Abstract

SAN JOSE RUIZ, Begoña; GIL LEMUS, María Ángeles  and  FIGUERO ECHEVERRIA, María Puy. Pharmaceutical care and home delivery of medication to patients with chronic myeloid leukemia. Farm Hosp. [online]. 2015, vol.39, n.1, pp.13-22. ISSN 2171-8695.  https://dx.doi.org/10.7399/fh.2015.39.1.7860.

Objectives: To describe the implementation of a new model face to face and remote pharmaceutical care with home delivery of tyronsine kinase inhibitors medicines for patients with chronic myeloid leukemia. Methods: Patients with chronic myeloid leukemia were selected to start this new model of care. Four characteristics were taken into account for the choice: chronicity of the disease, frequency of doctor visits, pharmaceutical care value and conservation of tyronsine kinase inhibitors medicines at room temperature. Results: Out of 68 patients with chronic myeloid leukemia and treated with tyronsine kinase inhibitors, 42 were selected due to the frequency of their hematologist visits. An introductory letter and a questionnaire about their preferences were sent to these patients. Sixteen of them expressed their desire to participate. The legal department designed a confidentiality contract, as well as a model of informed consent. A logistic distribution model based on defined routes and timetables was established. Prior to inclusion, pharmaceutical care was performed in a face to face consultation and the communication way was established for the followings remote consultations. Home delivery had a monthly cost of 13.2 € (including VAT) per patient. All the patients who started this program continue in it. To date, 5 deliveries per patient have been conducted Conclusions: It is possible to establish an alternative model of pharmaceutical care with home delivery of medication, keeping the pharmacist-patient relationship, avoiding travel, ensuring the confidentiality and rationalizing the stocks.

Keywords : Leukemia Myelogenous Chronic; BCR-ABL Positive; Protein Kinase Inhibitors; Patient-Centered Care; Telemedicine.

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