Criteria for the Implementation of Personalized Medication Dispensing Systems (MDS) and its Compliance in a Pharmacy in Zamora, from February 2015 to July 2015
The failure or inability to comply with drug regimens is a problem with great impact on Health Systems nowadays. As a result, the General Council of Official Colleges of Pharmacists and the Council of Professional Associations of Castilla y Leon have designed a protocol of Pharmaceutical Counselling based on the preparation of personalized Medication Dispensing Systems by the community pharmacist through blister cards in which the medication is organised by days and time slots. The patients for this study were selected based on certains characteristics such as their advance age, their compliance with multiple drug regimens, lack of knowledge about their medical condition or treatment, etc. They were included in the above-mentioned program designed for the preparation of personalized Medication Dispensing Systems in a pharmacy in Zamora. This study took place during four weeks. During this time, patients went through proper follow-up procedures, evaluating their compliance to drug regimens by visualizing their medication administration at a glance. Upon completion of the study, it was concluded that 100% of the patients that took part in the program improved their compliance to drug regimens. It was also highlighted that a more helpful approach from pharmacists avoids problems related to drugs adminstration and the negative effects of medication as a result of a failure to compliance and poor use of medication.El incumplimiento terapéutico es un problema con gran repercusión sobre los Sistema Sanitarios en la actualidad, por lo que el Consejo General de Colegios Oficiales de Farmacéuticos y el Consejo de Colegios Profesionales de Castilla y León han diseñado un protocolo de Atención Farmacéutica basado en la preparación de Sistemas Personalizados de Dosificación (SPD) por parte del farmacéutico en la Oficina de Farmacia, en dispositivos especiales tipo blíster con alveolos en los que se distribuye la medicación por tomas y días. En este estudio se seleccionaron pacientes con unas determinadas características (edad avanzada, polimedicados, desconocimiento del problema de salud o medicación, etc.) y se incluyeron en el programa de elaboración de SPD en una Oficina de Farmacia en Zamora. Se llevo a cabo durante cuatro semanas, en las que se realizó a los pacientes un correcto seguimiento farmacoterapéutico, evaluando así la adherencia al tratamiento mediante la visualización de los dispositivos utilizados. Tras la finalización se concluyó que el 100% de los pacientes que completaron el estudio mejoraron la adherencia al tratamiento, y se reafirmó que una labor más asistencial del farmacéutico evita los posibles PRM y RNM derivados del incumplimiento y uso incorrecto de los medicamento
