title: Self-Care in the Twenty First Century: A Vital Role for the Pharmacist.
abstract: In order for the global healthcare system to remain sustainable, healthcare spending needs to be reduced, and self-treating certain conditions under the guidance of a pharmacist provides a means of accomplishing this goal. This article was developed to describe global healthcare trends affecting self-care with a specific focus on the role of the pharmacist in facilitating over-the-counter (OTC) medication management. Potential healthcare-related economic benefits associated with the self-care model are outlined. The importance of the collaboration between healthcare providers (HCPs), including specialists, primary care providers, and pharmacists, is also discussed. The evolving role of the pharmacist is examined and recommendations are provided for ways to successfully engage with other HCPs and consumers to optimize the pharmacist's unique qualifications and accessibility in the community. Using the management of frequent heartburn with an OTC proton-pump inhibitor as a model, the critical role of the pharmacist in patient self-treatment of certain symptoms will be discussed based on the World Gastroenterology Organization's recently published guidelines for the community-based management of common gastrointestinal symptoms. As the global healthcare system continues to evolve, self-care is expected to have an increasing role in treating certain minor ailments, and pharmacists are at the forefront of these changes. Pharmacists can guide individuals in making healthy lifestyle choices, recommend appropriate OTC medications, and educate consumers about when they should consult a physician.
  
  
  
  Pfizer Inc.
authors.affiliation: University of Technology Sydney, 15 Broadway, Ultimo, NSW, 2007, Australia. john.bell@nexonline.com.au.
authors.forename: John
authors.initials: J
authors.lastname: Bell
authors.affiliation: World Self-Medication Industry (WSMI), Nyon, Switzerland.
authors.forename: Gerald
authors.initials: G
authors.lastname: Dziekan
authors.affiliation: Global R&D, Pfizer Consumer Healthcare, Madison, NJ, USA.
authors.forename: Charles
authors.initials: C
authors.lastname: Pollack
authors.affiliation: GI & Liver Center, Bangkok Medical Center, Chulalongkorn University, Bangkok, Thailand.
authors.forename: Varocha
authors.initials: V
authors.lastname: Mahachai
mesh_terms: D003299:Cooperative Behavior; D006801:Humans; D004366:Nonprescription Drugs / Q000627:therapeutic use*; D010346:Patient Care Management / Q000639:trends; D010595:Pharmacists; D024382:Professional Role; D012648:Self Care / Q000379:methods / Q000639:trends
chemical_list: D004366:Nonprescription Drugs
keywords: Community pharmacies; Health economics; Health literacy; Heartburn/reflux; Self-care