Estudio de Revisión de las ventajas e inconvenientes de los Sistemas Personalizados de Dosificación (SPD) y evaluación de su adecuación al perfil del paciente y tipo de farmacia

Abstract

The Dose Administration Aids (DAA) are a useful tool to improve therapeutic adherence from the community pharmacy. However, there are many systems in the market with differentiating characteristics that you need to know in order to select the most appropriate for each pharmacy.The objective of this work has been to conduct a review of the different types of SPD that exist, analyze the advantages and disadvantages of each and evaluate their suitability according to the desired use, patient profile and type of pharmacy. To respond to these objectives, a review of the information has been carried out by different sources and methods. Three types of SPD have been identified: manual, semi-automatic and automatic, differing fundamentally in the closure of the blister, the type of sealing, the duration, the personnel involved and the speed of preparation.The selection of the DDA depends mainly on the expected volume and characteristics of the patient. In general, for a pharmacy that wants to start, a non-reusable manual DDA is recommended because of the ease of handling and minimum cost. Depending on the level of processing and the availability of investment, a semi-automatic DDA could be considered. Robots should be reserved for large volumes of processing because it is a high investment that is difficult to amortize for the current average level of preparation of Spanish pharmacies.