[Management systems for the renewal of medical prescriptions: the vision of users and health professionals]. / Sistemas de gestión para la renovación de recetas médicas: la visión del usuario y del profesional sanitario.

OBJECTIVE: To find the degree of satisfaction of users and doctors who use the repeat medical prescription system. DESIGN: Multi-centre, cross-sectional study. SETTING: Four primary care centres covering 160 000 inhabitants. PARTICIPANTS: Users included in the repeat medical prescription system and doctors who use it. MAIN MEASUREMENTS: Questionnaire on satisfaction. MAIN RESULTS: Users (52.4% women) filled in 429 questionnaires (mean age, 64.2; SD, 13.98). Average medicines taken were 4.4 (SD, 3.04). The period established for picking up prescriptions was usually 60 days (77.4%). 83.9% (95% CI, 80.4-87.4) of those questioned stated they had no problems, with a mean degree of satisfaction at 8.4 (SD, 1.52). There were no significant differences for gender (P=.53). There was a very weak but significant positive correlation between the score and the age of those questioned (r(2)=1%; P=.03). Mean score of satisfaction had statistically significant differences, depending on the PCC. 86.9% (95% CI, 83.8-90.1) of users collected the prescriptions within the term set. The factors associated with greater adherence were age and a greater number of medicines per person. Doctors filled in 47 questionnaires. Mean score was 7.42 (SD, 1.09) and all except one (98%; 95% CI, 89.1-99.9) thought that the system meant an improvement in clinical management. CONCLUSION: Users are very satisfied, although they believe certain organisational points should be improved in order to improve accessibility.

Sistemas de gestión para la renovación de recetas médicas: la visión del usuario y del profesional sanitario / Management systems for the renewal of medical prescriptions: the vision of users and health professionals

Objetivo. Conocer el grado de satisfacción de los usuarios y médicos que utilizan el sistema de repetición de recetas médicas. Diseño. Estudio multicéntrico, transversal. Ámbito. Cuatro centros de atención primaria que atienden a 160.000 habitantes. Participantes. Usuarios incluidos en el sistema de repetición de recetas médicas y médicos que lo utilizan. Mediciones principales. Encuesta de satisfacción. Resultados principales. Se han realizado 429 encuestas a usuarios (edad media 64,2 ± 13,98 años, con un 52,4% de mujeres). El promedio de medicamentos que tomaban era de 4,4 ± 3,04. El período establecido para la recogida de recetas era principalmente de 60 días (77,4%). El 83,9% (intervalo de confianza [IC] del 95%, 80,4-87,4) de los encuestados declaró no haber tenido problemas y la puntuación media de satisfacción fue de 8,4 ± 1,52. No se observaron diferencias estadísticamente significativas según el sexo (p = 0,53). Hay una correlación positiva muy débil aunque significativa entre la puntuación y la edad de los encuestados (r² = 1%; p = 0,03). La puntuación media de satisfacción presentaba diferencias estadísticamente significativas según el centro de atención primaria. El 86,9% (IC del 95%, 83,8-90,1) de los usuarios recogió las recetas en el plazo fijado. Los factores que se asociaron con un mayor cumplimiento fueron la edad y el mayor número de medicamentos por persona. Se realizaron 47 encuestas a los médicos. La puntuación media fue de 7,42 ± 1,09 y todos excepto uno (98%; IC del 95%, 89,1-99,9) opinaron que había sido una mejora para la gestión de la consulta. Conclusión. Los usuarios están muy satisfechos aunque consideran que deben mejorarse aspectos relacionados con la organización para mejorar la accesibilidad

Objective. To find the degree of satisfaction of users and doctors who use the repeat medical prescription system. Design. Multi-centre, cross-sectional study. Setting. Four primary care centres covering 160 000 inhabitants. Participants. Users included in the repeat medical prescription system and doctors who use it. Main measurements. Questionnaire on satisfaction. Main results. Users (52.4% women) filled in 429 questionnaires (mean age, 64.2; SD, 13.98). Average medicines taken were 4.4 (SD, 3.04). The period established for picking up prescriptions was usually 60 days (77.4%). 83.9% (95% CI, 80.4-87.4) of those questioned stated they had no problems, with a mean degree of satisfaction at 8.4 (SD, 1.52). There were no significant differences for gender (P=.53). There was a very weak but significant positive correlation between the score and the age of those questioned (r²=1%; P=.03). Mean score of satisfaction had statistically significant differences, depending on the PCC. 86.9% (95% CI, 83.8-90.1) of users collected the prescriptions within the term set. The factors associated with greater adherence were age and a greater number of medicines per person. Doctors filled in 47 questionnaires. Mean score was 7.42 (SD, 1.09) and all except one (98%; 95% CI, 89.1-99.9) thought that the system meant an improvement in clinical management. Conclusion. Users are very satisfied, although they believe certain organisational points should be improved in order to improve accessibility