{"id":84798,"date":"2026-05-21T16:22:00","date_gmt":"2026-05-21T16:22:00","guid":{"rendered":"https:\/\/www.cofb.org\/?p=84798"},"modified":"2026-05-21T16:29:13","modified_gmt":"2026-05-21T16:29:13","slug":"desabastiment-de-medicaments-un-repte-global-que-posa-a-prova-la-resiliencia-de-les-farmacies-i-del-conjunt-del-sistema-sanitari","status":"publish","type":"post","link":"https:\/\/www.cofb.org\/ca\/2026\/05\/21\/desabastiment-de-medicaments-un-repte-global-que-posa-a-prova-la-resiliencia-de-les-farmacies-i-del-conjunt-del-sistema-sanitari\/","title":{"rendered":"Desabastiment de medicaments: un repte global que posa a prova la resili\u00e8ncia de les farm\u00e0cies i del conjunt del sistema sanitari"},"content":{"rendered":"\n

Article de Jordi Casas, president del Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB)<\/strong> i el Consell de Col\u00b7legis Farmac\u00e8utics de Catalunya (CCFC)<\/strong><\/h4>\n\n\n\n
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L’esfor\u00e7 silenci\u00f3s de farmac\u00e8utics \u00e9s el que permet que, en la gran majoria dels casos, el pacient acabi rebent la seva medicaci\u00f3, absorbint el sistema l’impacte de forma interna a costa d’un sobreesfor\u00e7 assistencial i administratiu<\/strong>.<\/p>\n<\/blockquote>\n\n\n\n<\/div>\n\n\n\n

<\/p>\n\n\n\n

El desabastiment de medicaments ha deixat de ser un fenomen conjuntural per convertir-se en un repte sist\u00e8mic, global i creixent que posa a prova la resili\u00e8ncia del nostre sistema sanitari. No ens enfrontem a un problema puntual, sin\u00f3 al resultat de tensions estructurals en la cadena global del medicament, agreujades per factors geopol\u00edtics, una excessiva concentraci\u00f3 de la producci\u00f3 fora d’Europa i pol\u00edtiques de preus que sovint comprometen la rendibilitat de f\u00e0rmacs essencials.<\/p>\n\n\n\n

Aquesta setmana he comparegut davant la Comissi\u00f3 de Sanitat del Senat juntament amb el Dr. Jaume Sellar\u00e8s<\/a>, vicepresident del Col\u00b7legi de Metges de Barcelona (CoMB), per traslladar una realitat que vivim cada dia a les farm\u00e0cies i consultes d’Atenci\u00f3 Prim\u00e0ria: el problema de subministrament de medicaments, un repte sanitari que afecta la seguretat cl\u00ednica del pacient i que requereix respostes integrades i urgents.<\/p>\n\n\n\n

\"\"<\/a>
Jordi Casas en un moment de la seva compareixen\u00e7a. <\/figcaption><\/figure>\n\n\n\n

L’impacte a pacients i farmac\u00e8utics <\/strong><\/h2>\n\n\n\n

Darrere de cada falta de subministrament hi ha un pacient que pateix incertesa i ansietat. L’impacte \u00e9s especialment sever en pacients grans, que viuen sols, amb problemes de mobilitat i que requereixen de terceres persones per a la seva cura, per als quals una interrupci\u00f3 en el seu tractament pot derivar en descompensacions greus de la seva patologia i, en \u00faltima inst\u00e0ncia, en un augment de la morbimortalitat.<\/p>\n\n\n\n

En l’\u00e0mbit professional, un informe europeu recent assenyala que les farm\u00e0cies comunit\u00e0ries dediquen una mitjana de 12 hores setmanals a gestionar aquestes faltes. Aquest esfor\u00e7 silenci\u00f3s de farmac\u00e8utics \u00e9s el que permet que, en la gran majoria dels casos, el pacient acabi rebent la seva medicaci\u00f3, absorbint el sistema l’impacte de forma interna a costa d’un sobreesfor\u00e7 assistencial i administratiu.<\/p>\n\n\n\n

Un pla de xoc per refor\u00e7ar la resili\u00e8ncia del sistema <\/strong><\/h2>\n\n\n\n

Des de Barcelona, farmac\u00e8utics i metges hem proposat un dec\u00e0leg d’actuacions estrat\u00e8giques<\/strong> per passar d’una gesti\u00f3 reactiva a una d’anticipat\u00f2ria.<\/p>\n\n\n\n

Entre les propostes que hem traslladat al Senat, destaquen: <\/sup><\/p>\n\n\n\n

    \n
  1. Medicaments com a producte estrat\u00e8gic:<\/strong> impulsar una visi\u00f3 europea que garanteixi producci\u00f3, fabricaci\u00f3, comercialitzaci\u00f3 i distribuci\u00f3, reduint depend\u00e8ncies cr\u00edtiques.<\/li>\n\n\n\n
  2. Protocol de substituci\u00f3 consensuat (metges-farmac\u00e8utics):<\/strong> disposar de guies per patologia\/grup terap\u00e8utic i nivells d’impacte, amb criteris de seguretat, equival\u00e8ncies i seguiment.<\/li>\n\n\n\n
  3. Capacitat d’actuaci\u00f3 professional amb garanties: <\/strong>ampliar i clarificar, en situacions puntuals i segures, quins ajustos es poden realitzar a la farm\u00e0cia (i quan requereix canvi de prescripci\u00f3), amb circuits i responsabilitats definits.<\/li>\n<\/ol>\n\n\n\n

    La capacitaci\u00f3 del farmac\u00e8utic per canviar la forma farmac\u00e8utica d’un f\u00e0rmac \u00e9s una necessitat legal inajornable<\/strong><\/h2>\n\n\n\n

    Es tracta d’una compet\u00e8ncia hist\u00f2rica que des de la professi\u00f3 farmac\u00e8utica portem anys reclamant leg\u00edtimament. Davant la imminent reforma de la Llei de Garanties i \u00das Racional dels Medicaments i Productes Sanitaris, confiem fermament que el nou marc legal reconegui expl\u00edcitament la capacitat del farmac\u00e8utic per substituir, en situacions justificades i degudament protocol\u00b7litzades, la forma farmac\u00e8utica. Aquesta ampliaci\u00f3 de compet\u00e8ncies es planteja sempre sota un prisma de m\u00e0xima seguretat cl\u00ednica, amb la finalitat d’evitar un sobrecost al sistema, a causa de noves cites m\u00e8diques per a un canvi de prescripci\u00f3 o despla\u00e7aments innecessaris dels pacients als Centres d’Atenci\u00f3 Prim\u00e0ria.<\/p>\n\n\n\n

    El nostre comprom\u00eds \u00e9s treballar de forma proactiva perqu\u00e8 l’acc\u00e9s als medicaments sigui, en tot moment, una garantia innegociable, blindant la seguretat cl\u00ednica davant les incerteses del mercat i assegurant que la salut dels ciutadans continu\u00ef sent l’eix central de tota actuaci\u00f3 assistencial.<\/p>\n\n\n\n

    Article originalment\u00a0publicat a El GlobalFarma<\/a>,\u00a0<\/strong>el 19 de maig de 2026.<\/p>\n\n\n\n

    <\/a><\/p>\n\n\n\n

    <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

    Article de Jordi Casas, president del Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB) i el Consell de Col\u00b7legis Farmac\u00e8utics de Catalunya (CCFC) L’esfor\u00e7 silenci\u00f3s de farmac\u00e8utics \u00e9s el que permet que, en la gran majoria dels casos, el pacient acabi rebent la seva medicaci\u00f3, absorbint el sistema l’impacte de forma interna […]<\/p>\n","protected":false},"author":3,"featured_media":84806,"comment_status":"closed","ping_status":"closed","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":"set","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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