Design, implementation and evaluation of a service for Medication Compliance Aids (MCAs) in an institutional pharmacy in the city of Córdoba
Introduction: The Pharmaceutical Service (PS) for the provision of Medication compliance aids (MCAs) consists of reconditioning and unifying, in a protocolized manner and in multi-compartment devices, the medications used by a patient, ordering them according to their dosage guideline. The objective...
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/35951 |
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I10-R327-article-35951 |
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Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
pharmaceutical services community pharmacy services patient compliance costs and cost analysis Medication Systems servicios farmacéuticos servicios comunitarios de farmacia cooperación del paciente costos y análisis de costo Sistemas de Medicación assistência farmacêutica serviços comunitários de farmácia cooperação do paciente custos e análise de custo Sistemas de Medicação |
| spellingShingle |
pharmaceutical services community pharmacy services patient compliance costs and cost analysis Medication Systems servicios farmacéuticos servicios comunitarios de farmacia cooperación del paciente costos y análisis de costo Sistemas de Medicación assistência farmacêutica serviços comunitários de farmácia cooperação do paciente custos e análise de custo Sistemas de Medicação Martin, Yanel Cabral, Gabriel Salazar Zaffaroni, Maria Fernanda Armando, Pedro Design, implementation and evaluation of a service for Medication Compliance Aids (MCAs) in an institutional pharmacy in the city of Córdoba |
| topic_facet |
pharmaceutical services community pharmacy services patient compliance costs and cost analysis Medication Systems servicios farmacéuticos servicios comunitarios de farmacia cooperación del paciente costos y análisis de costo Sistemas de Medicación assistência farmacêutica serviços comunitários de farmácia cooperação do paciente custos e análise de custo Sistemas de Medicação |
| author |
Martin, Yanel Cabral, Gabriel Salazar Zaffaroni, Maria Fernanda Armando, Pedro |
| author_facet |
Martin, Yanel Cabral, Gabriel Salazar Zaffaroni, Maria Fernanda Armando, Pedro |
| author_sort |
Martin, Yanel |
| title |
Design, implementation and evaluation of a service for Medication Compliance Aids (MCAs) in an institutional pharmacy in the city of Córdoba |
| title_short |
Design, implementation and evaluation of a service for Medication Compliance Aids (MCAs) in an institutional pharmacy in the city of Córdoba |
| title_full |
Design, implementation and evaluation of a service for Medication Compliance Aids (MCAs) in an institutional pharmacy in the city of Córdoba |
| title_fullStr |
Design, implementation and evaluation of a service for Medication Compliance Aids (MCAs) in an institutional pharmacy in the city of Córdoba |
| title_full_unstemmed |
Design, implementation and evaluation of a service for Medication Compliance Aids (MCAs) in an institutional pharmacy in the city of Córdoba |
| title_sort |
design, implementation and evaluation of a service for medication compliance aids (mcas) in an institutional pharmacy in the city of córdoba |
| description |
Introduction: The Pharmaceutical Service (PS) for the provision of Medication compliance aids (MCAs) consists of reconditioning and unifying, in a protocolized manner and in multi-compartment devices, the medications used by a patient, ordering them according to their dosage guideline. The objective was to design, implement and evaluate an PS of MCAs in an institutional pharmacy in the city of Córdoba.
Methods: Observational, descriptive and longitudinal study. A Standard Operating Procedure (SOP) was developed from for PS of MCAs and applied to a sample of 20 patients. Adherence was analyzed by: tablet count and Morisky-Green test. A validated service satisfaction questionnaire was applied and a cost analysis was performed considering the initial investment and the times involved.
Results: A 98.0% adherence was obtained by counting the tablets and by the Morisky-Green test: 5.0% at the start of the service and 55.0% at 3 months. The patients expressed in the satisfaction questionnaire: 90.0% very satisfied and 10.0% satisfied. Regarding the cost analysis, the initial investment was USD 1,670.44. A value of US $ 4.29 was calculated for the first interview, and the monthly cost of preparation ranged from US $ 16.02, for 7-30 weekly takings, to US $ 28.73 for more than 121 takings.
Conclusion: It was possible to develop and implement an SOP for the PS of SPD, with significant improvements in adherence. A high degree of patient satisfaction was observed and were obtained minimal operating costs to achieve sustainability. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/35951 |
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I10-R327-article-359512023-03-20T16:24:58Z Design, implementation and evaluation of a service for Medication Compliance Aids (MCAs) in an institutional pharmacy in the city of Córdoba Diseño, implantación y evaluación de un servicio de Sistemas Personalizados de Dosificación en una farmacia institucional de la ciudad de Córdoba Desenho, implantação e avaliação de um serviço de Sistemas Personalizados de Dosagem (SPD) em uma Farmácia institucional da cidade de Córdoba Martin, Yanel Cabral, Gabriel Salazar Zaffaroni, Maria Fernanda Armando, Pedro pharmaceutical services community pharmacy services patient compliance costs and cost analysis Medication Systems servicios farmacéuticos servicios comunitarios de farmacia cooperación del paciente costos y análisis de costo Sistemas de Medicación assistência farmacêutica serviços comunitários de farmácia cooperação do paciente custos e análise de custo Sistemas de Medicação Introduction: The Pharmaceutical Service (PS) for the provision of Medication compliance aids (MCAs) consists of reconditioning and unifying, in a protocolized manner and in multi-compartment devices, the medications used by a patient, ordering them according to their dosage guideline. The objective was to design, implement and evaluate an PS of MCAs in an institutional pharmacy in the city of Córdoba. Methods: Observational, descriptive and longitudinal study. A Standard Operating Procedure (SOP) was developed from for PS of MCAs and applied to a sample of 20 patients. Adherence was analyzed by: tablet count and Morisky-Green test. A validated service satisfaction questionnaire was applied and a cost analysis was performed considering the initial investment and the times involved. Results: A 98.0% adherence was obtained by counting the tablets and by the Morisky-Green test: 5.0% at the start of the service and 55.0% at 3 months. The patients expressed in the satisfaction questionnaire: 90.0% very satisfied and 10.0% satisfied. Regarding the cost analysis, the initial investment was USD 1,670.44. A value of US $ 4.29 was calculated for the first interview, and the monthly cost of preparation ranged from US $ 16.02, for 7-30 weekly takings, to US $ 28.73 for more than 121 takings. Conclusion: It was possible to develop and implement an SOP for the PS of SPD, with significant improvements in adherence. A high degree of patient satisfaction was observed and were obtained minimal operating costs to achieve sustainability. INTRODUCCIÓN El Servicio Profesional Farmacéutico Asistencial (SPFA) de provisión de Sistemas Personalizados de Dosificación (SPD) consiste en reacondicionar y unificar, de manera protocolizada y en dispositivos multicompartimentales, los medicamentos que emplea un paciente, ordenándolos según su pauta posológica. El objetivo fue diseñar, implantar y evaluar un SPFA de SPD en una farmacia institucional de la ciudad de Córdoba. MÉTODOS Estudio observacional, descriptivo y longitudinal. Se desarrolló de un Procedimiento Normalizado de Trabajo (PNT) para el SPFA de SPD y se aplicó a una muestra de 20 pacientes. Se analizó la adherencia mediante: recuento de comprimidos y test de Morisky-Green. Se aplicó un cuestionario validado de satisfacción del servicio y se realizó un análisis de costos considerando la inversión inicial y los tiempos involucrados. RESULTADOS Se obtuvo un 98,0% de adherencia por recuento de comprimidos y por Test de Morisky-Green, 5,0% al inicio del servicio y 55,0% a los 3 meses. Los pacientes expresaron en el cuestionario de satisfacción: 90,0% muy satisfecho y 10,0% satisfecho. Respecto al análisis de costos, la inversión inicial fue de USD 1.670,44. Se calculó un valor de U$4,29 para la primera entrevista y el costo mensual de preparación, desde USD 16,02 para 7-30 tomas semanales hasta USD 28,73 para más de 121 tomas. CONCLUSIÓN Fue posible desarrollar e implantar un PNT para el SPFA de SPD, con mejoras significativas en la adherencia. Se observó un elevado grado de satisfacción del paciente y se obtuvieron los costos operativos mínimos para conseguir su sostenibilidad. INTRODUÇÃO O Serviço Profissional Farmacêutico Assistencial (SPFA) de fornecimento de Sistemas Personalizados de Dosagem (SPD) consiste em recondicionar e unificar, de forma protocolizada e em dispositivos multicompartimentais, os medicamentos que emprega um paciente, ordendo-os segundo seu padrão posológico. O objetivo foi projetar, implantar e avaliar um SPFA de SPD em uma farmácia institucional na cidade de Córdoba. MÉTODOS Estudo observacional, descritivo e longitudinal. Foi desenvolvido um Procedimento Padrão de Trabalho (PPT) para o SPFA de SPD e aplicado a uma amostra de 20 pacientes. Analisou-se a aderência mediante: contagem de comprimidos e teste de Morisky-Green. Aplicou-se um questionário validado de satisfação do serviço e realizou-se uma análise de custos considerando o investimento inicial e os tempos envolvidos. RESULTADOS Obteve-se 98,0% de aderência por contagem de comprimidos e por Teste de Morisky-Green: 5,0% no início do serviço e 55,0% aos 3 meses. Os pacientes expressaram no questionário de satisfação: 90,0% muito satisfeito e 10,0% satisfeito. Quanto à análise de custos, o investimento inicial foi de USD 1.670,44. Foi calculado um valor de U$4,29 para a primeira entrevista e o custo mensal de preparação, desde USD 16,02 para 7-30 tomadas semanais até USD 28,73 para mais de 121 tomadas. CONCLUSÃO Foi possível desenvolver e implantar um PNT para o SPFA de SPD, com melhorias significativas na aderência. Observou-se um elevado grau de satisfação do paciente e foram obtidos os custos operacionais mínimos para conseguir sua sustentabilidade. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-12-21 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Texto text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/35951 10.31053/1853.0605.v79.n4.35951 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. 4 (2022); 310-317 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. 4 (2022); 310-317 Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. 4 (2022); 310-317 1853-0605 0014-6722 10.31053/1853.0605.v79.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/35951/38949 https://revistas.unc.edu.ar/index.php/med/article/view/35951/39778 Derechos de autor 2022 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |