Rodríguez Pérez AA1, Brieva Herrero MT2, López Moreno JL3, Márquez Ferrando M4, Ramos Guerrero RM4,
López Palomino J4
1 Farmacéutica Interna Residente Farmacia Hospitalaria. Unidad de Gestión Clínica de Farmacia.
Hospital Universitario Virgen del Rocío. Sevilla (España)
2 Farmacéutica Interna Residente Farmacia Hospitalaria. Unidad de Gestión Clínica de Farmacia.
Hospital Universitario Reina Sofía. Córdoba (España)
3 Técnico Especialista de Informática. Departamento de Informática. Distrito Sanitario de Atención Primaria
Bahía de Cádiz-La Janda. Cádiz (España)
4 Farmacéutico de Atención Primaria. Servicio de Farmacia. Distrito Sanitario de Atención Primaria
Bahía de Cádiz-La Janda. Cádiz (España)
____
Rev. O.F.I.L. 2016, 26
Fecha de recepción: 16/12/2015 – Fecha de aceptación: 14/10/2015
____
Development of a plan to improve prescribing practice in respect of blood glucose test strips
SUMMARY
Introduction: Despite existing guidelines, there is wide variation in blood glucose test strip (BGTS) prescription patterns amongst medical professionals. This is due to the fact that, in determining the appropriate number of strips to prescribe, there is no single, objective criterion, based on best scientific evidence, to which all professionals can adhere.
Objective: To promote the efficient use of BGTS, using a software tool to calculate the correct number of strips for each patient in accordance with a previously agreed consensus protocol.
Material and methods: This study was undertaken, between January 2013 and September 2014, in a Primary Healthcare District providing healthcare services to a population of approximately half a million inhabitants. It was agreed, by consensus, that the protocol to be followed in determining prescription practice would be that of the Andalusian Diabetes Mellitus Integrated Care Programme. A software tool was developed, to automatically incorporate the administrative details, both of the medical professional and the patient, and to determine the correct number of test strips to be prescribed, taking into account the antidiabetic medication required by each patient. The rate of blood glucose test strip usage was monitored throughout the course of the study.
Results: The introduction of the new protocol achieved a 9% reduction in the quarterly BGTS prescription rate and, over the course of our study this translates into cost savings of one hundred and thirty thousand euros.
Conclusions: The introduction of a software tool to determine prescription practice in respect of BGTS on the basis of a previously agreed protocol is a useful tool in the efficient management of these healthcare resources.
Key Words: Blood glucose test strips, diabetes, proper use of drug.
_____
Correspondencia:
Jesús López Palomino
Servicio de Farmacia
Distrito Sanitario de Atención Primaria Bahía de Cádiz-La Janda
Avda. Ramón de Carranza, 19
11006 Cádiz
Correo electrónico: jesus.lopez.palomino.sspa@juntadeandalucia.es
____
Download PDF: Estrategia de mejora en la prescripción de tiras reactivas de glucemia