Collaboration of a health and social services center and community pharmacies in reviewing medications and processing personalized dosing systems

Introduction: Institutionalized patients have, by their characteristics, more possibilities of presenting security problems with medication. The community pharmacy can offer different services, such as medication review. For this, we have the STOPP criteria, which detect potentially inappropriate prescriptions (PPI) and the START that detect potentially omitted prescriptions (PPO). In addition to the medication review, the community pharmacist has personalized dispensation systems (SPD).

Objective: Facilitate adherence to the prescribed medications in a social-health center with the help of the SPD carried out by community pharmacists.

Methodology: Prospective study carried out in two community pharmacies and in a social health center (25 residents) of Ondara for eight months (January-August 2017). It involved a doctor, a nurse and four community pharmacists.

Results: 31 patients were included, which generated 62 reviews of the medication. The average age was 83 years. 16 PPI were detected and the doctor accepted 50% of them. The most detected STOPP criterion was B9: loop diuretics for the treatment of hypertension with urinary incontinence.

25 PPO criteria were detected and the doctor accepted 28% of them. The most detected START criterion was E4: Antiresorptive or bone anabolic agents in patients with osteopororosis.

Conclusions: The administration of medication in the social-health center has been facilitated since the MDSs were carried out by the community pharmacists. With the review of the medication the community pharmacist helped the doctor to optimize the pharmacotherapy of admitted patients.