Ethical challenges in the relationship between the pharmacist and patient in Iran

Purpose Based on the developmental process of pharmacy in medical relationships, it is essential to pay attention to ethical issues in this field and develop a good pharmacist–patient relationship. The present study aimed to mention the frequency of ethical challenges of pharmacy in Iran as a fundamental step towards designing a practical ethical guideline for professionals. Design/methodology/approach In this observational study, data were collected using a two-part questionnaire with 64 items developed after examining relevant texts and conducting unstructured interviews with pharmacy specialists. The first part determined the frequency of ethical challenges that the pharmacist confronts, using 43 short scenarios, whereas the second part comprised 21 questions with short answers. For validation, the questionnaire was sent to 20 medical ethics specialists who were familiar with issues in pharmacy ethics. Findings Data were collected from 48 members of the Iranian Association of Pharmacists (Working Group of Hospital Pharmacists). and the frequency of ethical challenges was determined. The most frequent issues were patient's request for over-the-counter drugs, asking about their lab results, asking drug for another person and returning the drug. Research limitations/implications One of the limitation of our study is its population, there were hospital pharmacist, other pharmacist such as community pharmacist may face different challenges. Practical implications The finding of this study could lead the policymakers to develop ethical guidelines for pharmacy practices. Social implications The pharmacist–patient relationship is one of the important aspects of health system, and therefore regulating this relationship based on the professional ethics guidelines could have a positive impact on therapeutic relationships. Originality/value Results showed that designing codes of ethics and practical guidelines based on the frequency of the noted challenges enhances the quality of treatment, improves the pharmacist–patient relationship, increases the level of cooperation and decreases patient complaints

Clinical pharmacy · Conflict of interest · Family medicine · Guideline · Medical education · Pharmacist · Political science · Ethics in medical practice · Medical Malpractice and Liability Issues · Medicine · Nursing · Pharmaceutical Practices and Patient Outcomes · Psychology · Pharmacy