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Metodología de conciliación del tratamiento farmacológico en pacientes pluripatológicos

Authors
  • Alfaro-Lara, Eva Rocío
  • Vega-Coca, María Dolores
  • Galván-Banqueri, Mercedes
  • Nieto-Martín, María Dolores
  • Pérez-Guerrero, Concepción
  • Santos-Ramos, Bernardo1, 2, 3, 4
  • 1 Unidad de Gestión Clínica de Farmacia, Hospital Universitario Virgen del Rocío
  • 2 Agencia de Evaluación de Tecnologías Sanitarias de Andalucía
  • 3 Unidad de Gestión Clínica - Atención Médica Integral de Medicina Interna, Hospital Universitario Virgen del Rocío
  • 4 Departamento de Farmacología, Facultad de Farmacia, Universidad de Sevilla
Type
Published Article
Journal
Atencion Primaria
Publication Date
Jan 01, 2012
Accepted Date
Jul 05, 2013
Volume
46
Issue
2
Pages
89–99
Identifiers
DOI: 10.1016/j.aprim.2013.07.002
Source
Elsevier
Keywords
License
Unknown

Abstract

ObjectiveTo carry out a bibliographic review in order to identify the different methodologies used along the reconciliation process of drug therapy applicable to polypathological patients. DesignWe performed a literature review.Data sources The bibliographic review (February 2012) included the following databases: Pubmed, EMBASE, CINAHL, PsycINFO and Spanish Medical Index (IME). The different methodologies, identified on those databases, to measure the conciliation process in polypathological patients, or otherwise elderly patients or polypharmacy, were studied.Study selection Two hundred and seventy three articles were retrieved, of which 25 were selected.Data extraction Specifically: the level of care, the sources of information, the use of registration forms, the established time, the medical professional in charge and the registered variables such as errors of reconciliation. ResultsMost of studies selected when the patient was admitted into the hospital and after the hospital discharge of the patient. The main sources of information to be highlighted are: the interview and the medical history of the patient. An established time is not explicitly stated on most of them, nor the registration form is used. The main professional in charge is the clinical pharmacologist. Apart from the home medication, the habits of self-medication and phytotherapy are also identified. The common errors of reconciliation vary from the omission of drugs to different forms of interaction with other medicinal products (drugs interactions). ConclusionsThere is a large heterogeneity of methodologies used for reconciliation. There is not any work done on the specific figure of the polypathological patient, which precisely requires a standardized methodology due to its complexity and its susceptibility to errors of reconciliation.

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