Implementación de un Programa de Seguimiento Farmacoterapéutico Contínuo en el Hospital del IESS Riobamba

Abstract

A continuous pharmacotherapeutic follow-up system was implemented in the hospital of the Instituto Ecuatoriano de Seguridad Social "IESS" (Ecuadorian Institute of Social Security) in the city of Riobamba. The study was applied to patients with arterial hypertension, diabetes mellitus and hyperlipidemia; the patients were recruited in the cardiology outpatient area and were randomly selected under voluntary acceptance criteria. During the investigation, the patient's health status was analyzed through the clinical history; medication-related needs were evaluated by means of interviews, surveys, pharmacotherapeutic profiles; care plans were drawn up regarding correct administration of medications, compliance, diet, physical activity, among others. In addition, periodic measurements of blood pressure, basal glucose, postprandial glucose, glycosylated hemoglobin, cholesterol, triglycerides, LDL, HDL were taken, determining better control after pharmacotherapeutic follow-up. The study identified 305 negative results associated with medication; of which 35.4% were due to non-quantitative insecurity, 30.8% to quantitative insecurity, and 24.8% to quantitative ineffectiveness; the main drug-related problems in the group of patients were due to adverse effects, synergism, and/or antagonism with 35. 4%, 28.1%, and 15.4% respectively, 21.1% of RNM can be avoided or corrected, 78.9% of RNM cannot be avoided, and 64.6% of RNM are caused by human failure; among which 52.4% are due to problems caused by the prescriber and 12.2% by the patient. The implementation of the patient care system contributed beneficially to patient health; it is recommended that the method continue to be applied in the IESS Riobamba hospital, and that similar systems be implemented in other health centers.