Creation and Implementation of a New Sentinel Surveillance Model in Pharmacy Offices in Southern Europe

Anna M. Jambrina, Neus Rams, Pilar Rius, Maria Perelló, Montserrat Gironès, Clara Pareja, Francisco José Pérez-Cano, Àngels Franch and Manel Rabanal
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Anna M. Jambrina: Directorate-General for Healthcare Planning and Regulation, Ministry of Health, Government of Catalonia, 08028 Barcelona, Spain
Neus Rams: Directorate-General for Healthcare Planning and Regulation, Ministry of Health, Government of Catalonia, 08028 Barcelona, Spain
Pilar Rius: Council of the Pharmacist’s Association of Catalonia, 08009 Barcelona, Spain
Maria Perelló: Physiology Section, Department of Biochemistry and Physiology, Faculty of Pharmacy and Food Science, University of Barcelona, 08028 Barcelona, Spain
Montserrat Gironès: Council of the Pharmacist’s Association of Catalonia, 08009 Barcelona, Spain
Clara Pareja: Directorate-General for Healthcare Planning and Regulation, Ministry of Health, Government of Catalonia, 08028 Barcelona, Spain
Francisco José Pérez-Cano: Physiology Section, Department of Biochemistry and Physiology, Faculty of Pharmacy and Food Science, University of Barcelona, 08028 Barcelona, Spain
Àngels Franch: Physiology Section, Department of Biochemistry and Physiology, Faculty of Pharmacy and Food Science, University of Barcelona, 08028 Barcelona, Spain
Manel Rabanal: Directorate-General for Healthcare Planning and Regulation, Ministry of Health, Government of Catalonia, 08028 Barcelona, Spain

IJERPH, 2022, vol. 19, issue 14, 1-13

Abstract: Traditionally, health sentinel networks have focused on the reporting of data by primary care physicians and hospitals, ignoring the role of the community pharmacist as an expert in drugs. The objective of this study was to describe a method for creating a network of sentinel pharmacies in a region of Southern Europe in order to have a pharmaceutical surveillance system that is representative of the territory to be monitored and that can respond to any events or incidents that can be followed up by the community pharmacy. The creation process was carried out in three phases: a first phase of selection through a cluster and population analysis and a final adjustment, a second phase of voluntariness and random selection, and a third phase of training and implementation of the network. A sentinel network of 75 community pharmacies has been established in Catalonia. The network monitors 2.47% of the total population with a homogeneous proportion of urban (42), rural (30), and mountain-area (3) pharmacies based on the particular characteristics of the territory. This model allows increased surveillance in the territory, objectively and representatively detects problems arising from the use of medicines, and establishes improvement strategies of public health.

Keywords: pharmacy; health services administration; pharmacist intervention; pharmacies sentinel network; public health; community health; community pharmacies (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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