Estadísticas

 array:24 [
  "pii" => "S0213911106715795"
  "issn" => "02139111"
  "doi" => "10.1157/13086039"
  "estado" => "S300"
  "fechaPublicacion" => "2006-03-01"
  "aid" => "71579"
  "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
  "copyrightAnyo" => "2006"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "fla"
  "cita" => "Gac Sanit. 2006;20 Supl 1:154-9"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 4596
    "formatos" => array:3 [
      "EPUB" => 149
      "HTML" => 3758
      "PDF" => 689
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0213911106715801"
    "issn" => "02139111"
    "doi" => "10.1157/13086040"
    "estado" => "S300"
    "fechaPublicacion" => "2006-03-01"
    "aid" => "71580"
    "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Gac Sanit. 2006;20 Supl 1:160-74"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4571
      "formatos" => array:3 [
        "EPUB" => 144
        "HTML" => 3832
        "PDF" => 595
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Parte IV&#46; Ecosalud y participaci&#243;n social</span>"
      "titulo" => "Cambio clim&#225;tico y salud p&#250;blica&#58; escenarios despu&#233;s de la entrada en vigor del Protocolo de Kioto"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "160"
          "paginaFinal" => "174"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Climatic change and public health&#58; scenarios after the coming into force of the Kyoto Protocol"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ferran Ballester, Julio D&#237;az, Jos&#233; Manuel Moreno"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Ferran"
              "apellidos" => "Ballester"
            ]
            1 => array:2 [
              "nombre" => "Julio"
              "apellidos" => "D&#237;az"
            ]
            2 => array:2 [
              "nombre" => "Jos&#233;"
              "apellidos" => "Manuel Moreno"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911106715801?idApp=WGSE"
    "url" => "/02139111/00000020000000S1/v1_201301241552/S0213911106715801/v1_201301241552/es/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0213911106715783"
    "issn" => "02139111"
    "doi" => "10.1157/13086038"
    "estado" => "S300"
    "fechaPublicacion" => "2006-03-01"
    "aid" => "71578"
    "copyright" => "Sociedad Espa&#241;ola de Salud P&#250;blica y Administraci&#243;n Sanitaria"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Gac Sanit. 2006;20 Supl 1:143-53"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4334
      "formatos" => array:3 [
        "EPUB" => 136
        "HTML" => 3579
        "PDF" => 619
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Parte III&#46; Recursos asistenciales y utilizaci&#243;n</span>"
      "titulo" => "Luces y sombras de la prestaci&#243;n farmac&#233;utica en Espa&#241;a&#58; a prop&#243;sito de los antidepresivos y antipsic&#243;ticos"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "143"
          "paginaFinal" => "153"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Positive and negative aspects of pharmaceutical services in Spain&#58; about antidepressants and antipsychotics"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Lourdes Girona-Brum&#243;s, Ram&#243;n Ribera-Monta&#241;&#225;, Juan Carlos Ju&#225;rez-Gim&#233;nez, Mar&#237;a Pilar Lalueza-Broto"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Lourdes"
              "apellidos" => "Girona-Brum&#243;s"
            ]
            1 => array:2 [
              "nombre" => "Ram&#243;n"
              "apellidos" => "Ribera-Monta&#241;&#225;"
            ]
            2 => array:2 [
              "nombre" => "Juan"
              "apellidos" => "Carlos Ju&#225;rez-Gim&#233;nez"
            ]
            3 => array:2 [
              "nombre" => "Mar&#237;a"
              "apellidos" => "Pilar Lalueza-Broto"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911106715783?idApp=WGSE"
    "url" => "/02139111/00000020000000S1/v1_201301241552/S0213911106715783/v1_201301241552/es/main.assets"
  ]
  "es" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Parte III&#46; Recursos asistenciales y utilizaci&#243;n</span>"
    "titulo" => "La distribuci&#243;n y dispensaci&#243;n de medicamentos"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "154"
        "paginaFinal" => "159"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Ricard Meneu"
        "autores" => array:1 [
          0 => array:4 [
            "nombre" => "Ricard"
            "apellidos" => "Meneu"
            "email" => array:1 [
              0 => "ricard&#46;meneu&#64;gmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Fundaci&#243;n Instituto de Investigaci&#243;n en Servicios de Salud&#46; Valencia&#46; Espa&#241;a"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondencia&#58; Ricard Meneu&#46; Fundaci&#243;n IISS&#46; C&#47;San Vicente&#44; 118&#46; 46008 Valencia&#46; Espa&#241;a&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Pharmaceutical distribution and retail pharmacy"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec13915"
          "palabras" => array:6 [
            0 => "Distribuci&#243;n farmac&#233;utica"
            1 => "Dispensaci&#243;n"
            2 => "Regulaci&#243;n"
            3 => "Financiaci&#243;n"
            4 => "Incentivos"
            5 => "Beneficios sanitarios"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec13916"
          "palabras" => array:6 [
            0 => "Pharmaceutical distribution"
            1 => "Dispensing drugsretail pharmacy"
            2 => "Regulation"
            3 => "Financing"
            4 => "Incentives"
            5 => "Health gains"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">En este cap&#237;tulo se describen los principales rasgos de la distribuci&#243;n y dispensaci&#243;n farmac&#233;utica&#46; Se analizan la estructura del sector&#44; los agentes que operan en &#233;l &#8211;mayoristas&#44; servicios de farmacia hospitalarios y oficinas de farmacia&#8211; y las escasas modificaciones operadas en los &#250;ltimos tiempos&#44; atendiendo especialmente a los incentivos presentes en el dise&#241;o actual y su congruencia con algunos objetivos de salud&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Con esa base se apuntan algunas v&#237;as por las que deber&#237;a encauzarse la redefinici&#243;n del sector&#44; que deber&#237;an estar m&#225;s atentas a promover el logro de los objetivos sanitarios deseables que a la pervivencia de las m&#250;ltiples ineficiencias y gabelas que van jalonado su evoluci&#243;n&#46; De manera especial se se&#241;ala la necesidad de modificar el inadecuado sistema vigente que retribuye la dispensaci&#243;n&#44; sustituy&#233;ndolo por otro que refleje los servicios profesionales prestados en lugar del margen de beneficios o el volumen de sus ventas&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">In this chapter&#44; the main characteristics of pharmaceutical distribution and retail pharmacy are described&#46; The author analyses the structure of this sector&#44; the agents operating in it &#8211;wholesalers&#44; hospital pharmacy services and chemists&#8217;- and the very few modifications introduced in it in the recent years&#44; focusing on the incentives of its current structure and their consistency with health aims&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">On the basis of this analysis&#44; the author outlines some possible ways to redefine the sector&#44; which should focus on the promotion of desirable health objectives rather than on the survival of the inefficacies that hinder its evolution&#46; The author pays special attention to the need to modify the inadequate existing retribution system and to substitute it for a different one&#44; which focuses on the professionalism of the service provided&#44; rather than on the profit margin or the sales&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:13 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Memoria Farmaindustria 2004&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.farmaindustria.es/Index_secundaria_publicaciones.htm">http&#58;&#47;&#47;www&#46;farmaindustria&#46;es&#47;Index&#95;secundaria&#95;publicaciones&#46;htm</a>"
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Regulating pharmaceutical distribution and retail pharmacy in Europe"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46; Taylor"
                            1 => "M&#46; Mrazek"
                            2 => "M&#46; Mossialos"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "Regulating pharmaceuticals in Europe&#58; striving for efficiency&#44; equity and quality"
                        "serieFecha" => "2004"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Tribunal de Defensa de la Competencia&#46; Resoluci&#243;n Expediente A211&#47;97 COFAS&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.mineco.es/tdc/">http&#58;&#47;&#47;www&#46;mineco&#46;es&#47;tdc&#47;</a>"
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Tribunal de Defensa de la Competencia&#46; Resoluci&#243;n Expediente A 277&#47;00&#44; Compra M&#237;nima COFAS&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.mineco.es/tdc/">http&#58;&#47;&#47;www&#46;mineco&#46;es&#47;tdc&#47;</a>"
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The 1996 pricing and reimbursement policy in the Netherlands"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "C&#46;M&#46; De Vos"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Pharmacoeconomics"
                        "fecha" => "1996"
                        "volumen" => "10"
                        "numero" => "Suppl 2"
                        "paginaInicial" => "75"
                        "paginaFinal" => "80"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10163439"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hospital pharmacies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "S&#46; Hudson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "Regulating pharmaceuticals in Europe&#58; striving for efficiency&#44; equity and quality"
                        "serieFecha" => "2004"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "La farmacia de hospital en Europa&#46; La farmacia hospitalaria espa&#241;ola en relaci&#243;n con la del resto de Europa&#46; SEP"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;J&#46; Tam&#233;s"
                            1 => "E&#46; Echarri"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2002"
                        "editorial" => "Ediciones Mayo"
                        "editorialLocalizacion" => "Barcelona"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Memoria Farmaindustria&#59; 1994&#46;"
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Gil Navarro MV&#46; Comunicaci&#243;n al 2&#46;&#176; Curso de Evaluaci&#243;n y Selecci&#243;n de Medicamentos&#46; HH&#46;UU&#46; Virgen del Roc&#237;o&#46; Sevilla&#44; 26-29 de abril de 2005&#46;"
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Cots X&#46; Comunicaci&#243;n a la Jornada sobre Econom&#237;a y Gesti&#243;n del Medicamento&#46; IDEC&#44; Barcelona&#44; 2 de Junio de 2005&#46;"
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gesti&#243;n de la competencia en el sector p&#250;blico"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "B&#46; Arru&#241;ada"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "titulo" => "Anuario de la Competencia 1999"
                        "fecha" => "2000"
                        "editorial" => "Marcial Pons"
                        "editorialLocalizacion" => "Madrid"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Resoluci&#243;n ResAp 2 relativa al papel del farmac&#233;utico en el marco de la seguridad de la salud&#46; Consejo de Europa&#46; Comit&#233; de Ministros&#46; Pharm Care Esp&#46; 2001&#59;3&#58;216-22&#46;"
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Alternativas a la distribuci&#243;n de medicamentos y su retribuci&#243;n"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46; Meneu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Gac Sanit"
                        "fecha" => "2002"
                        "volumen" => "16"
                        "paginaInicial" => "171"
                        "paginaFinal" => "181"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11958754"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/02139111/00000020000000S1/v1_201301241552/S0213911106715795/v1_201301241552/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "745"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Parte III&#46; Recursos asistenciales y utilizaci&#243;n"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02139111/00000020000000S1/v1_201301241552/S0213911106715795/v1_201301241552/es/main.pdf?idApp=WGSE&text.app=https://gacetasanitaria.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911106715795?idApp=WGSE"
]