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Ethical Pharmaceutical Practices and Beliefs in Lebanon: A National Cross-sectional Study
 
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Journal of Pharmaceutical Research

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Ethical Pharmaceutical Practices and Beliefs in Lebanon: A National Cross-sectional Study
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Journal of Pharmaceutical Research

DOI: 10.18579/jopcr/v24.i1.119

Year: 2025, Volume: 24, Issue: 1, Pages: 54–63

Original Article

Ethical Pharmaceutical Practices and Beliefs in Lebanon: A National Cross-sectional Study

Aline Issa Barcha1,2,∗, Bahia Fadel3

1Pharmacist, Epidemiologist, Biostatistician, Paris-Saclay University, France
2Lecturer, Saint Joseph university of Beirut, Faculty of Dentistry, ISO member of research committee FMD, Lebanon
3Community pharmacist, Member of the disciplinary board of the Lebanese order of Pharmacists, Lebanon

*Corresponding Author
Email: aline.issa@icloud.com

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Ethical dilemmas are more often encountered therefore the need to reform the code of pharmaceutical ethics in Lebanon is growing. The primary objective of this present study is to explore and understand pharmacists’ knowledge and attitudes towards ethics and good pharmacy practice in daily experience in Lebanon and to determine the factors affecting these attitudes. This was a prospective cross-sectional study conducted among pharmacists in Lebanon using a snowball sampling technique. An online questionnaire based on Google forms was used to collect data. Descriptive and inferential analyses were conducted using SPSS statistics 26. Chi-square and Fisher exact tests were used. Tests were two-tailed and results with a p-value of ≤ 0.05 were considered statistically significant. Six hundred eighty-seven pharmacists and pharmacy students responded to the survey. Participants showed high implication in a patient-centered and a collaborative approach (90%). The study shows financial pressure on pharmacist resulting in selling unneeded products (68%), selling products with the highest profit margin (57%) and below the official price (12%). Collaboration with other healthcare providers was a core standard in pharmacy practice (93%) and 47% assured the need for ongoing continuous education after licensure. The study shows the youngest age category having the highest agreement on continuous education being essential for maintaining licensure (65%, p=0.02). Pharmacists working outside Beirut and Mount Lebanon tend more to refuse overlooking expiry dates compared to other regions (77% vs 67%, p=0.017). Pharmacists working in the community pharmacy field tend to promote self-medication and sell unneeded products significantly more than those working in other pharmacy fields (p=0.001) and are significantly more implicated in personal development compared to other pharmacy fields (p=0.002). The present study investigated the ethical practices of pharmacists in Lebanon shedding the light on challenges and dilemmas facing the pharmacist in daily practice. Further research on a large scale is needed helping to improve the code of ethics and guiding the Lebanese pharmacists in their daily practice.

Keywords: Ethical practice, Pharmacist, Cross-sectional study, Questionnaire, Survey, Pharmacy Students, Lebanon

References

  1. Al-Qudah RA, Tuza O, Tawfiek H, Chaar B, Basheti IA. Community pharmacy ethical practice in Jordan: assessing attitude, needs and barriers. Pharmacy Practice. 2019;17(1):1–11. Available from: https://doi.org/10.18549/pharmpract.2019.1.1386
  4. Resnik DB, Ranelli PL, Resnik SP. The conflict between ethics and business in community pharmacy: what about patient counseling? Journal of Business Ethics. 2000;28(2):179–186. Available from: https://doi.org/10.1023/a:1006280300427
  5. Kruijtbosch M, Göttgens-Jansen W, Floor-Schreudering A, Leeuwen EV, Bouvy ML. Moral dilemmas of community pharmacists: a narrative study. International Journal of Clinical Pharmacy. 2018;40(1):74–83. Available from: https://doi.org/10.1007/s11096-017-0561-0
  6. Lowenthal W. Ethical dilemmas in pharmacy. Journal of Medical Ethics. 1988;14(1):31–34. Available from: https://www.jstor.org/stable/27716659
  7. Salari P, Namazi H, Abdollahi M, Khansari F, Nikfar S, Larijani B. Code of ethics for the national pharmaceutical system: Codifying and compilation. Journal of Research in Medical Sciences. 2013;18(5):442–448. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3810583/pdf/JRMS-18-442.pdf
  8. Benson A, Cribb A, Barber N. Understanding pharmacists’ values: A qualitative study of ideals and dilemmas in UK pharmacy practice. Social Science & Medicine. 2009;68(12):2223–2230. Available from: https://doi.org/10.1016/j.socscimed.2009.03.012
  9. Sim TF, Sunderland B, Hattingh HL. Exploring influences on pharmacists’ and students’ ethical reasoning in a changing practice landscape in Australia. International Journal of Clinical Pharmacy. 2019;41(1):280–288. Available from: https://dx.doi.org/10.1007/s11096-018-0774-x
  10. Kruijtbosch M, Göttgens-Jansen W, Floor-Schreudering A, Leeuwen EV, Bouvy ML. Moral dilemmas reflect professional core values of pharmacists in community pharmacy. International Journal of Pharmacy Practice. 2019;27(2):140–148. Available from: https://doi.org/10.1111/ijpp.12490
  11. Buerki RA, Vottero LD. Ethical Responsibility in Pharmacy Practice. (pp. 1-272) American Institute of the History of Pharmacy. 2002.
  12. Rajiah K, Venkataraman R. Community Pharmacists’ Perceptions on Ethical Dilemmas, Pharmacy values and Decision-making. Indian Journal of Pharmacy Practice. 2018;11(4):168–176. Available from: http://dx.doi.org/10.5530/ijopp.11.4.36
  13. Cursay CLD, Akliouat N, Karamé C, Gagnon-Lépine SJ, Porteils C, Brière AL. Évaluation de l’éthique des pratiques pharmaceutiques : une revue de la littérature. Annales Pharmaceutiques Françaises. 2021;79(4):446–456. Available from: https://doi.org/10.1016/j.pharma.2020.11.007
  18. Hallit S, Sacre H, Sarkis H, Dalloul N, Jaoude CA, Nahhas Z. Good Pharmacy Practice Standardized for Community Pharmacists: The Lebanese Order of Pharmacists Initiative. Journal of Research in Pharmacy Practice. 2019;8(1):29–32. Available from: https://doi.org/10.4103/jrpp.jrpp_18_96
  20. Blenkinsopp A, Bradley C. Over the Counter Drugs: Patients, society, and the increase in self medication. BMJ. 1996;312(7031):629–632. Available from: https://doi.org/10.1136/bmj.312.7031.629
  21. Azhar S, Hassali MA, Ibrahim M, Ahmad M, Masood I, Shafie AA. The role of pharmacists in developing countries: the current scenario in Pakistan. Human Resources for Health. 2009;7:1–6. Available from: https://doi.org/10.1186/1478-4491-7-54
  22. Hibbert D, Rees JA, Smith I. Ethical awareness of community pharmacists. International Journal of Pharmacy Practice. 2011;8(2):82–87. Available from: https://doi.org/10.1111/j.2042-7174.2000.tb00990.x
  23. Esmalipour R, Larijani B, Mehrdad N, Ebadi A, Salari P. The ethical challenges in pharmacy practice in community Pharmacies: A qualitative study. Saudi Pharmaceutical Journal. 2021;29(12):1441–1448. Available from: https://doi.org/10.1016/j.jsps.2021.11.003
  24. Mccleery N, Caze AL, Winckel K, Hattingh HL. Evaluation of an interactive education workshop on hospital pharmacists’ ethical reasoning: an observational study. BMC Medical Ethics. 2024;25(1):1–12. Available from: https://doi.org/10.1186/s12910-024-01082-4
  25. Olsson E, Ingman P, Ahmed B, Sporrong SK. Pharmacist–patient communication in Swedish community pharmacies. Research in Social and Administrative Pharmacy. 2014;10(1):149–155. Available from: https://dx.doi.org/10.1016/j.sapharm.2013.03.001
  26. Hattingh HL, King MA, Hope DL, George E. Pharmacy ethical reasoning: a comparison of Australian pharmacists and interns. International Journal of Clinical Pharmacy. 2019;41(4):1085–1098. Available from: https://doi.org/10.1007/s11096-019-00815-5
  27. Iranmanesh M, Yazdi-Feyzabadi V, Mehrolhassani MH. The challenges of ethical behaviors for drug supply in pharmacies in Iran by a principle-based approach. BMC Medical Ethics. 2020;21(1):1–15. Available from: https://doi.org/10.1186/s12910-020-00531-0
  28. Wirth F, Tabone F, Azzopardi LM, Gauci M, Zarb-Adami M, Serracino-Inglott A. Consumer perception of the community pharmacist and community pharmacy services in Malta. Journal of Pharmaceutical Health Services Research. 2010;1(4):189–194. Available from: https://dx.doi.org/10.1111/j.1759-8893.2010.00034.x
  30. So B, Tuche M, King MA, Hope DL, Caze AL, Hattingh HL. Hospital pharmacists’ ethical exposure and decision-making. Research in Social and Administrative Pharmacy. 2021;17(2):372–380. Available from: https://dx.doi.org/10.1016/j.sapharm.2020.03.011

Copyright

© 2024 Published by Krupanidhi College of Pharmacy. This is an open-access article under the CC BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0/) 

  • 31 March 2025

Year: 2025, Volume: 24, Issue: 1


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