¿Tenemos presente en las instituciones sanitarias el consumo indebido de medicamentos con fines de dopaje? / Are health institutions aware of the misuse of drugs for doping purposes?

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Eficiencia del programa de seguimiento farmacoterapéutico de antipsicóticos parenterales de acción prolongada en el área sanitaria de Santiago de Compostela / Efficiency of a pharmaceutical care program for long-acting parenteral antipsychotics in the health area of Santiago de Compostela

En el área sanitaria de Santiago de Compostela, el subgrupo terapéutico "otros antipsicóticos" era el quinto en mayor gasto extrahospitalario en el año 2013, correspondiendo más de la mitad a la risperidona y paliperidona parenterales de acción prolongada. La implantación de un programa de seguimiento farmacoterapéutico basado en la gestión por procesos y en la coordinación de actuaciones entre profesionales sanitarios de ambos niveles asistenciales supuso, en 12 meses un ahorro para la organización de 636.391,01 €, para el paciente de 16.767,36 € en aportaciones y 9.008 desplazamientos a la oficina de farmacia. Este trabajo muestra la eficiencia del programa facilitado por tratarse de un área de gestión integrada y utilizar la historia clínica única y prescripción electrónica, elementos que posibilitan la implantación futura de programas similares. Los nuevos registros y actuaciones asistenciales permitirán una evaluación fiable de su efectividad en relación a la adherencia terapéutica, recaídas y hospitalizaciones

In the healthcare area of Santiago de Compostela (Spain), the therapeutic subgroup "other antipsychotics" represented the fifth largest outpatient expenditure in 2013. More than half of this expenditure corresponded to long-acting parenteral forms of paliperidone and risperidone. Over a 12-month period, the implementation of a pharmaceutical care program based on process management and coordination of actions between health professionals in both levels of care represented savings of € 636,391.01 for the organization and a direct saving of € 16,767.36 and 9,008 trips to the pharmacy for patients. This study shows the efficiency of the program, which was facilitated by its situation in an area of integrated management and the use the unified medical records and electronic prescription, elements that will enable the future implementation of similar programmes. The new registries and healthcare interventions will allow reliable evaluation of their effectiveness in terms of treatment adherence, relapses and hospitalizations

[Efficiency of a pharmaceutical care program for long-acting parenteral antipsychotics in the health area of Santiago de Compostela]. / Eficiencia del programa de seguimiento farmacoterapéutico de antipsicóticos parenterales de acción prolongada en el área sanitaria de Santiago de Compostela.

In the healthcare area of Santiago de Compostela (Spain), the therapeutic subgroup "other antipsychotics" represented the fifth largest outpatient expenditure in 2013. More than half of this expenditure corresponded to long-acting parenteral forms of paliperidone and risperidone. Over a 12-month period, the implementation of a pharmaceutical care program based on process management and coordination of actions between health professionals in both levels of care represented savings of € 636,391.01 for the organization and a direct saving of € 16,767.36 and 9,008 trips to the pharmacy for patients. This study shows the efficiency of the program, which was facilitated by its situation in an area of integrated management and the use the unified medical records and electronic prescription, elements that will enable the future implementation of similar programmes. The new registries and healthcare interventions will allow reliable evaluation of their effectiveness in terms of treatment adherence, relapses and hospitalisations.