2016, Número 3
<< Anterior Siguiente >>
Revista Cubana de Salud Pública 2016; 42 (3)
El rol de farmacia en la vigilancia de la salud en Costa Rica
Jiménez HL
Idioma: Español
Referencias bibliográficas: 61
Paginas: 418-431
Archivo PDF: 96.49 Kb.
RESUMEN
Introducción: La vigilancia de la salud es una función esencial de la salud pública
en la que deben participar diferentes actores. La normativa vigente para Costa
Rica, delimita el quehacer de algunos actores y de otros no, como es el caso de
farmacia.
Objetivo: Describir aspectos relacionados con las acciones de los especialistas en
farmacia en el proceso de vigilancia de la salud en el contexto costarricense.
Métodos: Investigación cualitativa realizada entre agosto y octubre del 2014. Se
visitaron 22 áreas de salud en la zona urbana y 5 en la rural, se entrevistaron de
forma voluntaria y confidencial a informantes claves, 22 de farmacia, 2 de
medicina, 1 de enfermería, 1 psicología y 1 de trabajo social; todos miembros de
las comisiones locales de vigilancia epidemiológica.
Resultados: El accionar de los especialistas en farmacia está centrado
principalmente en las labores específicas tradicionales que se realizan en un
establecimiento farmacéutico, funciones relacionadas con la gestión de los
medicamentos. Se ejecutan menos labores orientadas hacia lo externo en el
escenario poblacional, rol que se encuentra limitado debido a necesidades y
dificultades administrativas.
Conclusiones: Los especialistas en farmacia tienen potencial y oportunidades para
realizar actividades de vigilancia de la salud, la hacen en parte pero con poco
protagonismo porque su función continúa centrada en el medicamento sin
proyección hacia otros escenarios de la atención primaria en la salud. Están
ausentes otras actividades que podrían contribuir a lograr mejores condiciones de
bienestar en las diversas poblaciones.
REFERENCIAS (EN ESTE ARTÍCULO)
Gorgas M, Pàez F, Camós J, de Puig E, Jolonch P, Homs E, et al. Programa de atención farmacéutica integrada en pacientes con enfermedades crónicas. Farmacia Hospit. 2012 [citado 18 Feb 2016];36(4):229-39. Disponible en: http://www.sciendirect.com/science/article/pii/S1130634311001954
Bardet J, Vo T, Bedouch P, Allenet B. Physicians and community pharmacists collaboration in primary care: A review of specific models. Res Social Administrative Pharm. 2015 [citado 17 Feb 2016];11(5):602-22. Disponible en: http://www.sciendirect.com/science/article/pii/S1551741114004094
Panamerican Health Organization, World Health Organization (PAHO/WHO). Renewing Primary Health Care in the Americas. Washington, D. C.: PAHO/WHO; 2007 [cited 2015 Dic 2]. Available at: http://apps.who.int/medicinedocs/documents/s19055en/s19055en.pdf
Organización Panamericana de la Salud. El papel del farmacéutico en el sistema de atención de salud. Informe de la reunión de la OMS, del 31 de agosto al 3 de septiembre. Tokio, Japón: Representación OMS; 1993 [citado 3 Dic 2015]. Disponible en: http://www.ops.org.bo/textocompleto/ime9848.pdf
Eisenhower C. Impact of Pharmacist-Conducted Medication Reconciliation at Discharge on Readmissions of Elderly Patients with COPD. Ann Pharmacother. 2014 [cited 2016 Feb 18];48(2):203-8. Available at: http://aop.sagepub.com/content/48/2/203.full.pdf+html
Santamaría G, Gómez L. Tendencias internacionales en la educación farmacéutica. Enlace Quím. 2010 [citado 1 Dic 2015];1(1):7-12. Disponible en: www.uaemex.mx/enlacequimico/docs/NumAnt/EQa1n12010.pdf
Organización Panamericana de la Salud. Servicios farmacéuticos basados en la atención primaria de salud. Documento de posición de la OPS/OMS. Washington, D. C.: OPS; 2013 [citado 2 Dic 2015]. Disponible en: http://www.paho.org/hq/index.php?option=com_docman&task=doc_view&gid=215 82&Itemid=
Organización Panamericana de la Salud/Organización Mundial de la Salud. La Salud Pública en las Américas. Funciones esenciales. Washington, D: C.: OPS/OMS; 2001 [citado Dic 4 2015]. Disponible en: http://www1.paho.org/hq/dmdocuments/2010/FESP_Salud_Publica_en_las_Americ as.pdf
Ministerio de salud de Costa Rica MINSA. Reglamento de Vigilancia de la Salud Nº 37306-S. Gaceta 203. Alcance 160. Costa Rica: MINSA; 2012 [citado 23 Nov 2014]. Disponible en: http://www.imprentanacional.go.cr/pub/2012/10/ /ALCA160_22_10_2012.p
Andrus M, Stevenson T. Three-year review of pharmacy students' interventions and activities in an outpatient teaching family medicine center. Curr Pharmacy Teach Learn. 2015 [cited 2016 Feb 18 ];7(2):192-8. Available at: http://www.sciencedirect.com/science/article/pii/S1877129714001774
Palombi L, Kading M, Hayes C. The public health pharmacist and the role of the pharmacy curriculum: A call to action. Curr Pharmacy Teach Learn. 2013 [cited 2016 Feb 17];5(5):477-82. Available at: http://www.sciencedirect.com/science/article/pii/S1877129713000932
Vieira P, Mitsue A, Cordoni L. Caracterización de los servicios farmacéuticos de atención primaria del Sistema Único de Salud en Londrina, Paraná, Brasil. Rev Panam Salud Publica/Pan Am J Public Health. 2009 [citado 2 Dic 2015];25(3):254- 59. Disponible en: http://iris.paho.org/xmlui/handle/123456789/9843?localeattribute= es
Bodenheimer T, Pham H. Primary Care: Current Problems and Proposed Solutions. Health Aff. 2010 [cited 2015 Dic 1];29(5):799-805. Available at: http://content.healthaffairs.org/content/29/5/799.full
Ruales M. Elementos para la elaboración de un programa de vigilancia epidemiológica en atención farmacéutica. Rev Centro Estudios Salud. 2002 [citado 29 Nov 2015];1(3):60-4. Disponible en: http://revistasalud.udenar.edu.co/?p=75
Haas-Gehres A, Sebastian S, Lamberjack K. Impact of pharmacist integration in a pediatric primary care clinic on vaccination errors: A retrospective review. J Am Pharm Assoc. 2014 [cited 2016 Feb 18];54(4):415-8. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4217275/
Gaitán H, Gómez P, Escalava J. Actitudes del personal en la vigilancia de eventos adversos intrahospitalarios en Colombia. Rev salud pública. 2008 [citado 28 Nov 2015];11 (5):745-53. Disponible en: http://www.scielosp.org/pdf/rsap/v11n5/v11n5a07.pdf
Mossialos E, Naci H, Courtin E. Expanding the role of community pharmacists: Policymaking in the absence of policy-relevant evidence? Health Pol. 2013 [cited 2016 Feb 17];111(2):135-48. Available at: http://www.sciencedirect.com/science/article/pii/S0168851013001000
Olsson E, Ingman P, Ahmed B, Kälvemark S. Pharmacist-patient communication in Swedish community pharmacies. Pharmacist-patient communicat Swedish comm pharmacies. 2014 [cited 2016 Feb 18];10(1):149-155. Available at: http://www.sciencedirect.com/science/article/pii/S1551741113000430
Dobson R, Taylor J, CHenry J, Lachaine J, Zello G, Keegan D, et al. Taking the lead: Community pharmacists' perception of their role potential within the primary care team. Res Social Administrative Phar. 2009 [cited 2015 Dic 6];5:327-36. Available at: http://www.sciencedirect.com/.../pii/S1551741108001137
Poulose S, Cheriyan E, Cheriyan R, Weeratunga D, Adham M. Pharmacistadministered influenza vaccine in a community pharmacy: A patient experience survey. Can Pharmacists J. 2015 [cited 2016 Feb 18];148(2):64-7. Available at: http://cph.sagepub.com/content/148/2/64.full.pdf+html
Tucker R, Duffy J. The Role of Community Pharmacists in the Management of Skin Problems. J Pharmaceutical Care Health Sys. 2014 [cited 2016 Feb 18]. Available at: http://www.omicsgroup.org/journals/the-role-of-communitypharmacists- in-the-management-of-skin-problems-JPCHS-1-105.php?aid=25890
Márquez S. Promoción de la salud y prevención en tiempos de crisis: el rol del sector sanitario. Informe SESPAS 2014. Gacet Sanit. 2014 [citado 17 Feb 2016];28:116-23. Disponible en: http://ac.els-cdn.com/S0213911114000466/1- s2.0-S0213911114000466-main.pdf?_tid=1940a34e-d66f-11e5- 8a7100000aab0f6b&acdnat=1455821015_13248baba997e09e59306927f604e122
Jorgenson D, Dalton D, Farrell B, Tsuyuki R, Dolovich L. Guidelines for Pharmacists Integrating into Primary Care Teams. Can Pharmacists J. 2013 [cited 2015 Dic 8];146(6): 342-52. Available at: https://www.usask.ca/pharmacynutrition/ research/Spotlight%20on%20Research/derek-jorgenson.php
Azhar S, Azmi M, Izham M, Ahmad M, Masood I, Akmal A. The role of pharmacists in developing countries: the current scenario in Pakistan. Human Res Health. 2009 [cited 2015 Nov 30];7:54. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2714831/
Smith M, Bates D, Bodenheimer T, Cleary P. Why Pharmacists Belong In The Medical Home? Health Aff. 2010 [cited 2015 Dic 8];29(5):906-13. Available at: http://www.content.healthaffairs.org/content/29/5/906.abstract
Mak V, Clark A, March G, Gilbert A. The Australian pharmacist workforce: employment status, practice profile and job satisfaction. Australian Health Rev. 2013 [cited 2015 Dic 7];37:127-30. Available at: http://www.ncbi.nlm.nih.gov/pubmed/23158000
Rey A, Acosta N. El enfoque de competencias para los equipos de Atención Primaria en Salud. Una revisión de literatura. Rev Gerenc Polit Salud. 2013 [citado 30 Nov 2015];12(25):28-39. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S1657
Saramunee K, Krska J, Mackridge A, Richards J, Suttajit S, Phillips P. How to enhance public health service utilization in community pharmacy? General public and health providers' perspectives. Res Social Administrative Phar. 2014 [cited 2015 Dic 1];10:272-84. Available at: http://www.sciencedirect.com/science/article/pii/S1551741112000745
Mourelle J, Cruz M, Broche L, García A, López Á. Importancia de los comités farmacoterapéuticos en la toma de decisiones en salud. Rev INFODIR. 2014 [citado 17 Feb 2016];17. Disponible en: http://revinfodir.sld.cu/index.php/infodir/article/viewFile/23/49
Nissen L. Current status of pharmacist influences on prescribing of medicines. Am J Health-Syst Pharm. 2009 [cited 2015 Nov 30];66(Suppl 3):S29-34. Available at: http://www.ajhp.org/content/66/5_Supplement_3/s29.full.pdf+html
Pradeep G. The Evolving Role of the Community Pharmacist in Chronic Disease Management - A Literature Review. Acad Med Singapore. 2010 [cited 2015 Dic 8];39:861-7. Available at: http://www.ncbi.nlm.nih.gov/pubmed/21165527
Abbing V. Bridging differences in outcomes of pharmacoepidemiological studies: design and first results of the PROTECT project. Curr Clin Pharmacol. 2014 [cited 2014 Feb 18];9(2):130-8. Available at: http://www.ingentaconnect.com/content/ben/ccp/2014/00000009/00000002/art00 005?crawler=true&mimetype=application/pdf
Darin K, Klepser M, Klepser D, Klepser S, Reeves A. Pharmacist-provided rapid HIV testing in two community pharmacies. J Am Pharmacists Ass. 2015 [cited 2016 Feb 18];55(1):81-8. Available at: http://www.sciencedirect.com/science/article/pii/S1544319115300157
Harmon M, Pogge E, Boomershine V. Evaluation of a pharmacist-led, 6-month weight loss program in obese patients. J Am Pharmacists Ass. 2014 [cited 2016 Feb 18];54(3):302-7. Available at: http://www.sciencedirect.com/science/article/pii/S1544319115301904
Todd A, Moore H, Husband A, Bambra C, Kasim A, Sniehotta F, et al. Community pharmacy interventions for public health priorities: protocol for a systematic review of community pharmacy-delivered smoking, alcohol and weight management interventions. Syst rev. 2014 [cited 2016 Feb 18];55(1);3(1):1. Available at: http://systematicreviewsjournal.biomedcentral.com/articles/10.1186/2046-4053-3-93
O'Connor S, Michaels N, Ferreri S. Expansion of pharmacogenomics into the community pharmacy: billing considerations. Pharmacogenomics. 2015 [cited 2016 Feb 18];16(3):175-80. Available at: http://www.futuremedicine.com/doi/full/10.2217/pgs.14.183
O'Neal K, Crosby K. What is the Role of the Pharmacist in Obesity Management? Curr Obes Rep. 2014 [cited 2015 Nov 30];3:298-306. Available at: http://link.springer.com/article/10.1007%2Fs13679-014-0110-2#/page-1
Tommelein E, Petrovic M, Somers A, Mehuys E, van der T, Boussery K. Older patients' prescriptions screening in the community pharmacy: development of the Ghent Older People's Prescriptions community Pharmacy Screening (GheOP3S) tool. J Public Health Adv Acc. 2015 [cited 2016 Feb 18]:1-13. Available at: https://jpubhealth.oxfordjournals.org/content/early/2015/07/13/pubmed.fdv090.ful l.pdf+html
Erni P, von Overbeck J, Reich O, Ruggli M. Net Care, a new collaborative primary health care service based in Swiss community pharmacies. Res Social Administrative Phar. 2015 [cited 2016 Feb 18]. Available at: http://www.sciencedirect.com/science/article/pii/S1551741115001667
Chiazor E, Evans M, van Woerden H, Oparah A. A systematic review of community pharmacists' interventions in reducing major risk factors for cardiovascular disease. Val Health Reg. 2015 [cited 2016 Feb 18];7:9-21. Available at: http://ac.els-cdn.com/S2212109915000102/1-s2.0-S2212109915000102- main.pdf?_tid=3bebe3c4-d65e-11e5-80fe- 00000aacb361&acdnat=1455813772_8f909ef1a2140dc5d5e75a225be92b19
Nemire R, Ward C, Whalen K, Quinn J, Subramaniam V. Public health matters: the role of the pharmacist and the academy. Curr Pharmacy Teach Lear. 2010 [cited 2015 Dic 4];2:2-11. Available at: http://www.sciencedirect.com/.../pii/S1877129709000550
Cheong L, Armour C, Bosnic S. Primary health care teams and the patient perspective: A social network analysis. Res Social Administrative Phar. 2013 [cited 2015 Dic 4];9:741-57. Available at: http://www.sciencedirect.com/.../pii/S1551741113000028
Rosas A, Narciso V, Cuba M. Atributos de la Atención Primaria de Salud (A.P.S): Una visión desde la Medicina Familiar. Acta Med Per. 2013 [citado 5 Dic 2015];30(1):42-7. Disponible en: http://www.redalyc.org/articulo.oa?id=9662644600
Goad J, Bach A. The role of community pharmacy-based vaccination in the USA: current practice and future directions. Integrat Pharmacy Res Prac. 2015;4:67-77.
Patel H. Promoting self-care in the community: The evidence and why it is important. Insulin. 2016 [cited 2016 Feb 18];10:18. Available at: http://www.pharmaceutical-journal.com/learning/learning-article/promoting-selfcare- in-the-community-the-evidence-and-why-it-is-important/11137908.article
Laliberté M, Perreault S, Damestoy N, Lalonde L. Ideal and actual involvement of community pharmacists in health promotion and prevention: a cross-sectional study in Quebec, Canada. BMC Public Health. 2012 [cited 2015 Nov 29];12:192. Available at: http://www.ncbi.nlm.nih.gov/pubmed/22420693
Orueta R, Santos C, González E, Fagundo E, Lázaro G, Carmona, J et al. Medicalización de la vida. Rev Clin Med Fam. 2011 [citado 3 Dic 2014];4(2). Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699- 695X2011000200011
Agomo C, Ogunleye J. An investigation of strategies enhancing the public health role of community pharmacists: a review of knowledge and information. J Pharmaceutical Health Ser Res. 2014 [cited 2015 Dic 8];135-45. Available at: http://onlinelibrary.wiley.com/doi/10.1111/jphs.12056/abstract
McMillan S, Wheeler A, Sav A, King M, Whitty J, Kendall E, et al. Community pharmacy in Australia: A health hub destination of the future. Res Social Administrative Phar. 2013 [cited 2015 Dic 2];9:863-75. Available at: http://www.ncbi.nlm.nih.gov/pubmed/23218552
Penm J, Li Y, Zhai S, Hu Y, Chaar B, Moles R. The impact of clinical pharmacy services in China on the quality use of medicines: a systematic review in context of China's current healthcare reform. Health Pol Plann 2014[cited 2016 Feb 18];29(7):849-872. Available at: http://heapol.oxfordjournals.org/content/29/7/849
Acheampong F, Panyin B, Asumeng G. Medication safety strategies in hospitals- A systematic review. The Internat J Risk Safety Med. 2014 [cited 2015 Nov 30];26(3):117-31. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25214157
Monte S, Passafiume S, Kufel D, Comerford P, Trzewieczynski P, Andrus K, Brody P. Pharmacist home visits: A 1-year experience from a community pharmacy. J Am Pharmacists Ass. 2016 [cited 2016 Feb 18];56(1):67-72. Available at: http://www.sciencedirect.com/science/article/pii/S1544319115000035
Bradley C. The future role of pharmacists in primary care. Br J Gen Prac. 2009 [cited 2015 Dic 4];59(569):891-2. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2784524/pdf/bjgp59-891.pdf
Edwards H, Webb R, Scheid D, Britton M, Armor B. A pharmacist visit improves diabetes standards in a patient-centered medical home (PCMH). Am J Med Quality. 2012 [cited 2016 Feb 18];27(6):529-34. Available at: http://ajm.sagepub.com/content/27/6/529.full.pdf+html
Shulman R, McKenzie C, Landa J, Bourne R, Jones A, Borthwick M, Bates I. Pharmacist's review and outcomes: Treatment-enhancing contributions tallied, evaluated, and documented (PROTECTED-UK). J Crit Care. 2015 [cited 2016 Feb 18];30(4):808-13. Available at: http://www.sciencedirect.com/science/article/pii/S0883944115001537
Santschi V, Chiolero A, Burnand B, Colosimo A, Paradis G. Impact of Pharmacist Care in the Management of Cardiovascular Disease Risk Factors A Systematic Review and Meta-analysis of Randomized Trials. Arch Intern Med. 2011 [cited 2015 Dic 3];171(16):1441-53. Available at: http://www.ncbi.nlm.nih.gov/pubmed/21911628
Rubio M, Serrano A, Magdalena J, Fernández A, García J, March M, et al. Effectiveness of Pharmacist Care in the Improvement of Adherence to Antidepressants: A Systematic Review and Meta-Analysis. Ann Pharmacother. 2011 [cited 2015 Dic 8];45:39-48. Available at: http://www.ncbi.nlm.nih.gov/pubmed/21205952
Charrois T, Zolezzi M, Koshman S, Pearson G, Makowsky M, Durec T, et al. A Systematic Review of the Evidence for Pharmacist Care of Patients With Dyslipidemia. Pharmacotherapy. 2012 [cited 2015 Dic 4];32(3):222-33. Available at: http://ncbi.nlm.nih.gov/pubmed/22392455
Fernández C, Calleja M, Manrique S, Pérez C, Duran E, Sanjurjo M. Impact of clinical pharmacist interventions in reducing paediatric prescribing errors. Arch Dis Child. 2012 [cited 2015 Dic 1];97(6):564-8. Available at: http://www.ncbi.nlm.nih.gov/pubmed/22362718
Abdul M, Phillip D, Closs S, Briggs M. Effectiveness of Pharmacist-Led Medication Reviews in Improving Patient Outcomes in Chronic Pain: A Systematic Review Protocol. Can Pharmacists J. 2012 [cited 2015 Dic 3];145:264-6. Available at: http://www.ncbi.nlm.nih.gov/pubmed/24480911
Rigby D. Medication in review: Pharmacists in GP practices: The benefit of interdisciplinary teams. Australian J Phar. 2014 [cited 2015 Dic 5];5(1124):61-3. Available at: http://www.search.informit.com.au/documentSummary;dn;res