Barreras para la implantación de servicios cognitivos en la farmacia comunitaria española

Gastelurrutia, Miguel Ángel; Fernández-Llimós, Fernando; Benrimoj, Shalom I.; Castrillón, Carla Cristina; Faus, María José

doi:10.1157/13109494

Cited by 24 publications

(17 citation statements)

References 15 publications

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“…According to the managers, the health team does not understand the clinical activities of pharmacists, this being another factor that contributes to resistance from both these professionals and other members of the health care team. In developing countries, the pharmacist does not yet have a prominent role in monitoring the use of medicines, illness prevention, and health promotion, being little recognized as a health professional by either society or the health care team [ 19 , 48 , 54 ]. According to Lin 50 years ago in the US, pharmacists were reluctant to change the focus of the profession from the production and delivery of drugs to services directed toward the patient [ 55 ].…”

Section: Discussionmentioning

confidence: 99%

Perceptions of a group of hospital pharmacists and other professionals of the implementation of clinical pharmacy at a high complexity public hospital in Brazil

Alcântara

Onozato

Neto

et al. 2018

BMC Health Serv Res

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BackgroundDuring the process of implementation of clinical pharmacy services, internal and external factors may favor or hinder the incorporation of care into the hospital routine. This study aimed to understand the perceptions of a group of hospital pharmacists and other professionals of the implementation of clinical pharmacy at a high complexity public hospital in Brazil.MethodsA focus group with 16 pharmacists and interviews with tree key stakeholders including managers in the pharmaceutical, medical, and nursing profession were conducted to understand their perceptions of the implementation clinical pharmacy services in a high complexity public hospital in Brazil. The service proposal was presented to the selected participants before conducting the focus group. Professionals with an overview of the hospital and influence on the relevant departments for the implementation of clinical pharmacy at the institution were selected. Data collected were transcribed and analyzed using the Bardin Content Analysis technique. Data analyzed were systematized into categories and registration units. The methodology involves the organization and analysis of reported content to make inferences.ResultsThe data obtained were divided into four categories: “Perception of the current situation”, “Implementation expectations”, “Barriers to implementation”, “Implementation facilitators”. Participants discussed the stagnation of clinical activities of the pharmaceutical profession in Brazil, a reality that results from a lack of clinical training in the country. Pharmacists expressed their expectations for changes in professional performance. According to the managers, such services would positively affect clinical outcomes for patients. Gaps in academic education, lack of knowledge, and poor communication skills were barriers reported in this study. Pharmacists’ clinical experience has been reported to facilitate the provision of services.ConclusionsThis study highlights factors that may influence the implementation of clinical pharmacy services in the institution analyzed, such as resistance, fear, and frustration as barriers, as well the experience in clinical pharmacy of some pharmacists in the institution was one of the facilitators most cited by participants. This knowledge may aid future planning for the implementation of clinical pharmacy in hospitals.

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Section: Discussionmentioning

confidence: 99%

Perceptions of a group of hospital pharmacists and other professionals of the implementation of clinical pharmacy at a high complexity public hospital in Brazil

Alcântara

Onozato

Neto

et al. 2018

BMC Health Serv Res

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“…y por sistemas mixtos en los que el usuario participe con una determinada aportación económica (5). Los factores que afectan a la remuneración de los SPF son numerosos y complejos, entre ellos se incluyen el propio coste del SPF, la cuantificación de los beneficios en salud, la perspectiva de los proveedores de Originales servicios, la percepción de médicos, farmacéuticos y pacientes (29,30). El usuario/paciente opinó que el coste del servicio de educación y promoción de la salud debería ser asumido exclusivamente por la farmacia (40,3%).…”

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Servicios profesionales en la farmacia comunitaria: ¿qué opina el paciente?

Sevillano¹,

Hernández²

2014

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Introducción: El farmacéutico debe reorientar la actividad de la farmacia comunitaria hacia servicios profesionales farmacéuticos (SPF) que mejoren la salud del paciente. Los objetivos de este trabajo fueron: investigar las características de los usuarios y conocer su opinión sobre nueve SPF. Material y métodos: Se realizó un estudio observacional transversal en dos farmacias comunitarias de Valladolid entre el 1 de diciembre de 2013 y el 20 de febrero de 2014. Se utilizaron cuestionarios online administrados por el farmacéutico a un usuario mayor de 14 años cada día. Se recogieron sus características, su interés en la posible utilización de nueve SPF (puntuación de 0-10) y sobre la remuneración de los mismos. El análisis estadístico se efectuó con el programa SPSS 19.0. Resultados: 154 personas (edad media de 45,7±16,4 años) respondieron al cuestionario. Los SPF mejor valorados

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“…As described by Oliveira et al (2005), some studies show that an effective performance of the pharmacist with the patient and integrated with the health team contributes systematically to a more effective drug treatment aiming at achieving positive therapeutic results. Despite this, there are several barriers to the dissemination of pharmaceutical clinical services, which are similar in countries regardless of the socioeconomic situation and the developed pharmacy model (Gastelurrutia et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Pharmaceutical clinical services in basic care in a region of the municipality of São Paulo

Santos

Silva

Tavares

2018

Braz. J. Pharm. Sci.

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Pharmaceutical care has undergone several transformations in the health context over the years. Thus, the pharmacist has suffered a reconfiguration of his performance, mainly with the incorporation of clinical services and patient approach. The study analyzed the results of the implementation of pharmaceutical clinical services in Primary Health Care, through the use of indicators of supply, demand and productivity, clinical and process quality related to pharmaceutical care. We included all the clinical visits (n=1,833) performed to 1,080 users in 12 Basic Health Unit facilities from May to November 2016, of which 40.8% (n=748) were consultations in the establishments and 50.2% (n=1,085) home visits. Most patients (73.5%) were referred by team and 17.5% were captured through active search. Of the total workload, 12.5% were dedicated to pharmaceutical consultations and 20.0% to home visits. In total, we identified 3,078 pharmacotherapy-related issues, an average of 2.8 per patient, and 6,882 pharmaceutical interventions were performed, equivalent to 6.3 interventions per patient. The problem with adherence to pharmacotherapy and the intervention of medication counseling were the most found. Results reinforce the importance of pharmaceutical clinical services in identifying the control of the most prevalent health conditions and monitoring the therapeutic results associated with drug use.

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Barreras para la implantación de servicios cognitivos en la farmacia comunitaria española

Abstract: Finally, 12 barriers were identified and grouped into 6 categories. These barriers fit in with the barriers identified in other countries.

Cited by 24 publications

References 15 publications

Perceptions of a group of hospital pharmacists and other professionals of the implementation of clinical pharmacy at a high complexity public hospital in Brazil

Perceptions of a group of hospital pharmacists and other professionals of the implementation of clinical pharmacy at a high complexity public hospital in Brazil

Servicios profesionales en la farmacia comunitaria: ¿qué opina el paciente?

Pharmaceutical clinical services in basic care in a region of the municipality of São Paulo

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