Factores condicionantes del gasto en farmacia en los centros de atención primaria de un área de salud

Abstract

The sessions to discuss prescription profiles, the presence of nurses from the reform model, postgraduate medical training and the employment of doctors under the traditional model are the factors that our study finds are linked to lower drug expenditure per inhabitant.

Pharmaceutical cost control in primary care: opinion and contributions by healthcare professionals

“…This problem is aggravated when the amount of time available to attend to each patient is limited [ 32 ]. This pressure can be very difficult to handle because, in most cases, there is little time to explain the GPs preferred treatment option to dissenting patients [ 9 ].…”

“…Finally, the discussion with GPs focused on the importance of continuous training. The evidence suggests that educational outreach is among the most effective means of bringing about change [ 19 , 37 , 46 ], as long as the training schemes are derived from sources independent of the pharmaceutical industry [ 3 , 9 ].…”

“…In the primary care (PC) setting, drug prescriptions represent the most important capital expenditure, accounting for half of the total costs of family health services [ 7 ] and 10% of a national health system's expenditure [ 8 ]. There is considerable variability between healthcare professionals and health centres (HCs) with regard to the profile of prescription drugs [ 9 , 10 ]. Moreover, the literature indicates that there are ways to improve the efficiency of drug prescriptions in PC without damaging either the patient or the quality of the prescriptions [ 11 ] and this was corroborated by most doctors in a qualitative study carried out within the UK National Health Service [ 12 ].…”

Gasto farmacéutico de médicos de atención primaria del área de salud de Cuenca

“…El gasto farmace ´utico representa el segundo capı ´tulo del gasto sanitario tras el de personal, pero en el a ´mbito de la atencio ´n primaria ocupa el primer lugar por capı ´tulos 1,2 . La regulacio ´n de precios no es capaz de moderar el crecimiento de la factura farmace ´utica, lo que se ha convertido en un problema estructural para la mayorı ´a de los paı ´ses desarrollados donde la prescripcio ´n farmace ´utica es gratuita totalmente o en parte 3 . Adema ´s, Espan ˜a se encuentra entre los paı ´ses europeos en que menos participan los usuarios de forma directa (copago) en la financiacio ´n del gasto farmace ´utico pu ´blico 4 .…”