PubMed Health⌕ Search

Biomedical subjects

R Pastor-Sánchez

Publications and source records attributed to R Pastor-Sánchez.

9 recordsLinked to original sources
PubMed2006

[Demand for dispensing of medicines without medical prescription].

OBJECTIVES: To study the request for drugs and their dispensing without the necessary prescription form. DESIGN: Cross-sectional, observational study. SETTING: Volunteer community pharmacies in Spain. MAIN MEASUREMENTS: Percentages of request and dispensation of drugs without prescription. Reasons given by people requesting the medicines and pharmacists' reasons for dispensing them. RESULTS: 11.1% of prescription drugs were requested without a prescription form: 69.7% of these requests were for chronic medication or acute treatment and 20% were for self-medication. The drugs without prescription form were dispensed in 10.8% and refused in 0.3% of cases. The reasons given by pharmacists for dispensing without the compulsory prescription form were: "drugs recommended by a doctor" (33.3%), "advance on prescriptions" (24.1%), and "the pharmacist knew the patient's pharmaco-therapeutic record" (17.5%). CONCLUSIONS: Dispensing drugs without the necessary prescription form is a very frequent practice (10.8%) and is not restricted to any particular drug therapy group. Doctors, dentists, nurses, pharmacists, patients and health service management must all assume their share of responsibility if this problem is to be solved. The system of prescription and dispensing of chronic medicine (repeat prescription in long-term treatment) needs to be improved and strengthened.

Adult↗
PubMed2003

[Management of vaccinations and prophylaxis of international travellers from community pharmacy (VINTAF study)].

OBJECTIVES: To improve and evaluate the travel advice by community pharmacists. DESIGN: Cross-sectional and prospective study. SETTING: Community pharmacies from Asturias, Barcelona, Madrid and Valencia. PARTICIPANTS: 483 travellers to high health risk countries who visit the community pharmacies and were agreed with the aims of the study. METHOD: Community pharmacists gave information regarding immunization and prophylaxis about travel-related disease according to the destination, type and duration of travel and other features of the tourist (age, taking medicines, diseases, etc.). MAIN MEASUREMENTS: Destination, adherence to the prophylaxis and vaccinations recommended, adverse effects and diseases the tourists have in the travel and one month after they are back. RESULTS: Only 6.3% of the travellers were effective vaccinated and took prophylaxis (all vaccines and prophylaxis according to the destination). 36.2% of the travellers experienced an illness while abroad. The commonest disease were travellers' diarrhoea (15.7%). The pharmacists were the only source of information about sunscreens, repellents, and other sanitary goods. CONCLUSIONS: The community pharmacists can give accurate information regarding immunization and prophylaxis about international travels. It is necessary to improve the communication between family physician, the tropical travel clinic and community pharmacists in order to improving compliance. It is necessary keep the bureaucratic barriers away to get this kind of drugs. The international tourists still travel without the necessary vaccines and prophylaxis to the high health risk areas.

Adult↗
PubMed1999

[Drug substitutions in the pharmacy offices of the Community of Madrid].

OBJECTIVES: To evaluate the stock failure and substitutions of drugs in community pharmacies. DESIGN: A descriptive cross-sectional study. SETTING: Community pharmacies in Madrid. PARTICIPANTS: Nine pharmacies which voluntarily accepted to work in this study. The data were collected during four months in a year. MEASUREMENTS AND MAIN RESULTS: The total stock failure was 1.72%. New pharmaceuticals correspond with 10.73% of all stock failure. The pharmacists substituted the 31.04% of the total stock failure. Antibiotics and chemotherapeutics were the drugs most substituted with 46.98% of all substitutions. Patients accepted to substitute 78.39% of the proposals of the pharmacists. CONCLUSIONS: High percentage of the stock failure belongs to new brand pharmaceuticals. In this study there were few substitutions (0.53%) of the total dispensings. The drugs most substituted were antibiotics and chemotherapeutics. Substitutions depend on pharmacists' wishes and on patients' approval.

Cross-Sectional Studies↗
PubMed1996

[Evaluation of computerized medical records].

BACKGROUND: A wide and expensive supply of electronic medical records obliged us to evaluate them before selecting one. In this study a questionnaire was used to evaluate computerized medical records. MATERIAL AND METHODS: Descriptive and prospective study with personal interviews in which a questionnaire was used, that had been previously published. RESULTS: The 12 questionnaires were completed in 99%. The greatest difficulty for answering the questions was the medical terminology. Four of the twelve computer programs were designed for hospitals, another 4 were designed for health centers and the rest were designed for both hospitals and health centers. The preventive and social data and annex were the more scarce of the elements (47%). Postsells services (100%), the ICE-9-CM classification (75%) and medicals data (51%) were the more frequent elements. CONCLUSIONS: In Spain there are few medical records regulated, and computerized designers do not have a standard model. The sellers of medical record softwares don't have knowledge of medical terminology. Medical record software programs are not designed for specific health settings (health centers or hospitals).

Evaluation Studies as Topic↗
PubMed1993

[Primary care research: the content of articles published in scientific journals].

OBJECTIVE: The quantifying, by subject area, of research published in scientific journals on primary health care, in five different cultural/geographic areas. DESIGN: Descriptive study. SETTING: Scientific journals on primary health care. PARTICIPANTS: Original articles published in 1991 in the following journals on primary health care (general practice): Atención Primaria, Canadian Family Physician, Family Practice, Journal of Family Practice and Scandinavian Journal of Primary Health Care. INTERVENTIONS AND MAIN RESULTS: The classification adopted here was that used in the research into primary health care by the Canadian Association of Family Physicians. The five journals between them published 263 original articles. Articles on organisation and provision of health services constituted 42% of the total; next in frequency were articles on epidemiology (18%) and on psychosocial concerns. Methodological studies and research into training and professional kills represent a scarce 6% and 8% respectively. CONCLUSIONS: The most commonly occurring subject in primary health care research is research on services. In the future it would be desirable to develop other areas (the clinical and psycho-social areas, methodology, and training).

Canada↗