The 44 percent of chronic patients in Spain does not fulfil the prescribed treatment in the health centres and this circumstance raises the risk that have to be re-admitted to a hospital in the next thirty days, with the consequent impact on the pharmaceutical expenditure.
These data have been presented today by the Spanish Society of Hospital Pharmacy in Valladolid, which hosts the 59th edition of the National Congress of this entity with the presence of nearly a thousand professionals until next Friday and with the aim of analysing, among other issues, the possible solutions to the failure of pharmacological treatments.
The president of this society, José Luis Poveda, has stated that it “spooky” that only 56 percent of the patients medicated to comply with your treatment, though he has considered that “bleeding” is among those who violate the “only 13 percent see themselves as deadbeat”.
In fact, among the people that reentered in a hospital before 30 days following your discharge, almost half of them, 40 percent, do so as a result of having failed to comply with their treatment.
This means, in his opinion, that it is not about blaming the patient for this situation, but that the Spanish health system should take steps to tackle a problem that is addressed in a study conducted at the end of the past 2013 in 43 hospitals in Spain, and whose main findings have been presented today.
Among the causes that lead patients to fail to comply with their medication include the lack of information, the chronicity of the disease, the lack of associated symptoms, and also the establishment of formulas of co-payment, a circumstance this latter that motivates the 11 percent of cases, according to data provided by Poveda.
To combat the lack of information and the rest of the match, the Spanish Society of Hospital Pharmacy has proposed the use of new technologies in the same way that you have already applied with aids patients in a program called “Expert Patient 2.0 in HIV”.
The results of this system have been positive, according to Poveda, who has stated that “there has been an important step forward” in the degree of compliance of the patients who have participated in this project and now seek to extend to other groups of patients.
“it Is a tremendously important, but it is not just about the patient or the hospital pharmacy, but the health care system in global”, has argued the president of this scientific society, who has had an impact also on the need to accelerate the digitization of clinical record systems to share information among health professionals.
In fact, Poveda has been recognized that at times the problem of non-compliance of the drug treatment comes through the duplication existing between a prescribed medication at the health centre and that it is recommended by the specialists.
In the words of the president of the SEFH, the society is now facing “a change of era in the health”, with aging as the main factor but also with a twist in the treatment given to the patients, oriented not only to the way they are treated at the campus hospital, but to its attention outside of this space, in their own homes.
The 55 per cent of the expenditure of the hospital pharmacy goes to outpatient, 30 percent to outpatient clinics and only about 15 percent of patients admitted to the hospital, have been detailed.
Until now, according to Poveda, the health had focused their efforts on patient care acute and, now, however, “the problem is the chronically sick”, has sued a “focus” on the part of the public administrations, which have the challenge of “to ensure the efficiency” in the use of medications more effective but with a cost “very high”.
The study elaborated by the Spanish Society of Hospital Pharmacy was applied to 723 patients in chronic treatment, with a mean age of 51 years, taking an average of three medications per day.