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• Volume 21, Issue Suppl 1
• OHP-038 The midline results of the hospital pharmacy survey in Moscow (Russia)
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• R Yagudina 1 ,
• B Kondrateva 1 ,
• M Protsenko 2
• 1 First Moscow State Medical University Named I. M. Sechenov, Department of Medicinal Maintenance Organisation and Pharmacoeconomics, Moscow, Russia C. I. S.
• 2 First Moscow State Medical University Named I. M. Sechenov, Laboratory of Pharmacoeconomics, Moscow, Russia C. I. S.

Background Over the past 20 years in Russia functions of hospital pharmacies (HP) have significantly narrowed to only supplying drugs because of compounding departments closing and the lack of clinical training of hospital pharmacists (there is no specialisation in hospital pharmacy).

Purpose To analyse the everyday practice of hospital pharmacies in order to understand their key functions in hospitals and to find general problems in their pharmaceutical practice.

Materials and methods A systematic review has been conducted in conjunction with a questionnaire survey and in-depth interview of chief pharmacists in city clinical hospitals in Moscow.

Results In the period from May to October 2013 in Moscow there were 37 city clinical hospitals. All of the hospitals surveyed had a pharmacy in their structure. 32 HP (86%) had a compounding department, 4 of them prepared intravenous sterile solutions that are not commercially available. 67% of pharmacists noted that there is a tendency for doctors to prescribe fewer compounded drugs. Cytotoxic drugs and total parenteral nutrition were not prepared in the hospital pharmacies surveyed.

According to the results of a questionnaire survey the key functions of HP were:

– to supply drugs and to consult to doctors on availability of medicines in pharmacy;

– to introduce new drugs into the pharmacy and inform doctors of their properties.

All hospital pharmacists were responsible for the quality control of drugs.

Pharmacoeconomic research was only carried out by 25% of pharmacies.

71% of HP participated in the creation of the formulary system in each hospital. 21% took part in clinical trials held in the hospitals. All the pharmacies surveyed provided clinical services.

The survey showed that the basic needs of pharmacists in their practice are:

– to modernise policy (most of the orders and acts regulating the activities and the provision of HP were developed in the period from 1972 to 1987);

– to develop information resources for HP;

– to develop training courses focused on hospital pharmacists;

– to regularly supply pharmacies with modern compounding equipment;

– to increase the prestige of specialty and attract young pharmacists (58% of staff are in the 41–55 age range).

About 67% of pharmacists consider that HP practice standards (including compounding of drugs) are up to date.

Conclusions Our study identified the main directions of hospital pharmacy and the basic ways in which hospital pharmacy practice needs to develop if hospital pharmacists are to provide a modern service in Moscow.

No conflict of interest.

https://doi.org/10.1136/ejhpharm-2013-000436.490

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Relative income and its relationship with mental health in UK employees: a conceptual and methodological review.

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The relative income hypothesis theorises that the earnings of an individual relative to others exert a greater influence on subjective wellbeing than absolute income. Understanding the relationship between relative income and mental health could contribute to employee wellbeing. This review narratively synthesised the defining features and measurement of relative income, and its impact on mental health among UK employees. Systematic searches of qualitative and quantitative research evidence identified 13 studies. A conceptualisation of relative income revealed that an income comparison is either researcher-defined using averages or self-assessed based on the perception of an individual. Having a lower income than the reference group was commonly associated with diminished wellbeing, though moderating factors (gender, income inequality and composition of reference group) are discussed. Implications for practice and policy are considered amidst the cost of living crisis in the UK and ongoing pay disputes in various sectors.

Competing Interest Statement

BC, LEG and DL have no competing interests. SW is a non-executive director at NHS-England. KK is the deputy director and part funded by the NIHR Policy Research Unit in Health and Social Care Workforce. SAMS is supported by the National Institute for Health and Care Research (NIHR), Maudsley Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and the National Institute for Health and Care Research NIHR Advanced Fellowship (Dr Sharon Stevelink NIHR300592). The views expressed in this publication are those of the authors and not necessarily those of the ESRC, the NHS or the NIHR.

Funding Statement

This work is part of a PhD nested within the NHS CHECK study and funded by the ESRC (ES/P000703/1). This report is independent research supported by the National Institute for Health and Care Research ARC North Thames. The views expressed in this publication are those of the author(s) and not necessarily those of the National Institute for Health and Care Research or the Department of Health and Social Care. LEG is funded by the Armed Services Trauma Rehabilitation Outcome (ADVANCE) Charity. Key contributors to this charity are the Headley Court Charity (principal funder), HM Treasury (LIBOR Grant), Help for Heroes, Nuffield Trust for the Forces of the Crown, Forces in Mind Trust, National Lottery Community Fund, Blesma - The Limbless Veterans and the UK Ministry of Defence. For the purposes of open access, the authors have applied a Creative Commons Attribution (CC BY) licence to any Accepted Author Manuscript version arising from this submission.

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I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

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