Hernández BM, Cruz BMA, Furones MJA

Language: Spanish
References: 18
Page: 20-29
PDF size: 189.36 Kb.

ABSTRACT

Introduction: It is suspected that drug therapy commissions functioning in polyclinics located in municipality Boyeros, in Havana, is not adequate.
Objectives: To evaluate the composition and functioning of the drug therapy commissions and to identify factors that can affect their functioning.
Methods: Descriptive and cross-sectional study of 7 polyclinics. The variables were position and profession of the presidents and secretaries, permanent members, number of meeting reports, functions and management results. Data was taken from interview to the president of the drug therapy commission and from the meeting reports made in the year. A focus group was carried out with the participant of presidents and secretaries of the commissions, among other members; their approaches were grouped according frequency.
Results: The composition of commissions was not adequate in 71.5 %, all of the commission presidents were doctors, one of the commission secretary was a nurse, the participation of gynecobstetricians (42.9 %), pediatricians (71.4 %) and family doctors (28,5%) was low. The functioning of the commissions was rated as regular in 42.9 % and as bad in 57.1 %, just 42. 9 % had kept 9 to 12 meetings reports. It was also identified that health managers have little perception about importance of drug therapy commissions, lack of training of their members and the necessity that one professional assumes the activity as unique task in the institution.
Conclusions: It was identified deficient structure and functioning of the drug therapy commissions in municipality Boyeros, that was also recognized by members of commissions.

REFERENCES

1. Holloway K, Green T, editores. Comités de farmacoterapia: Guía práctica. Ginebra: Organización Mundial de la Salud, Departamento de Medicamentos Esenciales y Política Farmacéutica; 2003.

2. Hoffmann M. The right drug, but from whose perspective? A framework for analysing the structure and activities of drug and therapeutics committees. Eur J Clin Pharmacol. 2013 [citado 3 Jul 2017];69(Suppl 1):[aprox. 8 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3642357/pdf/228_2013_Article_1491.pdf

3. Björkhem-Bergman L, Andersén-Karlsson E, Laing R, Diogene E, Melien O, Jirlow M, et al. Interface management of pharmacotherapy. Joint hospital and primary care drug recommendations. Eur J Clin Pharmacol. 2013 [citado 3 Jul 2015];69(Suppl 1):[aprox. 5 p.]. Disponible en: http://link.springer.com/article/10.1007%2Fs00228-013-1497-5

4. García Pérez S, Polo Santos M, Gómez Pajuelo P, Sarría Santamera A. Organización y funcionamiento de los Comités Autonómicos de Evaluación de medicamentos. Madrid: Agencia de Evaluación de Tecnologías Sanitarias, Instituto de Salud Carlos III; 2014.

5. Ramos C, Viroga S, Amigo C, López M, Speranza N, Tamosiunas G. ¿Forman parte los comités de terapéutica de las políticas de medicamentos en las instituciones de salud de Montevideo? An Facultad Med (Univ Repúb Urug). 2016 [citado 6 Jul 2017];3(2):[aprox. 10 p.]. Disponible en: http://www.anfamed.edu.uy/index.php/rev/article/view/201/102

6. Ortiz-Prado E, Galarza C, Cornejo León F, Ponce J. Acceso a medicamentos y situación del mercado farmacéutico en Ecuador. Rev Panam Salud Pública. 2014 [citado 6 jul 2017];36(1):[aprox. 6 p.]. Disponible en: http://www.paho.org/journal/index.php?option=com_docman&view=download&category_slug=pdfs-july-2014&alias=776-acceso-a-medicamentos-y-situacion-del-mercado-farmaceutico-en-ecuador&Itemid=847

7. Pérez J, Cires M, Freijoso E, Lara MC, Cruz MA, Furones JA, et al. Modelo cubano de la red nacional de Farmacoepidemiología. Promoción del uso adecuado de los medicamentos. La Habana: Editorial Academia; 2010.

8. Broche Villarreal L, Furones Mourelle JA, Cruz Barrios MA, Rodríguez Piñeiro D. Composición y funcionamiento del comité farmacoterapéutico en policlínicos de La Habana. Rev Cubana Salud Pública. 2015 [citado 3 Jul 2017];41(2):[aprox. 11 p.]. Disponible en: http://www.revsaludpublica.sld.cu/index.php/spu/article/view/371/342

9. Ministerio de Salud Pública. Programa Nacional de Medicamentos VI versión. La Habana: Ministerio de Salud Pública; 2012.

10. Broche Villarreal L, Alfonso Orta I, Silva Herrera L, Jiménez López G, Calvo Barbado D, López Leyte M, et al. Propuesta metodológica para el funcionamiento de los Comités Farmacoterapéuticos en la Atención Primaria de Salud. Rev Cubana Med Gen Integr. 2013 [citado 3 Jul 2017];29(2):[aprox. 9 p.]. Disponible en: http://bvs.sld.cu/revistas/mgi/vol29_2_13/mgi10213.htm

11. Plet HT, Hallas J, Nielsen GS, Kjeldsen LJ. Drug and therapeutics committees in Danish hospitals: a survey of organization, activities and drug selection procedures. Basic & Clinical Pharmacology & Toxicology. 2013 [citado 3 Sep 2017];112:[aprox. 5 p.]. Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/bcpt.12028/pdf

12. Umnuaypornlert A, Kitikannakorn N. Performance of Pharmacy and Therapeutics Committees of Public Hospitals in Rural Thailand. Mahidol University Journal of Pharmaceutical Sciences. 2014 [citado 3 Jul 2017];41(1):[aprox. 7 p.]. Disponible en: http://www.pharmacy.mahidol.ac.th/journal/_files/2014-41-1_11-18.pdf

13. Alfonso I, Alonso L, Calvo DM, Cires M, Cruz MA, Delgado I, et al. Manual de buenas prácticas de la prescripción. Lara MC, Pérez J, Calvo DM, Furones JA, Cires M, editores. La Habana: Editorial Academia; 2010.

14. Furones JA, Pérez J. Necesidad de la Farmacoepidemiología. En: Furones JA, Lara C, Barbado DM, Jiménez G, Pérez J, Cruz MA, editores. Farmacoepidemiología. Uso racional de medicamentos. La Habana: Editorial Academia; 2010. p. 1-14.

15. Colectivo de autores. Modelo cubano de la red nacional de farmacoepidemiología. Promoción del uso adecuado de los medicamentos. Ciudad de La Habana: Editorial Academia; 2008.

16. Cruz Barrios MA, Furones Mourelle JA, López Aguilera AF, Gómez de Haz H. Diplomado de Farmacoepidemiología, 14 años de experiencia. Memorias Convención Internacional de Salud Pública Cuba Salud. 2012 [citado 14 Oct 2017]. Disponible en: http://www.convencionsalud2012.sld.cu/index.php/convencionsalud/2012/paper/viewFile/1549/402

17. Cruz Barrios MA, Furones Mourelle JA. Investigaciones en Farmacoepidemiología a partir de las tesis de maestría. Ponencia presentada en: Jornada Ensap 2016. La Habana: Escuela Nacional de Salud Pública; 2016.

18. García Milian AJ, Alonso Carbonell L, López Puig P. Consumo de medicamentos en la población femenina adulta de Cuba. Rev Cubana Salud Pública. 2013 [citado 14 Oct 2017];39(3):[aprox. 9 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662013000300003&lng=es