<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1137-6627</journal-id>
<journal-title><![CDATA[Anales del Sistema Sanitario de Navarra]]></journal-title>
<abbrev-journal-title><![CDATA[Anales Sis San Navarra]]></abbrev-journal-title>
<issn>1137-6627</issn>
<publisher>
<publisher-name><![CDATA[Gobierno de Navarra. Departamento de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1137-66272020000300002</article-id>
<article-id pub-id-type="doi">10.23938/assn.0880</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Receta electrónica: diferencias entre comunidades autónomas que afectan al acceso a los tratamientos y a la calidad de la atención farmacéutica]]></article-title>
<article-title xml:lang="en"><![CDATA[Electronic prescription: differences between autonomous communities affecting access to treatment and the quality of pharmaceutical care]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Alfaro]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carballeira Rodríguez]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Granada Programa de Doctorado en Farmacia ]]></institution>
<addr-line><![CDATA[Granada ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Farmacia Dr. José Daniel Carballeira Rodríguez  ]]></institution>
<addr-line><![CDATA[Santander ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>43</volume>
<numero>3</numero>
<fpage>297</fpage>
<lpage>306</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1137-66272020000300002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1137-66272020000300002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1137-66272020000300002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Fundamento  Los sistemas de receta electrónica implantados en las distintas comunidades autónomas españolas presentan diferencias. Este trabajo trata de describir cómo afectan estas diferencias al acceso a los tratamientos y a la atención farmacéutica, y las características específicas que los facilitan.  Métodos Se diseñó una encuesta para valorar los sistemas de receta electrónica que fue cumplimentada por los Centros de Información del Medicamento de los Colegios Oficiales de Farmacéuticos de todas las comunidades autónomas de España durante febrero y marzo de 2020.  Resultados En todas las comunidades autónomas se registró alguna limitación respecto a la disponibilidad temporal del tratamiento, y en cinco de ellas se registraron incidencias relativas al modo de acceso a la receta electrónica. En ninguna comunidad las farmacias pueden resolver problemas de disponibilidad en circunstancias especiales, ni existe sistema de comunicación efectivo con el médico ni de registro de datos del paciente. Solo algunas comunidades gestionan determinadas sustituciones para adaptar la prescripción a los requerimientos del paciente.  Conclusiones El sistema actual de receta electrónica podría optimizarse para evitar desigualdades entre comunidades autónomas y mejorar la calidad de la atención que reciben los pacientes, facilitando el acceso a los tratamientos y evitando desplazamientos y demoras. El acceso presentando solo la tarjeta sanitaria, la adaptación de las limitaciones temporales para evitar bloqueos, la dispensación en circunstancias especiales justificada y registrada por el farmacéutico, así como habilitar una comunicación eficiente farmacéutico-médico, son medidas generales que evitarían desigualdades y facilitarían el acceso a los tratamientos y la atención farmacéutica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background The electronic prescription systems implemented in the different autonomous communities in Spain show differences. This study aims to describe how these differences affect access to treatment and pharmaceutical care, and what specific characteristics facilitate them.  Methods A survey was designed to evaluate the electronic prescription systems. This survey was carried out at the Drug Information Centers of the Official Pharmacists' Colleges of all the Spanish autonomous communities during February and March 2020.  Results In all autonomous communities there were some limitations regarding the temporary availability of the treatment, and incidents regarding the way of accessing the electronic prescription were recorded only in only five communities. In no community are pharmacies able to solve availability problems in special circumstances, nor is there any effective system for communicating with the doctor or recording patient data. Only some communities organize certain replacements to adapt the prescription to the patient's requirements.  Conclusions The current electronic prescription system could be optimized to avoid inequalities between autonomous communities and improve the quality of care received by patients, facilitating access to treatment, and avoiding the need to travel and delays. Access on presenting the health card, adaptation of time limitations to avoid blockages, dispensing medicines in special circumstances justified and registered by the pharmacist, as well as enabling efficient pharmacist-doctor communication, are general measures that avoid inequalities and facilitate access to treatments and pharmaceutical care.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Receta electrónica]]></kwd>
<kwd lng="es"><![CDATA[Atención farmacéutica]]></kwd>
<kwd lng="es"><![CDATA[Desigualdades]]></kwd>
<kwd lng="es"><![CDATA[Comunidades autónomas]]></kwd>
<kwd lng="en"><![CDATA[Electronic prescription]]></kwd>
<kwd lng="en"><![CDATA[Pharmaceutical care]]></kwd>
<kwd lng="en"><![CDATA[Inequalities]]></kwd>
<kwd lng="en"><![CDATA[Autonomous communities]]></kwd>
</kwd-group>
</article-meta>
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<name>
<surname><![CDATA[Amin]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Emergency supply: law versus ethics]]></article-title>
<source><![CDATA[The Pharmaceutical Journal]]></source>
<year>2011</year>
<volume>286</volume>
<page-range>598</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
