1.Mongolian Health Human Resource management plan
Nyamjargal U ; Nomingerel S ; Amarsailhan B
Innovation 2018;12(4):58-
Mongolian health human resources’ main goal is to provide effective and indiscriminate service that is evenly distributed among each individual in country. In order to achieve its goal, the general health policy should focus on its human resources management.
This research work was done with document research method and got all the necessary information from databases of Public Health Development Center, Mongolian National statistical agency, Ministry of Health and Ministry of Education Culture and Science.
There are 32.4 chief doctors, 37.2 nurses and 24 other health employees assigned to work for 10000 people from the study of 2016. Comparing this study with the previous year’s study, the number of the doctors has gone up by 0.8, but the number of the nurses has gone down by 0.3. Due to the WHO’s statistic, the number of the patients per doctor is considered to be low.
The exact population of Mongolia is 3.119.935 in 2016. To compare the population spread through the country, Ulaanbaatar, capital city, has the highest density of population. The number of the hospitals and doctors were enough. Actually it was lower than world standard (500 patients per a doctor). Even the number of the doctors are enough, in remote area, it is not enough. In the whole country there are 309 patients per doctor, 237 patients per doctor in Ulaanbaatar and 433 patients per doctor in isolated areas. In conclusion, the human resource distribution is not even in the public health care.
2.Evaluation on satisfaction of customers and medical professionals at pharmacies of Ulaanbaatar
Uyangaa B ; Nomingerel B ; Altantsetseg A ; Ulambayar L ; Bazarragchaa S
Mongolian Pharmacy and Pharmacology 2023;23(2):33-40
Introduction:
Pharmacist and customer satisfaction is unique to other industries because it has a significant impact
on patient outcomes and the quality of primary health care. In the framework of health sector reforms,
improving the ethics and attitudes of medical professionals, the quality of care, internal environment
and safety has become a priority issue for the development of the organization.
According to statistical data, in 2020, there are 2343 second-class pharmacies in Mongolia, 1254 in
Ulaanbaatar, and 1249 pharmacies in Ulaanbaatar in 2021. As of 2020, there are 2639 pharmacists
and 2009 drug directors working in the country, and in 2021, there are 2913 pharmacists and 2010
drug directors. Compared to the previous year, the number of pharmacists has increased by 0.8%,
and the number of drug directors has increased by 13% has indicators. According to the above statistics, it is appropriate to study the satisfaction of specialists and clients in line with the increasing
number of pharmacies and specialists.
As of the 1st quarter of 2023, pharmaceutical experts who play an important role in the quality and
availability of pharmacy services and social economic development in the world (Pakistan, America,
Canada. Great Britain, Spain, South Africa, etc.) Because it is important to study the satisfaction of
pharmacists and the satisfaction of pharmacy users, we are conducting regular satisfaction surveys.
Purpose and objectives:
The purpose of the research is to evaluate the satisfaction of customers and pharmacists in the pharmacy of Ulaanbaatar. For this purpose, the following objectives were proposed. It includes:
1. Survey of pharmaceutical experts and pharmacy users determine the sample size
2. To evaluate the satisfaction of pharmacy users through a questionnaire
3. To evaluate the satisfaction of pharmacists by questionnaire
4. Compare the level of satisfaction by age group and perform statistical processing
Materials and methods:
A survey of pharmacy customers and pharmacist satisfaction was conducted using a Cross-sectional
studies model. The Survey system calculator was used to calculate the sample size based on the
representativeness of the sample to be studied. The survey was conducted between the 4th quarter
of 2022 and the 2nd quarter of 2023. and the satisfaction of customers and pharmacists was obtained by random sampling by the UB City Hospitals and Health Deparments, and data was collected using 2 types of questionnaires to be evaluated on a 5-point Likert scale using the SERVQUAL model. The results were processed using Microsoft Excel and SPSS 23.0 software. The reliability of the survey questionnaire was calculated using the Cronbach alpha coefficient.
Results:
A total of 758 people participated in our study, and satisfaction was determined by including n=369 pharmacists and n=389 customers, respectively. A breakdown of the results:
369 pharmacists participated in the survey, and according to the total number of questions, 48.0%
n=177 are satisfied, 37.7% n=139 are very satisfied. Considering the satisfied age group of pharmaceutical specialists, n=101 specialists in the age group of 26-35 years are the most satisfied.
52.85% n=195 satisfied. 25.20% n=93 Very satisfied, 20.87% n=77 Moderately satisfied, 0.54% n=2
Not at all satisfied, 0.54% n=2 He replied that he did not know. According to the results of the survey,
pharmaceutical professionals are highly satisfied.
On the other hand, 389 customers participated in the satisfaction survey of pharmacy users, and
according to the total results of the group questions, 67.4% n=262 customers were moderately satisfied with the organization's care and service culture and intimate environment outside the organization is satisfied. Looking at the satisfaction of pharmacy customers by age group, n=121 customers under 25 years of age have moderate satisfaction is satisfied.
49.61% n=193 not satisfied at all, 35.22% n=137 Moderately satisfied with the pharmacy services
from the surveyed customers, degree, 9.55% n=37 Very satisfied, 5.66% n=22 answered that they
do not know. Therefore, it shows the need to consider the quality of care.
Conclusion
369 experts were included in the survey to evaluate the satisfaction of customers and pharmacists with the pharmacy, and 2 groups of evaluations were used in the survey. The reliability of the
22 questionnaires, calculated by Cronbach's alpha coefficient, is good between 0.9 a≥0.846. The
majority of pharmaceutical professionals (n=316) surveyed are satisfied with their profession and
workplace.
However, the reliability of the questionnaire used in the research to evaluate the satisfaction of customers in the pharmacy, when calculated by Cronbach's alpha coefficient, is acceptable between 0,8 a≥0.777. The n=262 customers surveyed are moderately satisfied with pharmacy services.
Depending on the age group of the people involved in the research, the location where they work
and serve, the relationship attitude, understanding, and workload satisfaction level are different.
3.The issue of people with disability: (Pharmaceutical care services)
Anujin S ; Adilbish L ; AItantsetseg A ; UIambayar B ; Odgerel P ; Zultsetsetseg N ; Nomingerel B
Mongolian Pharmacy and Pharmacology 2023;23(2):47-52
Introduction:
16% of the world's 8 billion people, or more than 1.3 billion, are people with special needs or people with disabilities. Of these, there are unofficial studies that show that there are about 650 million people with disabilities in Asian countries. [1] One of the most common problems faced by people with special needs is that disability service organizations, especially pharmacies, do not have access to complete information on their necessary medications.
According to the 2019 data of the National Statistics Committee [4] in our country, 3.4 percent of the total population or 107.6 thousand are citizens with special needs. Article 1.1 of the Law "On the Rights of Persons with Disabilities" [5] provides for the equal rights of persons with disabilities to participate in social relations, to ensure and implement them, to provide an accessible environment, to create conditions, housing, public buildings, roads, public transport, and information., communication technology is included as being accessible to people with disabilities. However, health and pharmacy services for people with special needs are very challenging.
The main basis of this research work is to make pharmacy services easier for people with special needs, especially people with speech, hearing, visual, mental, and motor disabilities, and to identify and solve problems.
Methods:
The research was carried out in a one-moment model. Based on the General Department of Development of People with Disabilities, data was collected by questionnaire using the minimum sample size calculation, which was calculated as 478 people per 1000 population. Statistical analysis was carried out using SPSS-23 software.
Our survey was conducted between November to December 1, 2022 using a snapshot model. Processing of results was carried out using survey data processing.
Conclusion
1. According to the 2019 data of the National Statistics Committee, 3.4 percent or 107.6 thousand of the total population of our country are citizens with special needs. This information has not been updated for 2021-2022.
Out of a total of 478 people in the survey, 54% were male, while 42.8% of the respondents were 20-30 years old. 48.8% of citizens use pharmacies independently, 42.4% with the help of a guardian, and 8.8% of other citizens use pharmacies. The lack of understanding of drug information on prescription forms affects the physician's prescription, drug information, visual and hearing impairments, and misunderstandings.
2. People with speech, hearing, visual, mental, and motor disabilities face the biggest problem in using the pharmacy. Therefore, it is a priority to make certain innovative changes in order to make pharmacy operation* equal to citizens. These include: Prescription forms can be read using technology such as Qr and AR on the phone, delivering medication instructions and information in audio form to people with visual and mental disabilities, providing more clear and understandable information to people with speech and hearing disabilities identifying medications for people with visual impairments, and using drugs correctly. We believe that suggestions and solutions are needed, such as placing names and instructions in braille on product labeling and packaging, implementing stairs and doors for people in wheelchairs or with mobility impairments in accordance with standards in all buildings, and providing seats for stairwells between floors. In most cases, it takes 10-20 minutes for people with disabilities to visit a pharmacy. Some citizens are experiencing delays in services for up to an hour. It can be seen that spending a lot of time to visit a pharmacy is difficult for citizens.
In order to solve this problem, under the supervision of a manager and a pharmacist, a post-graduate student of "Pharmacy" of the "University of Pharmaceutical Sciences" should be created to provide advice and information to citizens and reduce the burden.