The questionnaire developed can be a reliable and valid instrument to assess patient satisfaction with pharmaceutical care in community pharmacies in Spanish. Further research is needed to deepen the validation process.

A comprehensive, reliable, and valid instrument for assessing patient satisfaction with pharmaceutical care in community pharmacies in the Spanish language is not yet available. The two published questionnaires that we have identified are a beginning, further research and development is needed.

Our results suggest that the PSQ is a two dimensional instrument with psychometric properties able to assess patient satisfaction in community pharmacies. However, its validity and reliability need to be further confirmed in different PC settings and its sensitivity to measure changes in satisfaction over time also needs to be established.

The number of prescriptions and the total cost of ACE inhibitors increased over the period studied. Ramipril use increased in concert with publication of the HOPE trial, while the growth rates of other ACE inhibitors remained constant.

This work achieved, through quality management, the commitment of a team of health professionals to seek and make changes for patient safety, and to improve the quality of services provided by the hospital.

No abstract

necesidad de consenso dentro del equipo. Observaron con cautela al ente regulador. Afirmaron recibir información actualizada sobre oncológicos, pero dudaron al definir offlabel. El equipo de trabajo se contextualizó dentro de la Red de Salud Pública Municipal. Conclusiones: Desde la perspectiva de los profesionales de salud el Programa Nacional se encuadró dentro de un escenario complejo, con fortalezas y limitaciones. El abordaje cualitativo da visibilidad a aspectos que podrán complementar otros estudios.Palabras Clave: política de salud, medicamentos, agentes antineoplásicos, farmacoepidemiología. Abstract:Objective: To examine the antineoplastic agent polices in a Public Service of Oncology in Rosariofrom the professionals› perspective. Methods: Qualitative retrospective study using semistructured interviews to key informants from the Service. Period: January-June 2012. Axis: a) knowledge about oncology drug programs; b) regulatory framework; c) funding; d) oncology drug selection/ prescription/ administration tools; d) drug innovations and offlabel use; f) team-work; g) work setting. Results: Answers generally derived to the clinical area. They said they knew the National Cancer Program but was seen to be away from the everyday care practices. Regulations regarding performance within the service were more clearly observed. Jurisdiction problems were seen in the founding field. They referred to the International Guidelines of Clinical Practice, putting emphasis on the need to agree within the team. They cautiously observed the collecting agency. They said they received updated information about oncology drugs but hesitated when defining off-label. The work team was contextualized within the Municipal Public Heath Network. Conclusions: From the health professionals› perspective, the National Program was framed within a complexscenery with strengths and limitations. The qualitative approach shows aspects that may complement other studies.

Los medicamentos colaboraron en cimentar mayor salud, sin embargo son generadores de problemas que surgen de no atender adecuadamente la complejidad farmacoterapéutica. En este sentido, resulta propicio incorporar el concepto de Atención Farmacéutica (AF) para repensar la actuación de los farmacéuticos. La implementación de AF muestra un impacto positivo en  resultados clínicos, humanísticos  y económicos, pero se reconocen barreras para su implementación. El sistema de salud argentino es fragmentado y los servicios farmacéuticos se encuentran incluidos en esta lógica. En este contexto, la Universidad y el Colegio de Farmacéuticos observan la necesidad de conformar espacios de AF. El objetivo de esta comunicación es presentar la génesis de la Unidad de Optimización de la Farmacoterapia (UOF) como un servicio a la población en la ciudad de Rosario, Argentina. La UOF integra actividades de asistencia, docencia e investigación e intenta promover aproximación entre la Universidad Pública y la comunidad en relación a la problemática de utilización de medicamentos. Funciona desde abril de 2012 y se entiende como alternativa de inclusión social, disponible gratuitamente, con criterios bioéticos que alcancen tanto a la relación profesional-paciente, al diseño de políticas de medicamentos como a la evaluación económica y  desarrollo de herramientas metodológicas y tecnológicas.