The Telepharmacy patient prioritisation model of the Spanish Society of Hospital Pharmacy

The Spanish Society of Hospital Pharmacy Position Paper on Telepharmacy states that the inclusion of patients should take into account ethical considerations and, therefore, be based on the concept of equity. Thus, it establishes that Telepharmacy should not be limited to specific pathologies or med...

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Bibliographic Details
Published in:Farmacia hospitalaria 2022-10, Vol.46, p.106-114
Main Authors: Monte-Boquet, Emilio, Hermenegildo-Caudevilla, Marta, Vicente-Escrig, Esther, Águila, Vera Áreas-del, Barbadillo-Villanueva, Sara, Gimeno-Gracia, Mercedes, Lázaro-López, Alicia, Navarro-Aznárez, Herminia, Robustillo-Cortés, Aguas, Sánchez-Yañez, Elena, Morillo-Verdugo, Ramón
Format: Article
Language:English
Subjects:
Consulta remota
Farmacéutico
Hospital
Paciente
Patient
Pharmacist
Pharmacy Services
Remote consultation
Servicio de Farmacia
Telefarmacia
Telemedicina
Telemedicine
Telepharmacy
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Summary:The Spanish Society of Hospital Pharmacy Position Paper on Telepharmacy states that the inclusion of patients should take into account ethical considerations and, therefore, be based on the concept of equity. Thus, it establishes that Telepharmacy should not be limited to specific pathologies or medicines, but should be based on the individual needs of each patient: it also highlights the need to rely on selection or prioritisation models to help identify patients who can benefit from Telepharmacy. The aim of this article is to present the Spanish Society of Hospital Pharmacy Telepharmacy Patient Prioritisation Model, which establishes key recommendations and a reference prioritisation model to guide hospital pharmacists in the identification and prioritisation of patients who are candidates for inclusion in Telepharmacy programmes. This model was developed based on the experience of a group of experts in their clinical practice as well as on a review of the main reference documents available in this field. It comprises 25 criteria, grouped into 8 minimum inclusion criteria, 5 continuity criteria, and 12 recommended criteria. The latter criteria are divided into high, medium, and low priority criteria. Patients are prioritised according to their scores on meeting the recommended criteria, such that those with the highest scores are given the highest priority. As stated in the Spanish Society of Hospital Pharmacy Position Paper on Telepharmacy, pharmacotherapeutic monitoring can be conducted via remote consultation without sending medication, but not vice versa; thus, the 25 criteria defined apply to Telepharmacy programmes in the area of the remote dispensing and informed delivery of medicines, but only 19 of them apply to pharmacotherapeutic monitoring programmes. The model presented is intended to be a reference guide and should be adapted to the particular characteristics and circumstances of each pharmacy service, depending on demand and available resources. La Sociedad Española de Farmacia Hospitalaria, en su Documento de Posicionamiento sobre Telefarmacia, establece que la inclusión de pacientes debe tener en cuenta consideraciones éticas y, por tanto, estar basada en el concepto de equidad. Por ello, establece que la Telefarmacia no debe restringirse por patologías ni medicamentos, sino en función de las necesidades individuales de cada paciente, y destaca la necesidad de apoyarse en modelos de selección o priorización que ayuden en la identificació
ISSN:1130-6343
DOI:10.7399/fh.13254