Rev. OFIL 2017, 27;3:241-246
Fecha de recepción: 10/10/2016 – Fecha de aceptación: 26/11/2016
Martín Alcalde E1, Blanco Crespo M1, Horta Hernández AM2
1 Licenciada en Farmacia. Facultativo Especialista en Farmacia Hospitalaria
2 Licenciada en Farmacia. Facultativo Especialista en Farmacia Hospitalaria. Jefe de Servicio de Farmacia
Servicio de Farmacia. Hospital Universitario de Guadalajara. Gerencia de Atención Integrada de Guadalajara (España)
Eva Martín Alcalde
Hospital Universitario de Guadalajara (Servicio de Farmacia)
C/Donantes de Sangre, s/n
Correo electrónico: firstname.lastname@example.org
Objective: To describe the Specialised Pharmaceutical Care Model (SPCM) that has been introduced into two Public Nursing Homes (PNH) in the province of Guadalajara, and to analyse the health care and financial results that have been achieved.
Methods: The study takes into account the experiences in Pharmaceutical Care implemented in other Autonomous Communities and the recommendations published by Scientific Societies on Pharmaceutical Services and care in the elderly, as well as the characteristics of this population and the PNHs involved in their care.
Results: The SPCM has been implemented in two PNH that care for a total of 180 residents. It is based on the creation of a medicines store in the PNH. The activities have been centred on the organisation and management of the medicines store, setting up protocols and control procedures (electronic prescription, pharmacotherapy validation, dispensing, and administering of the medications), as well as the incorporation of the pharmacist into the interdisciplinary team, encouraging the rational use of drugs, and working on the suitability and optimisation of the treatments. A total of 317 medication related problems have been detected since 2014, and 1.67 interventions/patient have been performed. Furthermore, savings of €135,000 (53%) were achieved by 2015.
Discussion: This SPCM achieves significant economic results. Besides the incorporation of the Hospital Pharmacist into the interdisciplinary team, the continued pharmacotherapeutic follow-up and the integration of the information systems serve to improve the coordination between care levels and ensures continuity of care of these patients with maximum efficiency.
Key Words: Pharmaceutical care, elderly persons, nursing homes, pharmacy intervention, drug related problems (DRPs).