Rome, Nov. 20 (AdnKronos Health) – Present almost everywhere. And almost always open. Pharmacies in Italy are essential for listening to citizens, especially elderly people with chronic illness, women with young children or pregnant women. And they play an important role in helping to ensure compliance with care. But when it comes to structuring online services on the ground, they are often "forgotten". In short: basic coverage of the national health service by capillarity and proximity, but excluded or not integrated in both integrated home care and community medicine in community services.
This is the picture that emerges from the first annual pharmacy report drawn up on 1,275 exercises that took part in the survey, of which about a quarter is in "internal areas". The survey conducted by Cittadinanzattiva and Federfarma with Teva's unconditional support also includes two thematic areas: one on the role of chronic care, and the other on the role of pharmacies in country strategy strategies.
The survey data show that the pharmacy model launched in Italy in 2009 is trying to take off. In terms of internal areas, only 72% of the intervention strategies for these areas (less-favored areas and far from urban centers) that exist in Italy today are only explicitly referred to as pharmacies. However, these services provide a service comparable to other pharmacies despite objective operational difficulties. In general, pharmacies have considerable concerns about compliance.
In 63% of the pharmacies surveyed, there is a public service Cup, almost all offer services for booking services and trials, while lower rates for ticket payment and receipt and delivery of messages. In 85% of cases, a citizen does not pay anything for a cup service in a pharmacy; 14% between EUR 1 and EUR 2; only 1% of cases pay more (3-5 EUR). In addition, pharmacies increasingly provide top-class analytical services such as tests and diagnostic tests (78% of cases), second-level testing using instrumentation (64% of cases), still a residual range of telemedicine, an exception for telecardiology that is rather widespread.
For tests and diagnostic tests in pharmacies we can easily find blood sugar (96%), total cholesterol (92%), triglycerides (83%), glycated hemoglobin (50%). With limited availability, it is possible to find pharmacies that carry out other types of tests. In terms of takeover, in 65% of cases, pharmacies are equipped with a computer system or web platform capable of responding to the needs associated with effective patient management. While only 19% adopted protocols or procedures to adapt advice on different user targets. Local services generally involve little involvement of pharmacies by local health authorities.
For example, only 7% of pharmacies are involved in integrated home care, while engaging in various forms of local group medicine is totally unnecessary. Finally, there are very few other professionals, such as nurses, physiotherapists and psychologists (from 6 to 12%). When they are there, their presence is often the result of close contracts with individual experts rather than reference orders. For example, almost all pharmacies (87%) are involved in preventive and screening campaigns by local health authorities and regions. Among initiatives that take care of pharmacies with greater care, promotion or, at the very least, adherence to awareness-raising initiatives and information on specific population targets is certainly the 70% activity found.
These initiatives are supported by Asl (31%), pharmaceutical companies (28%) and Regions (16%). Rear lights made with civil organizations, with 6%. In 44% of cases, the pharmacy participates in projects and initiatives to support the therapeutic adherence of people with chronic illnesses, especially cardiovascular (73%), endocrine (67%), respiratory (46%) and metabolic (35%). The role associated with treatment adherence is far from secondary, taking into account that 90% of the services provided in these initiatives are not rewarded. In fact, only 4% of the regions, 4% of the ASL, 2% of the pharmaceutical company apply.
In particular, there are projects and initiatives to promote therapeutic adherence, such as ASLs (38% of cases), pharmaceutical companies (38%), regional authorities (25%) and general practitioners (15 %). These are primarily forms of personal tutoring (in 60% of cases); reminders of memory reminders of treatment (41%); there are also innovative tools to support chronic adherence to chronic illness (20%). Finally, only 11 of the 72 strategies developed (or in development) for the development of services in internal areas are explicit references to the role of pharmacies.
Three pharmacies involved in integrated home care are 9% of those working in inland areas and 7% of those in the rest of the country. Primarily, however, they are much more emphasized in the preparation and / or dispensing of pain medications (+ 26% compared to the rest of the country). Among the negative data related to the objective organizational and logistic difficulties faced by pharmacies operating in less-favored areas, we report -17% (compared to the rest of the country) for the service of the cup, -14% for tests and diagnostic tests, 6% for participation in preventive and screening campaigns. However, as far as healing adherence is concerned, pharmacies in these areas may, despite the difficulties, reach the same level as in the rest of the country.