Evaluación del servicio de entrega de medicación a domicilio desde la Farmacia Hospitalaria durante la pandemia COVID-19 / Medication home delivery service set up in a Hospital Pharmacy Department during the COVID-19 pandemic

OBJETIVO: Analizar el procedimiento de entrega a domicilio de medicación de dispensación hospitalaria instaurado en el Servicio de Farmacia Hospitalaria (SFH) durante la pandemia COVID-19. Conocer el perfil de pacientes que aceptan la dispensación domiciliaria, analizar por patología las dispensaciones a domicilio y evaluar el grado de satisfacción de los pacientes mediante una encuesta telefónica. MÉTODOS: Estudio observacional, retrospectivo y descriptivo. Se analizaron las entregas de medicación a domicilio desde el SFH en el periodo del 7 de abril al 7 de mayo. Las características clínicas y demográficas de los pacientes se obtuvieron a partir del programa informático de pacientes externos del SFH e historia clínica electrónica. El grado de satisfacción de los pacientes se evaluó mediante la realización de una encuesta telefónica posterior a la entrega a domicilio. RESULTADOS: Se realizaron 2.028 entregas de medicación a domicilio abarcando toda la Comunidad Autónoma de Madrid (CAM), con un grado de aceptación del 76,82%. La patología con mayor número de entregas fue VIH. Los pacientes con enfermedades inmunomediadas fueron los que mayor aceptación reportaron. El 99% de los pacientes se mostraron satisfechos con el servicio. CONCLUSIONES: El servicio de entrega de medicación a domicilio ha sido ampliamente aceptado por los pacientes, mostrando un alto grado de satisfacción con el mismo. Se han evitado desplazamientos al hospital, disminuyendo el riesgo de contagio. Los pacientes demandan la prolongación de este servicio fuera del periodo de pandemia y sugieren que se complemente con una consulta de atención farmacéutica por telefarmacia

OBJECTIVE: To analyze the home delivery process of hospital medication set up in a Hospital Pharmacy Department (HPD) during the COVID-19 pandemic. To asses the profile of patients who accept home delivering, to analyze home dispensations by pathology and to evaluate the patient satisfaction through a telephone survey. METHODS: Observational, retrospective and descriptive study. Medication home delivery from the HPD in the period from April 7 to May 7 was analyzed. Patients demographic and clinical characteristics were obtained from the outpatient software used at the HPD and the electronic medical record. The degree of patient satisfaction was assessed by conducting a telephone survey after home delivery. RESULTS: A total of 2,028 home deliveries were made to the entire Community of Madrid, with an acceptance rate of 76,82%, being HIV the pathology with the highest number of deliveries. Patients with immune-mediated diseases were the ones with the greater acceptance rate. Overall patient satisfaction with the service was 99%. CONCLUSIONS: Medication home delivery service has been widely accepted by patients, showing a high degree of satisfaction. Avoiding trips to the hospital has reduced the risk of contagion. Patients demand the continuation of this service after the pandemic and support Pharmaceutical Care by telepharmacy

[Influence on white coat effect and heart rate of antihypertensive agents used at a urban health center]. / Influencia sobre el efecto de bata blanca y la frecuencia cardiaca de los fármacos antihipertensivos usados en un centro de salud urbano.

BACKGROUND: We name white coat effect (WCE) to the difference between the systolic arterial pressure (SAP)/diastolic AP (DAP) of consulting room and the ambulatory obtained one with ambulatory blood pressure monitoring (ABPM). In our work we analyzed by means of ABPM, the influence of the antihypertensive medicaments on the WCE and the cardiac frequency of use of the antihypertensive ones. DESIGN: Almost experimental study (with a period before and a period later) and descriptive. SETTING: Primary care. Urban health centre. PARTICIPANTS AND MAIN MEASUREMENTS: Studies of ABPM were realized to 70 hypertense essential patients with good control of the arterial pressure after pharmacological treatment before suspending the antihypertensive medication (phase 1) and to the 4 weeks of leaving the treatment (phase 2). RESULT: Or all 70 hypertense patients. 18 (26%) did not manage to carry out the second ABPM (unbalanced during the wash) that forced to re-introduce the antihypertensive medicaments. The WCE systolic and diastolic is significantly more raised in patient males in treatment with diuretics with regard to which they use other pharmacological groups. The CF is significantly more raised in patient women who do not take blockaders thread (they use another group) with regard to they take it. In the blockaders alpha the CF is significantly more raised in the women who use it with regard to that they use antihypertensive other one. Of all 52 patients who were realized double ABPM, WCE was significantly top in phase 1 that in 2. CONCLUSION: In hypertense controlled patients, the diuretics (in males) are the pharmacological group that of more significant way influences on WCE, them raising with regard to the patients who take antihypertensive other one, being in influence the opposite on CF. The women with blockaders thread present values of CF significantly lower than those who use another antihypertensive medication; happening the inverse thing the blockaders alpha. In our consulting room exists a inadequate use of the antihypertensive ones. The WCE is significantly mayor when is submitted to pharmacological treatment.