Nicieza-García María Luisa, Salgueiro-Vázquez María Esther, Jimeno-Demuth Francisco José, Manso Gloria
Servicio de Farmacia de Atención Primaria, Hospital Carmen y Severo Ochoa, Cangas del Narcea (Asturias), España.
Departamento de Medicina, Área de Farmacología, Universidad de Oviedo, Oviedo (Asturias), España.
Gac Sanit. 2016 Jan-Feb;30(1):69-72. doi: 10.1016/j.gaceta.2015.10.009. Epub 2015 Nov 25.
As part of the protocol of the Health Service of the Principality of Asturias (Spain), primary care physicians periodically receive listings of the treatments of patients of any age taking 10 or more drugs/day for 6 months. Currently, the Health Service of the Principality of Asturias is developing a project that aims to assess the medications of polypharmacy patients. The aim is to identify: 1) the consumption of medicines of low therapeutic usefulness, 2) the consumption of potentially nephrotoxic drugs in patients with a low glomerular filtration rate, and 3) potentially inappropriate prescribing in patients aged 65 years or older. The project was started in Health Area II and the aim is to extend it to the remaining health areas. In our opinion, its automation and general implementation could be useful to optimize drug prescription.
作为西班牙阿斯图里亚斯公国卫生服务协议的一部分,基层医疗医生会定期收到年龄不限、连续6个月每日服用10种及以上药物的患者治疗清单。目前,阿斯图里亚斯公国卫生服务机构正在开展一个项目,旨在评估多重用药患者的用药情况。目的是确定:1)治疗效用低的药物的使用情况;2)肾小球滤过率低的患者中潜在肾毒性药物的使用情况;3)65岁及以上患者中潜在不适当的处方情况。该项目已在第二卫生区启动,目标是推广至其他卫生区。我们认为,其自动化和全面实施可能有助于优化药物处方。