Telefarmacia y atención farmacéutica: Una revisión narrativa de la Federación Internacional Farmacéutica
Resumen
La tecnología surgida de la transformación digital ha traído consigo cambios en la asistencia sanitaria. En los próximos años, la Telefarmacia previsiblemente se convertirá en uno de los aspectos más importantes de la Telemedicina, ya que ofrece a los pacientes un acceso más inmediato a la atención farmacéutica, supone una reducción de costes tanto para los pacientes como para los sistemas sanitarios, y deriva en una mayor satisfacción, experiencia y comodidad de los pacientes, mejorando así los resultados clínicos. Debido en gran medida a la pandemia de COVID‑19, la Telefarmacia ha adquirido gran importancia en el ámbito de la atención farmacéutica, ya que esta crisis ha provocado una enorme presión sobre los sistemas sanitarios de todo el mundo. Se pueden encontrar multitud de experiencias publicadas en la literatura científica sobre modelos de Telefarmacia en diferentes países del mundo. Existen algunos modelos innovadores de servicios de Telefarmacia orientados a optimizar y mejorar el acceso a la atención farmacéutica, lo que se traduce en una mejora de la seguridad y los resultados de los pacientes. Entre las ventajas de la Telefarmacia se incluye el aumento del valor para las farmacias y los farmacéuticos y la adaptación a las necesidades de los pacientes, la mejora de la atención interprofesional, el aumento de la eficiencia de los sistemas sanitarios y la mayor prestación de servicios centrados en el paciente, entre otras. Sin embargo, a pesar de presentar múltiples ventajas, siguen existiendo importantes barreras para la implantación de la Telefarmacia, como la confidencialidad del paciente y la privacidad de la información clínica. Estas barreras para la implantación de la Telefarmacia pueden dividirse en cuatro ámbitos: tecnológico, organizativo, humano y económico. La prestación de atención y servicios farmacéuticos a través de medios digitales es una prioridad clave de la Federación Internacional Farmacéutica. La salud digital es uno de los 21 Objetivos de Desarrollo lanzados por la Federación Internacional Farmacéutica en 2020. El informe de la Federación Internacional Farmacéutica sobre salud digital en la formación farmacéutica en 2021 describe la preparación, adaptabilidad y capacidad de respuesta de la formación farmacéutica y las necesidades de conocimientos y habilidades de los farmacéuticos sobre la salud digital. Entre otras herramientas de salud digital, la Telemedicina/Telefarmacia ha sido señalada como una de las herramientas preferidas por los encuestados para formar y aprender.
Palabras clave
Referencias
EXPH (EXpert Panel on effective ways of investing in Health). Assessing the impact of digital transformation of health services. 2018:107 [web page]. European Commission. 2019 [02/20/2022, 22/20/2022]. Available at: https://ec.europa.eu/health/system/files/2019-11/022_digitaltransformation_en_0.pdf
European Commission. Horizon Europe, Work Programme 2021-2022 Vol. 4 [web page]. European Commission. 2021. [02/19/2022, 02/19/2022]. Available at: https://ec.europa.eu/info/funding- tenders/opportunities/docs/2021-2027/horizon/wp-call/2021-2022/wp- 4-health_horizon-2021-2022_en.pdf
Poudel A, Nissen LM. Telepharmacy: a pharmacist’s perspective on the clinical benefits and challenges. Integr Pharm Res Pract. 2016;5:75- 82. DOI: 10.2147/IPRP.S101685
Angaran DM. Telemedicine and telepharmacy: current status and future implications. Am J Health Syst Pharm. 1999;56(14):1405-26. DOI: 10.1093/ajhp/56.14.1405
Friesner D, Scott DM. Exploring the formation of patient satisfaction in rural community telepharmacies. J Am Pharm Assoc (2003). 2009;49(4):509-18. DOI: 10.1331/JAPhA.2009.08110
Win AZ. Telepharmacy: Time to pick up the line. Res Social Adm Pharm. 2017;13(4):882-3. DOI: 10.1016/j.sapharm.2015.06.002
Angaran DM. Telemedicine and telepharmacy: Current status and future implications. Am J Health Syst Pharm. 1999;56(14):1405-26. DOI: 10.1093/ajhp/56.14.1405
Hedima EW, Okoro RN. Telepharmacy: An opportunity for community pharmacists during the COVID-19 pandemic in Sub Saharan Africa. Health Policy Technol. 2021;10(1):23-4. DOI: 10.1016/j.hlpt.2020.10.013
Killeen RM, Grindrod K, Ong SW. Innovations in practice: Telepharmacy’s time has arrived. Can Pharm J (Ott). 2020;153(5):252- 5. DOI: 10.1177/1715163520945732
Elbeddini A, Yeats A. Pharmacist intervention amid the coronavirus disease 2019 (COVID-19) pandemic: from direct patient care to telemedicine. J Pharm Policy Pract. 2020;13:23. DOI: 10.1186/s40545- 020-00229-z
Unni EJ, Patel K, Beazer IR, Hung M. Telepharmacy during COVID- 19: A Scoping Review. Pharmacy (Basel). 2021;9(4). DOI: 10.3390/pharmacy9040183
Sociedad Española de Farmacia Hospitalaria. Biblioteca. Spanish Society of Hospital Pharmacy Position Statement on Telepharmacy: Recommendations for its implementation and development. 2020 [consultado 10/20/2022]. Disponible en: https://www.sefh.es/bibliotecavirtual/posicionamientos_institucionales/1 2-POSICIONAMIENTO_TELEFARMACIA_20200510.pdf
United States Congress. H.R.6074-Coronavirus Preparedness and Response Supplemental Appropriations Act. [web page]. USA congress. 2020 [02/10/2022, 02/10/2022] Available at: https://www.congress.gov/bill/116th-congress/house-bill/6074/titles
Australian Pharmacist. 2020. Medication reviews via telehealth to better protect Australians [web page]. Pharmaceutical Society of Australia. 2020 [02/19/2022, 02/19/2022]. Available at: https://www.psa.org.au/medication-reviews-viatelehealth-to-better- protect-australians/
Shafiee Hanjani L, Bell JS, Freeman C. Undertaking medication review by telehealth. Aust J Gen Pract. 2020;49(12):826-31. DOI: 10.31128/ajgp-06-20-5461
McFarland R. Telepharmacy for remote hospital inpatients in north- west Queensland. J Telemed Telecare. 2017;23(10):861-5. DOI: 10.1177/1357633x17732367
Mohiuddin AK. Prospect of tele-pharmacists in COVID-19 pandemic situation in Bangladesh. J Biosci Biomed. 2020;1. DOI: 10.36502/2020/hcr.6164
Ramos JGR, Hernandes SC, Pereira TTT, Oliveira S, Soares DM, Passos RDH, et al. Differential impact of on-site or telepharmacy in the intensive care unit: a controlled before-after study. Int J Qual Health Care. 2021;33(1):mzab011. DOI: 10.1093/intqhc/mzab011
Newman P, Dhaliwall S, Polyakova O, McDonald K. Pharmacy Distribution, Clinical, and Management Services: A Survey of Small Hospitals in Canada Supported by Telepharmacy Services. Can J Hosp Pharm. 2021;74(3):256-68. DOI: 10.4212/cjhp.v74i3.3153
Marchese M, Heintzman A, Pasetka M, Charbonneau F, DeAngelis C, Peragine C. Development of a process map for the delivery of virtual clinical pharmacy services at Odette Cancer Centre during the COVID-19 pandemic. J Oncol Pharm Pract. 2021;27(3):650-7. DOI: 10.1177/1078155221991202
Li H, Zheng S, Li D, Jiang D, Liu F, Guo W, et al. The Establishment and Practice of Pharmacy Care Service Based on Internet Social Media: Telemedicine in Response to the COVID-19 Pandemic. Front Pharmacol. 2021;12:707442. DOI: 10.3389/fphar.2021.707442
Amkreutz J, Lenssen R, Marx G, Deisz R, Eisert A. Medication safety in a German telemedicine centre: Implementation of a telepharmaceutical expert consultation in addition to existing tele- intensive care unit services. J Telemed Telecare. 2020;26(1‑2):105-12. DOI: 10.1177/1357633x18799796
Ameri A, Salmanizadeh F, Keshvardoost S, Bahaadinbeigy K. Investigating Pharmacists’ Views on Telepharmacy: Prioritizing Key Relationships, Barriers, and Benefits. J Pharm Technol. 2020;36(5):171- 8. DOI: 10.1177/8755122520931442
Baldoni S, Pallotta G, Traini E, Sagaro GG, Nittari G, Amenta F. A survey on feasibility of telehealth services among young Italian pharmacists. Pharm Pract (Granada).2020;18(3):1926-1926. DOI: 10.18549/PharmPract.2020.3.1926
Matsumoto Y, Kizaki H, Ikeda Y, Nakamura S, Kina S, Nagai T, et al. Telepharmacy in mountainous depopulated areas of Japan: an exploratory interview study of patients’ perspectives. Drug Discov Ther. 2022;15(6):337-40. DOI: 10.5582/ddt.2021.01102
Muflih SM, Al-Azzam S, Abuhammad S, Jaradat SK, Karasneh R, Shawaqfeh MS. Pharmacists’ experience, competence and perception of telepharmacy technology in response to COVID-19. Int J Clin Pract. 2021;75(7):e14209. DOI: 10.1111/ijcp.14209
Koster ES, Philbert D, Bouvy ML. Impact of the COVID-19 epidemic on the provision of pharmaceutical care in community pharmacies. Res Social Adm Pharm. 2021;17(1):2002-4. DOI: 10.1016/j.sapharm.2020.07.001
Mahdi SS, Allana R, Battineni G, Khalid T, Agha D, Khawaja M, et al. The promise of telemedicine in Pakistan: A systematic review. Health Sci Rep. 2022;5(1):e438. DOI: 10.1002/hsr2.438
Bukhari N, Siddique M, Bilal N, Javed S, Moosvi A, Babar ZU. Pharmacists and telemedicine: an innovative model fulfilling Sustainable Development Goals (SDGs). J Pharm Policy Pract. 2021;14(1):96. DOI: 10.1186/s40545-021-00378-9
Plantado ANR, De Guzman HJ, Mariano JEC, Salvan MRAR, Benosa CAC, Robles YR. Development of an Online Telepharmacy Service in the Philippines and Analysis of Its Usage During the COVID-19 Pandemic. J Pharm Pract. 2021;0(0):08971900211033120. DOI: 10.1177/08971900211033120
Al Ammari M, AlThiab K, AlJohani M, Sultana K, Maklhafi N, AlOnazi H, et al. Tele-pharmacy Anticoagulation Clinic During COVID-19 Pandemic: Patient Outcomes. Front Pharmacol. 2021;12:652482. DOI: 10.3389/fphar.2021.652482
Asseri A, Mohamed M, Yasin I, Moustafa MM, Roubie FM, El-Anssasy SM, et al. Implementation and evaluation of telepharmacy during COVID-19 pandemic in an academic medical city in the Kingdom of Saudi Arabia: paving the way for telepharmacy. World J Adv Res Rev. 2020;7:218-26. DOI: 10.30574/wjarr.2020.7.2.0250
Margusino-Framiñán L, Fernández-Llamazares CM, Negro-Vega E, Tortajada-Goitia B, Lizeaga G, Mercadal-Orfila G, et al. Outpatients’ Opinion And Experience Regarding Telepharmacy During The COVID-19 Pandemic: The Enopex Project. J Multidiscip Healthc. 2021;14:3621-32. DOI: 10.2147/JMDH.S343528
Peláez Bejarano A, Villar Santos P, Robustillo-Cortés MA, Sánchez Gómez E, Santos Rubio MD. Implementation of a novel home delivery service during pandemic. Eur J Hosp Pharm. 2021;28(e1):e120-3. DOI: 10.1136/ejhpharm-2020-002500
Kulatunga G, Hewapathirana R, Marasinghe R, Dissanayake V. A review of Telehealth practices in Sri Lanka in the context of the COVID- 19 pandemic. Sri Lanka Journal of Bio-Medical Informatics. 2020;11:8. DOI: 10.4038/sljbmi.v11i1.8090
Mohamed Ibrahim O, Ibrahim RM, Abdel-Qader DH, Al Meslamani AZ, Al Mazrouei N. Evaluation of Telepharmacy Services in Light of COVID-19. Telemed J E Health. 2021;27(6):649-56. DOI: 10.1089/tmj.2020.0283
Manuel FC, Wieruszewski ED, Brown CS, Russi CS, Mattson AE. Description of telepharmacy services by emergency medicine pharmacists. Am J Health Syst Pharm. 2022 ;79(11):873-80. DOI: 10.1093/ajhp/zxac027
Hefti E, Wei B, Engelen K. Access to Telepharmacy Services May Reduce Hospital Admissions in Outpatient Populations During the COVID-19 Pandemic. Telemed J E Health. 2022. DOI: 10.1089/tmj.2021.0420
Ho I, Nielsen L, Jacobsgaard H, Salmasi H, Pottegård A. Chat-based telepharmacy in Denmark: design and early results. Int J Pharm Pract. 2015;23(1):61-6. DOI: 10.1111/ijpp.12109
Inch J, Notman F, Watson M, Green D, Baird R, Ferguson J, et al. Tele-pharmacy in rural Scotland: a proof of concept study. Int J Pharm Pract. 2017;25(3):210-9. DOI: 10.1111/ijpp.12376
Erni P, Von Overbeck J, Reich O, Ruggli M. netCare, a new collaborative primary health care service based in Swiss community pharmacies. Res Social Adm Pharm. 2016;12(4):622-6. DOI: 10.1016/j.sapharm.2015.08.010
Niznik JD, He H, Kane-Gill SL. Impact of clinical pharmacist services delivered via telemedicine in the outpatient or ambulatory care setting: A systematic review. Res Social Adm Pharm. 2018;14(8):707-17. DOI: 10.1016/j.sapharm.2017.10.011
Schneider PJ. Evaluating the impact of telepharmacy. Am J Health Syst Pharm. 2013;70(23):2130-5. DOI: 10.2146/ajhp130138
Van Dyk L. A review of telehealth service implementation frameworks. Int J Environ Res Public Health. 2014;11(2):1279-98. DOI: 10.3390/ijerph110201279
Roig F, Saigí F. [Barriers to the normalization of telemedicine in a healthcare system model based on purchasing of healthcare services using providers’ contracts]. Gac Sanit. 2011;25(5):397-402. DOI: 10.1016/j.gaceta.2011.01.004
Sociedad Española de Farmacia Hospitalaria. Biblioteca. Spanish Society of Hospital Pharmacy Position Statement on Telepharmacy: Recommendations for its implementation and development. 2020 [accessed 10/ 20/2022]. Available at: https://www.sefh.es/bibliotecavirtual/posicionamientos_institucionales/1 2-POSICIONAMIENTO_TELEFARMACIA_20200510.pdf
Ashiru-Oredope D, Chan AHY, Olaoye O, Rutter V, Babar ZU; C. P. A. COVID-19 Action Team. Needs assessment and impact of COVID-19 on pharmacy professionals in 31 commonwealth countries. J Pharm Policy Pract. 2020;13(1):72. DOI: 10.1186/s40545-020-00275-7
Steckler T. Telepharmacy: Controversy and Promise. J Pharm Technol. 2016;32. DOI: 10.1177/8755122516670415
Grigsby WJ. Telehealth: an assessment of growth and distribution. J Rural Health. 2002;18(2):348-58. DOI: 10.1111/j.1748- 0361.2002.tb00896.x
Yemm KE, Arnall JR, Cowgill NA. Necessity of pharmacist-driven nonprescription telehealth consult services in the era of COVID-19. Am J Health Syst Pharm. 2020;77(15):1188. DOI: 10.1093/ajhp/zxaa162
Heslin MJ, Liles JS, Moctezuma-Velázquez P. The use of telemedicine in the preoperative management of pheochromocytoma saves resources. Mhealth. 2019;5:27. DOI: 10.21037/mhealth.2019.08.04
Feltner C, Jones CD, Cené CW, Zheng ZJ, Sueta CA, Coker- Schwimmer EJ, et al. Transitional care interventions to prevent readmissions for persons with heart failure: a systematic review and meta-analysis. Ann Intern Med. 2014;160(11):774-84. DOI: 10.7326/m14-0083
Davis TM, Barden C, Dean S, Gavish A, Goliash I, Goran S, et al. American Telemedicine Association Guidelines for TeleICU Operations. Telemed J E Health. 2016;22(12):971-80. DOI: 10.1089/tmj.2016.0065
Schnur ES, Adams AJ, Klepser DG, Doucette WR, Scott DM. PCMHs, ACOs, and medication management: lessons learned from early research partnerships. J Manag Care Pharm. 2014;20(2):201-5. DOI: 10.18553/jmcp.2014.20.2.201
Sankaranarayanan J, Murante LJ, Moffett LM. A retrospective evaluation of remote pharmacist interventions in a telepharmacy service model using a conceptual framework. Telemed J E Health. 2014;20(10):893-901. DOI: 10.1089/tmj.2013.0362
Strnad K, Shoulders BR, Smithburger PL, Kane-Gill SL. A Systematic Review of ICU and Non-ICU Clinical Pharmacy Services Using Telepharmacy. Ann Pharmacother. 2018;52(12):1250-8. DOI: 10.1177/1060028018787213
Pan American Health Organization. Framework for the Implementation of a Telemedicine Service [web page]. Washington, DC: PAHO; 2016 [Date consulted, 02/18/2022]. Available at: https://iris.paho.org/bitstream/handle/10665.2/28414/9789275119037 _eng.pdf?sequence=6&isAllowed=y
International Pharmaceutical Federation (FIP). FIP Development Goals - 20 [web page]. The Hague; 2022 [Date consulted, 02/23/2022]. Available at: https://developmentgoals.fip.org/dg20/
International Pharmaceutical Federation (FIP). FIP Digital health in pharmacy education [web page]. The Hague; 2021 [Date consulted, 02/23/2022]. Available at: https://www.fip.org/file/4958
International Pharmaceutical Federation (FIP). FIP train the trainer online course for educators on digital health [web page]. The Hague; 2021 [Date consulted, 02/17/2022]. Available at: https://www.fip.org/fip-global-platform
DOI: http://dx.doi.org/10.7399%2Ffh.13244
Enlaces refback
- No hay ningún enlace refback.
Farmacia Hospitalaria
Sociedad Española de Farmacia Hospitalaria. C/ Serrano n. 40 2º Dcha. - 28001 Madrid
eISSN: 2171-8695
ISSN-L: 1130-6343
Dep. Legal: M-39835-2012
Correo electrónico de contacto: [email protected]
Los artículos publicados en esta revista se distribuyen con la licencia: Creative Commons Attribution 4.0.
La revista Farmacia Hospitalaria no cobra tasas por el envío de trabajos, ni tampoco cuotas por la publicación de sus artículos.