” rule (Poland, Hungary and the Baltic states). The paper presents different models of regulation that shape the pharmacy market across selected countries of the region. Based on desk research and a qualitative survey among representatives of pharmacy chains in the countries in question, the article also explores the issue of the impact of regulations restricting the development of the pharmacy market on the development of new pro-patient pharmacy services. Findings indicate that despite the COVID-19 pandemic having had a significant impact on new pharmacy services development almost everywhere, their inclusion into healthcare systems is easier and wider in countries with less restrictive market regulations.

References

  1. Bojar I., Sarecka-Hujar B., Owoc J., Pawełczak-Barszczowska A., Raczkiewicz D. (2020). Self-assessment of Polish Pharmacy Staff’s Readiness to Promote Health, “International Journal of Clinical Pharmacy” 42(5), pp. 1354–1363.
  2. Felkai P.P., Iván Z. (2019). Managing Medical Emergencies in Hungarian Pharmacies, “Pharmacy (Basel)” 7(3), p. 95.
  3. Gross M., Volmer D. (2016). Restrictions to Pharmacy Ownership and Vertical Integration in Estonia — Perception of Different Stakeholders, “Pharmacy” 4(2), p. 18.
  4. Grzegorczyk-Karolak I., Zglińska-Pietrzak A., Weremczuk-Jeżyna I., Kałucka S. (2022). Evaluation of Patient Experiences Regarding Pharmacist-Administrated Vaccination and Attitude towards Future Additional Pharmacy Services in Poland, “Vaccines” 10(9), p. 1479.
  5. Merks P., Religioni U., Waszyk-Nowaczyk M., Kaźmierczak J., Białoszewski A., Blicharska E., Kowalczuk A., Neumann-Podczaska A. (2022). Assessment of Pharmacists’ Willingness to Conduct Medication Use Reviews in Poland, “International Journal of Environmental Research and Public Health” 19(3), p. 1867.
  6. Muceniece R., Riekstina U., Maurina B., Enina V., Atkinson J. (2018). Pharmacy Practice and Education in Latvia, “Pharmacy” 6(1), p. 9.
  7. Nachtigal P., Šimůnek T., Atkinson J. (2017). Pharmacy Practice and Education in the Czech Republic, “Pharmacy” 5(4), p. 54.
  8. OECD (2019). Community Pharmacies, 2017 (Or Nearest Year), [in:] Pharmaceutical Sector, Paris.
  9. OECD (2020). Realising the Potential of Primary Health Care, “OECD Health Policy Studies”, Paris.
  10. OECD (2021). Strengthening the Frontline: How Primary Health Care Helps Health Systems Adapt During the COVID 19 Pandemic, OECD Policy Responses to Coronavirus (COVID-19), Paris.
  11. Ojczyk J., Redmerska K. (2021). Zakaz reklamy aptek ma być poluzowany, “Prawo.pl”, https://www.prawo.pl/zdrowie/zakaz-reklamy-aptek-ma-byc-poluzowany,510914.html (access: 6.12.2022).
  12. Pharmaceutical Group of European Union (2020). PGEU Position Paper on Role of Community Pharmacists in COVID-19 — Lessons Learned from the Pandemic, https://www.pgeu.eu/publications/pgeu-position-paper-on-the-lessons-learned-from-the-covid-19-pandemic/ (access: 6.12.2022).
  13. Pogorzelczyk K., Synoweć J., Robakowska M., Ślęzak D., Holajn P., Robakowski P., Żuratyński P., Nadolny K. (2020). Pharmaceutical Markets Regulation Overview of the Selected European Union Countries, “Wiadomości Lekarskie” 71(7), pp. 1404–1408.
  14. Sandulovici R., Mircioiu C., Rais C., Atkinson J. (2018). Pharmacy Practice and Education in Romania, “Pharmacy” 6(1), p. 5.
  15. Tanapong P. (2022). Expanded Roles of Community Pharmacists in COVID-19: A Scoping Literature Review, “Journal of the American Pharmacists Association” 62(3), pp. 649–657.
  16. Vogler S., Arts D., Habl C. (2006). Community Pharmacy In Europe. Lessons from Deregulation — Case Studies, Wien.
  17. Volmer D., Sepp K., Raal A., Atkinson J. (2019). Pharmacy Practice and Education in Estonia, “Pharmacy” 7(1), p. 87.
  18. Vranová V. (2012). A Contribution to the Development of Advertising in Pharmacy II. Historical Development of Regulation of Advertising of Medicinal Products, “CeskaSlov Farm” 61(5), pp. 240–243.
  19. WHO (2019). The Legal and Regulatory Framework for Community Pharmacies in the WHO European Region, Copenhagen.