How to access the Personalized Medication Dosing System

The System Personalized Drug Dosage (SPD) is intended to obtain from the pharmacy greater adherence to treatments in those polymedicated people. That is, it is a service that is offered from these establishments and that can be requested when certain requirements are met. It is not implemented throughout the national territory in a homogeneous way, although it is present in some Autonomous Communities.

More adherence

The objective of this system is that those who have to take medication do so in the safest and most efficient way possible. In this way, medication-related problems are prevented and resolved. It also contributes to greater adherence to pharmacological treatment, and its correct use is ensured thanks to the personalized information provided to the patient.

In the document Good Practices in Community Pharmacy, prepared by the General Council of Official Associations of Pharmacists (Cgcof), it is indicated that the SPD can be regulated through the competent health authorities, in which case it will be necessary to meet certain criteria to dispense it. Otherwise, pharmacies do not have to comply with any specific legal requirement, but it is recommended that the pharmacy and the pharmacist, voluntarily request the accreditation of competence to offer this service as well as the facilities.

If the SPD service is included in a specific program funded by the Administration, then accreditation is established to ensure that the characteristics of the program are correctly satisfied. The pharmacy participating in the program will have to comply with certain technical aspects and, in addition, have a pharmacist with accredited skills on its staff. When providing this service, the work procedures specified by the Administration must be followed.

The pharmacist may acquire the relevant skills through training or prove experience through training courses taught by entities with the capacity to do so, among other possibilities.

This system has an associated cost assumed by the patient or caregiver, or the Administration. In some Autonomous Communities there are agreements signed with the health ministries, city councils or private companies for the provision and remuneration of the same.

Medication dispensing

Who can benefit?

Patients who can request it they are polymedicated people, older people with drug organization problems, people who live alone at home and they do not have someone of reference, etc., that the pharmacist can detect, either by direct request by the patient, caregiver or person of reference. Also patients included in concerted programs, especially those established with health administrations. Finally, the doctor himself can determine if a patient is eligible to benefit from this benefit.

They will not be able to access it those who reject it or do not sign the consent, those who present a disability and despite meeting other requirements do not have a person in their charge, those who are subjected to a treatment that cannot be adapted to the system, and those for whom the necessary information is not available to to be able to offer them the service in an appropriate way.

In preparing an SPD, the pharmacist must first analyze all of the patient’s medication. Afterwards, you will evaluate which medications are to be included in the SPD devices, that is some blister that has to be homologated and certified by the manufacturer. In some cases, they are closed and sealed with a special machine once they have been prepared and must contain a duly completed label with the relevant information inside. Also, medication is organized by days of the week, from Monday to Sunday, and for the intakes throughout the day, that is, at breakfast, lunch, dinner and, where appropriate, at night.

Madrid pharmacies report problems in the supply of 159 medicines

Start of the process

The process begins with an initial interview and the completion of a patient file. This in turn must authorize and sign an informed consent. The pharmacist has to explain how the blisters are used and detail how the drugs have been organized for their intake. Also, you have to have all the updated pharmacotherapeutic data and if there are changes in treatment you must be informed immediately. The professional must guarantee the absolute confidentiality of the data.

In patients who are already receiving the service, a weekly review of the blister must be carried out and always ensure that there has been no variation in intakes or drugs. SPD usually lasts for a week, but it can vary depending on the disorder that is present. Once everything is ready, it is provided to the patient, at the same time that he delivers the empty devices from the previous week. The patient must have the prospects, and if there are any drugs left over, he must decide whether to keep them in the pharmacy or prefer to keep them himself.