{"id":18162,"date":"2015-12-16T15:17:31","date_gmt":"2015-12-16T14:17:31","guid":{"rendered":"http:\/\/blog.cofb.cat\/?p=18162"},"modified":"2015-12-16T15:17:31","modified_gmt":"2015-12-16T14:17:31","slug":"paper-de-la-farmacia-comunitaria-en-la-prevencio-i-control-de-lmpoc","status":"publish","type":"post","link":"https:\/\/www.cofb.org\/ca\/2015\/12\/16\/paper-de-la-farmacia-comunitaria-en-la-prevencio-i-control-de-lmpoc\/","title":{"rendered":"Paper de la farm\u00e0cia comunit\u00e0ria en la prevenci\u00f3 i control de l\u2019MPOC"},"content":{"rendered":"

El Pla interdepartamental d\u2019atenci\u00f3 i el Programa de prevenci\u00f3 i atenci\u00f3 a la Interacci\u00f3 social i sanit\u00e0ria cronicitat del Departament de Salut de la Generalitat de Catalunya van organitzar el 10 de desembre la \u201cJornada de debat 2.0: model integrat en l\u2019atenci\u00f3 de les persones amb MPOC a Catalunya\u201d<\/b> amb l\u2019objectiu de reflexionar sobre la multiplicitat d\u2019agents implicats en l\u2019atenci\u00f3 de la malaltia pulmonar obstructiva cr\u00f2nica (MPOC) i el valor que cadasc\u00fa aporta. La jornada tamb\u00e9 volia emfatitzar la necessitat d\u2019aplicar bones pr\u00e0ctiques col\u00b7laboratives per a l\u2019abordatge \u00f2ptim de la malaltia i aportar elements cr\u00edtics d\u2019\u00e8xit per a l\u2019atenci\u00f3 integrada de l\u2019MPOC en contextos de complexitat.<\/p>\n

\"Foto-EPOC2.0-1\"<\/a>
El doctor Felip Burgos durant la seva intervenci\u00f3 a la jornada<\/figcaption><\/figure>\n

El doctor<\/strong> Felip Burgos<\/b>, infermer del Centre Diagn\u00f2stic Respiratori (ICR) de l\u2019Hospital Cl\u00ednic de Barcelona i membre del grup d\u2019investigaci\u00f3 de l\u2019estudi FarmaEPOC, va presentar a la pon\u00e8ncia \u201cPaper de la farm\u00e0cia comunit\u00e0ria en la prevenci\u00f3 i control de l\u2019MPOC\u201d l\u2019experi\u00e8ncia i els resultats d\u2019aquest projecte de cribratge oportunista de l\u2019EPOC a les farm\u00e0cies comunit\u00e0ries.<\/p>\n

Burgos va fer una introducci\u00f3 de l\u2019epidemiologia de l\u2019MPOC, destacant l\u2019alta prevalen\u00e7a, mortalitat i morbiditat, aix\u00ed com el seu alt cost econ\u00f2mic. Seguidament, va descriure el greu problema que representa el seu infradiagn\u00f3stic -de m\u00e9s del 70% a tota Espanya- amb una major incid\u00e8ncia en les dones (86%), segons les \u00faltimes dades (refer\u00e8ncia: Underdiagnosis of chronic obstructive pulmonary disease in women: quantification of the problem, determinants and proposed actions<\/a>, via Pubmed).<\/p>\n

L\u2019espirometria \u00e9s l\u2019instrument fonamental en el diagn\u00f2stic de l\u2019MPOC tot i que es troba infrautilitzada (refer\u00e8ncia: Screening for and early detection of chronic obstructive pulmonary disease<\/a>, via PubMed). <\/b>\u201cPer millorar el diagn\u00f2stic hem d\u2019implicar a tots els agents sanitaris i la farm\u00e0cia comunit\u00e0ria \u00e9s una pe\u00e7a fonamental: realitza una gran labor en el camp de la prevenci\u00f3 de les malalties i en el seguiment de pacients cr\u00f2nics\u201d explica Burgos, i afegeix: \u201cla deshabituaci\u00f3 tab\u00e0quica \u00e9s el millor tractament per l\u2019MPOC i existeix evid\u00e8ncia cient\u00edfica que avala la incorporaci\u00f3 i integraci\u00f3 de les farm\u00e0cies en els programes de deshabituaci\u00f3, en cooperaci\u00f3 amb els centres de atenci\u00f3 prim\u00e0ria i d\u2019atenci\u00f3 hospital\u00e0ria<\/b>\u201d.<\/p>\n

Actualment la farm\u00e0cia comunit\u00e0ria ja participa amb \u00e8xit en programes de detecci\u00f3 preco\u00e7 de malalties com \u00e9s el cas del c\u00e0ncer colorectal<\/a> o l\u2019VIH<\/a>. A l\u2019estudi pioner FarmaEPOC (m\u00e9s informaci\u00f3 a l\u2019article Airflow obstruction case finding in community-pharmacies: a novel strategy to reduce COPD underdiagnosis<\/a>, via PubMed), una iniciativa del Col\u00b7legi de Farmac\u00e8utics de Barcelona i la Sociedad Espa\u00f1ola de Neumolog\u00eda y Cirug\u00eda Tor\u00e1cica (SEPAR), es va demostrar que els farmac\u00e8utics estan en contacte amb subjectes de risc de patir l\u2019MPOC<\/b> -en general s\u00f3n adults de mitjana edat, no estudiats- i tamb\u00e9 que la farm\u00e0cia comunit\u00e0ria \u00e9s un bon sistema per fer la selecci\u00f3 i estudiar els pacients utilitzant un q\u00fcestionari i realitzant una espirometria de qualitat, si s\u2019utilitzen les tecnologies de la informaci\u00f3 i comunicaci\u00f3 (TIC).<\/p>\n

En la seva intervenci\u00f3 a la jornada, Burgos tamb\u00e9 va destacar el potencial que t\u00e9 la farm\u00e0cia comunit\u00e0ria en el seguiment de malalts respiratoris cr\u00f2nics<\/b>, ja que es tracta d\u2019un servei que est\u00e0 molt estudiat a la bibliografia cient\u00edfica (refer\u00e8ncia via PubMed: The role of community pharmacists in screening and subsequent management of chronic respiratory diseases: a systematic review<\/a> i Feasibility and effectiveness of an evidence-based asthma service in Australian community pharmacies: a pragmatic cluster randomized trial<\/a>) sobretot en dues de les malalties cr\u00f2niques m\u00e9s prevalents, l\u2019asma i l\u2019MPOC. Pel que fa a aquesta \u00faltima, s\u2019ha demostrat que la farm\u00e0cia comunit\u00e0ria pot incidir amb l\u2019adher\u00e8ncia al tractament, la t\u00e8cnica inhalat\u00f2ria, la vacunaci\u00f3 antigripal i la deshabituaci\u00f3 tab\u00e0quica<\/b>. A la presentaci\u00f3 es va considerar la necessitat de millorar els lligams entre la farm\u00e0cia comunit\u00e0ria i l\u2019atenci\u00f3 prim\u00e0ria i es va incidir en el paper de la farm\u00e0cia en el tractament de l\u2019MPOC: pot ser un element de valor en el maneig ambulatori de les malalties respirat\u00f2ries cr\u00f2niques i en la lluita contra el seu infradiagn\u00f2stic<\/b>. \u201c\u00c9s necess\u00e0ria la implantaci\u00f3 de programes innovadors que puguin contribuir a l’automaneig de l\u2019asma i l\u2019EPOC incidint en malalts amb mal control de la seva malaltia\u201d conclou Burgos (refer\u00e8ncia:\u00a0The Role of Community Pharmacies in Respiratory Disease Control<\/a>, via PubMed).<\/p>\n

 <\/p>\n

\n
\"poster-Farmaepoc\"<\/a>
P\u00f2ster informatiu de les farm\u00e0cies que van participar a l\u2019estudi FarmaEPOC realitzant espirometries<\/figcaption><\/figure>\n

La teva farm\u00e0cia et pot ajudar a deixar de fumar
\n<\/strong>
\nEl farmac\u00e8utic \u00e9s un professional format en l\u2019\u00e0mbit de la promoci\u00f3 de la salut i de la prevenci\u00f3 de la malaltia, fet que l\u2019implica directament en les intervencions de deshabituaci\u00f3 tab\u00e0quica.<\/p>\n

Cada final d\u2019any les consultes per deixar de fumar es fan notar a les farm\u00e0cies. M\u00e9s enll\u00e0 de productes com els substitutius de nicotina (pegats, xiclets, etc.), les farm\u00e0cies de Barcelona ofereixen seguiment als usuaris que decideixin que ho volen deixar. Ho fan a trav\u00e9s del Programa de Cessaci\u00f3 Tab\u00e0quica del Col\u00b7legi.<\/p>\n

Al nostre web de salut, Farmaceuticonline, podeu consultar el llistat de farm\u00e0cies que participen en aquest programa.<\/a><\/div><\/b><\/p>\n<\/div>\n

Potser tamb\u00e9 t\u2019interessa:
\n<\/b>Publicat un article sobre el paper de les farm\u00e0cies comunit\u00e0ries en el control de les malalties respirat\u00f2ries<\/a> (Blog)<\/p>\n","protected":false},"excerpt":{"rendered":"

El Pla interdepartamental d\u2019atenci\u00f3 i el Programa de prevenci\u00f3 i atenci\u00f3 a la Interacci\u00f3 social i sanit\u00e0ria cronicitat del Departament de Salut de la Generalitat de Catalunya van organitzar el 10 de desembre la \u201cJornada de debat 2.0: model integrat en l\u2019atenci\u00f3 de les persones amb MPOC a Catalunya\u201d amb […]<\/p>\n","protected":false},"author":1,"featured_media":18172,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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