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Impacto del SIF en la práctica habitual de las farmacias comunitarias: estudio INDICA+PRO Implantación.

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Title: Impacto del SIF en la práctica habitual de las farmacias comunitarias: estudio INDICA+PRO Implantación.
Alternate Title: Impact of a minor ailment service (MAS) on the daily practice in community pharmacies: The INDICA+PRO Implementation Study.
Authors: Amador-Fernández, Noelia1,2 noelia.amadorfernandez@uts.edu.au, Graham, Emma L.1, Benrimoj, Shalom (Charlie) I.1, Pérez-Hoyos, Elena3, Baixauli, Vicente J.3, Colomer-Molina, Vicente4, García-Agudo, Óscar4, García-Cárdenas, Victoria1, Gastelurrutia, Miguel Ángel1, Giner-Martínez, Jaime4, Palomo-Llinares, Rubén5, Sánchez-Tormo, Julia M.6, Martínez-Martínez, Fernando1
Source: Farmacéuticos Comunitarios. 7/15/2025, Vol. 17 Issue 3, p42-64. 23p.
Subjects: DRUGSTORES, GENERAL practitioners, DRUG therapy, QUALITY of life, COMMUNITY services, PRAGMATICS
Abstract (English): Background Community pharmacy has been promoted internationally for the management of minor ailments with positive results for patients and health care systems. This study evaluates the clinical impact and implementation of a minor ailment service in community pharmacies' daily practice. Methods A pragmatic study with a hybrid effectiveness-implementation design was conducted throughout Spain between 2020-2023. Patients aged ≥18 years who visited community pharmacies to consult or request a medicine for a minor ailment were included. The intervention consisted of a protocol for the minor ailment service and specific protocols for each ailment agreed with general medical practitioners through the SEFAC eXPERT ® IT platform and after community pharmacists' training. Patients were followed up 10 days after the consultation. Results A total of 430 pharmacies registered 20,987 consultations. 85.2% (n=17,885) were consultations about minor ailments and 14.8% (n=3,102) were requests for specific medications. Minor ailments related to pain (18.7%, n=3,935) were the most frequently consulted. Pharmacists recommended pharmacological treatment to 81.3% (n=17,063) patients and referred 8.0% (n=1,682) patients to a general medical practitioner. 72.4% (n=15,192) of patients responded to follow-up with a symptom resolution of 9.0/10.0, a change in quality of life of +9.0 (0-100 scale) and a satisfaction with the service of 9.6/10. Conclusion SIF proved to be both operational and effective, yielding beneficial health outcomes. Its implementation enabled the evaluation of a substantial number of consultations and highlighted the need to encourage the routine documentation of services in community pharmacy practice. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción A nivel internacional se ha promovido el papel de la farmacia comunitaria en el manejo de los síntomas menores (Servicio de Indicación Farmacéutica, SIF) con resultados positivos para el paciente y el sistema sanitario. Este estudio evalúa el impacto clínico y la implantación del SIF en la rutina diaria del farmacéutico. Método Se realizó un estudio pragmático con un diseño híbrido de efectividad-implantación en todo el territorio español en el periodo 2020-2023. Se incluyó a pacientes que acudieron a farmacias comunitarias para consultar o demandar un medicamento para un síntoma menor. La intervención consistió en el uso del protocolo de Foro AF-FC para el SIF y los protocolos consensuados con médicos de atención primaria a través de la plataforma SEFAC eXPERT® y tras formación de los farmacéuticos. Se realizó seguimiento de los pacientes a los diez días tras la consulta. Resultados Un total de 430 farmacias registró 20.987 indicaciones. El 85,2 % (n=17.885) fueron consultas por síntomas menores y 14,8 % (n=3.102) demandas de medicamentos. Los síntomas menores relacionados con dolor (18,7 %, n=3.935) fueron los más consultados. Los farmacéuticos recomendaron tratamiento farmacológico al 81,3 % (n=17.063) de los pacientes y derivaron al médico al 8,0 % (n=1.682). El 72,4 % (n=15.192) de los pacientes respondieron al seguimiento con una mejoría del síntoma menor de 9,0/10,0, un cambio de calidad de vida de +9,0 (escala 0-100) y una satisfacción con el servicio de 9,6/10. Conclusión El procedimiento del SIF protocolizado se mostró operativo y adecuado con resultados beneficiosos en salud. La implantación del SIF permitió observar un considerable volumen de registros y la necesidad de impulsar el registro de los Servicios Farmacéuticos Asistenciales en la práctica habitual del farmacéutico comunitario. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Background Community pharmacy has been promoted internationally for the management of minor ailments with positive results for patients and health care systems. This study evaluates the clinical impact and implementation of a minor ailment service in community pharmacies' daily practice. Methods A pragmatic study with a hybrid effectiveness-implementation design was conducted throughout Spain between 2020-2023. Patients aged ≥18 years who visited community pharmacies to consult or request a medicine for a minor ailment were included. The intervention consisted of a protocol for the minor ailment service and specific protocols for each ailment agreed with general medical practitioners through the SEFAC eXPERT ® IT platform and after community pharmacists' training. Patients were followed up 10 days after the consultation. Results A total of 430 pharmacies registered 20,987 consultations. 85.2% (n=17,885) were consultations about minor ailments and 14.8% (n=3,102) were requests for specific medications. Minor ailments related to pain (18.7%, n=3,935) were the most frequently consulted. Pharmacists recommended pharmacological treatment to 81.3% (n=17,063) patients and referred 8.0% (n=1,682) patients to a general medical practitioner. 72.4% (n=15,192) of patients responded to follow-up with a symptom resolution of 9.0/10.0, a change in quality of life of +9.0 (0-100 scale) and a satisfaction with the service of 9.6/10. Conclusion SIF proved to be both operational and effective, yielding beneficial health outcomes. Its implementation enabled the evaluation of a substantial number of consultations and highlighted the need to encourage the routine documentation of services in community pharmacy practice. [ABSTRACT FROM AUTHOR]
ISSN:18858619
DOI:10.33620/FC.2173-9218.(2025).19