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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Evaluar la influencia de las opiniones de los farmac&#233;uticos que no solicitan receta m&#233;dica para dispensar f&#225;rmacos que la requieren para su venta&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha llevado a cabo un estudio transversal sobre una muestra de 166 farmac&#233;uticos de oficina de farmacia en la provincia de A Coru&#241;a&#46; Las opiniones de los farmac&#233;uticos&#44; variables e independientes&#44; fueron medidas mediante entrevista personal&#46; Se valoraron las opiniones siguientes&#58; a&#41; pr&#225;cticas prescriptoras de los m&#233;dicos&#59; b&#41; cualificaci&#243;n de los farmac&#233;uticos para prescribir&#59; c&#41; la responsabilidad de los farmac&#233;uticos sobre los medicamentos dispensados&#59; d&#41; la cualificaci&#243;n de los clientes para automedicarse&#44; y e&#41; la percepci&#243;n de los farmac&#233;uticos sobre su trabajo&#46; La exigencia de receta por parte del farmac&#233;utico para 5 f&#225;rmacos&#44; que en Espa&#241;a deben dispensarse con receta&#44; fue la variable dependiente que se tuvo en cuenta&#46; Se construyeron modelos de regresi&#243;n m&#250;ltiple&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La participaci&#243;n fue del 98&#44;8&#37;&#46; Un total del 65&#44;9&#37; de los farmac&#233;uticos afirmaron dispensar antibi&#243;ticos sin receta&#46; Este porcentaje fue del 83&#44;5&#37; para los antiinflamatorios no esteroideos&#44; 46&#44;3&#37; para los inhibidores de la enzima de conversi&#243;n de la angiotensina&#44; 13&#44;4&#37; para las benzodiazepinas y 84&#44;8&#37; para los anticonceptivos orales&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Adem&#225;s&#44; los resultados muestran que los farmac&#233;uticos con mayor carga de trabajo y los que califican peor la prescripci&#243;n de los m&#233;dicos&#44; y que en mayor medida consideran que ellos mismos est&#225;n capacitados para prescribir&#44; exigen menos recetas m&#233;dicas&#46; Por el contrario&#44; los farmac&#233;uticos que otorgan mayor importancia a la racionalizaci&#243;n en el consumo de f&#225;rmacos exigen receta m&#225;s frecuentemente&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">Nuestros resultados indican que para el incremento en la calidad de la dispensaci&#243;n el sistema deber&#237;a lograr&#58; a&#41; incrementar la importancia que los farmac&#233;uticos otorguen al control y la racionalizaci&#243;n del consumo de f&#225;rmacos&#59; b&#41; adecuar la carga de trabajo de las farmacias&#44; y c&#41; mejorar la percepci&#243;n que los farmac&#233;uticos tienen de las pautas prescriptoras de los m&#233;dicos&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To assess the influence of pharmacists&#8217; opinions on their dispensing medicines with a &#171;medical prescription only&#187; label without requiring a doctor&#8217;s prescription&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">We performed a cross-sectional study of 166 community pharmacies in northwest Spain&#46; The opinions of pharmacists on the following were collected as independent variables through personal interview&#58; a&#41; physicians&#8217; prescribing practices&#59; b&#41; the pharmacist&#8217;s qualifications to prescribe&#59; c&#41; the responsibility of the pharmacist regarding the dispensed drugs&#59; d&#41; the customer&#8217; qualifications for self-medication&#59; and e&#41; the pharmacist&#8217;s perception of his or her own work&#46; The dependent variable was the pharmacist&#8217;s demand for a medical prescription for 5 drugs&#44; which in Spain require a prescription&#46; Multiple linear regression models were constructed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The response rate was 98&#46;8&#37;&#46; A total of 65&#46;9&#37; of pharmacists reported dispensing antibiotics without a prescription&#46; This percentage was 83&#46;5&#37; for nonsteroidal anti-inflammatory drugs&#44; 46&#46;3&#37; for angiotensin-converting enzyme inhibitors&#44; 13&#46;4&#37; for benzodiazepines&#44; and 84&#46;8&#37; for oral contraceptives&#46; Further results showed that pharmacists with a heavier workload and those who underestimated the physicians&#8217; qualifications to prescribe but overestimated their own qualifications to prescribe less frequently demanded medical prescriptions&#46; In contrast&#44; pharmacists who stressed the importance of their duty in rationalizing the consumption of drugs more frequently demanded medical prescriptions&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">Our results suggest that to increase the quality of dispensing&#58; a&#41; the importance of the pharmacist&#8217;s duty in controlling drug consumption should be stressed&#59; b&#41; pharmacies&#8217; workload should be optimized&#59; and c&#41; perceptions of physicians&#8217; prescribing practices among pharmacists should be improved&#46;</p>"
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Vol. 19. Núm. 1.
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Vol. 19. Núm. 1.
Páginas 9-14 (enero - febrero 2005)
Original
Open Access
Influence of pharmacists’ opinions on their dispensing medicines without requirement of a doctor’s prescription
Visitas
993
Francisco Caamaño
Autor para correspondencia
mrpaco@usc.es

Correspondencia: Francisco Caamaño Isorna. Departamento de Medicina Preventiva y Salud Pública. Facultad de Medicina. San Francisco, s/n. 15705 Santiago de Compostela. A Coruña. Spain.
, Manuel Tomé-Otero, Bahi Takkouche, Juan Jesús Gestal-Otero
Department of Preventive Medicine and Public Health. University of Santiago de Compostela. Santiago de Compostela. A Coruña. Spain
Este artículo ha recibido

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Información del artículo
Resumen
Objetivo

Evaluar la influencia de las opiniones de los farmacéuticos que no solicitan receta médica para dispensar fármacos que la requieren para su venta.

Métodos

Se ha llevado a cabo un estudio transversal sobre una muestra de 166 farmacéuticos de oficina de farmacia en la provincia de A Coruña. Las opiniones de los farmacéuticos, variables e independientes, fueron medidas mediante entrevista personal. Se valoraron las opiniones siguientes: a) prácticas prescriptoras de los médicos; b) cualificación de los farmacéuticos para prescribir; c) la responsabilidad de los farmacéuticos sobre los medicamentos dispensados; d) la cualificación de los clientes para automedicarse, y e) la percepción de los farmacéuticos sobre su trabajo. La exigencia de receta por parte del farmacéutico para 5 fármacos, que en España deben dispensarse con receta, fue la variable dependiente que se tuvo en cuenta. Se construyeron modelos de regresión múltiple.

Resultados

La participación fue del 98,8%. Un total del 65,9% de los farmacéuticos afirmaron dispensar antibióticos sin receta. Este porcentaje fue del 83,5% para los antiinflamatorios no esteroideos, 46,3% para los inhibidores de la enzima de conversión de la angiotensina, 13,4% para las benzodiazepinas y 84,8% para los anticonceptivos orales.

Además, los resultados muestran que los farmacéuticos con mayor carga de trabajo y los que califican peor la prescripción de los médicos, y que en mayor medida consideran que ellos mismos están capacitados para prescribir, exigen menos recetas médicas. Por el contrario, los farmacéuticos que otorgan mayor importancia a la racionalización en el consumo de fármacos exigen receta más frecuentemente.

Conclusión

Nuestros resultados indican que para el incremento en la calidad de la dispensación el sistema debería lograr: a) incrementar la importancia que los farmacéuticos otorguen al control y la racionalización del consumo de fármacos; b) adecuar la carga de trabajo de las farmacias, y c) mejorar la percepción que los farmacéuticos tienen de las pautas prescriptoras de los médicos.

Palabras clave:
Exigencia de receta
Estudio transversal
Farmacéutico
Abstract
Objective

To assess the influence of pharmacists’ opinions on their dispensing medicines with a «medical prescription only» label without requiring a doctor’s prescription.

Methods

We performed a cross-sectional study of 166 community pharmacies in northwest Spain. The opinions of pharmacists on the following were collected as independent variables through personal interview: a) physicians’ prescribing practices; b) the pharmacist’s qualifications to prescribe; c) the responsibility of the pharmacist regarding the dispensed drugs; d) the customer’ qualifications for self-medication; and e) the pharmacist’s perception of his or her own work. The dependent variable was the pharmacist’s demand for a medical prescription for 5 drugs, which in Spain require a prescription. Multiple linear regression models were constructed.

Results

The response rate was 98.8%. A total of 65.9% of pharmacists reported dispensing antibiotics without a prescription. This percentage was 83.5% for nonsteroidal anti-inflammatory drugs, 46.3% for angiotensin-converting enzyme inhibitors, 13.4% for benzodiazepines, and 84.8% for oral contraceptives. Further results showed that pharmacists with a heavier workload and those who underestimated the physicians’ qualifications to prescribe but overestimated their own qualifications to prescribe less frequently demanded medical prescriptions. In contrast, pharmacists who stressed the importance of their duty in rationalizing the consumption of drugs more frequently demanded medical prescriptions.

Conclusion

Our results suggest that to increase the quality of dispensing: a) the importance of the pharmacist’s duty in controlling drug consumption should be stressed; b) pharmacies’ workload should be optimized; and c) perceptions of physicians’ prescribing practices among pharmacists should be improved.

Key words:
Prescription requirement
Cross-sectional study
Community pharmacist
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