<?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>1729-519X</journal-id>
<journal-title><![CDATA[Revista Habanera de Ciencias Médicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev haban cienc méd]]></abbrev-journal-title>
<issn>1729-519X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de la Habana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1729-519X2020000500012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Eficiencia del seguimiento farmacoterapéutico en adultos mayores polimedicados, en una farmacia especial de área, 2018]]></article-title>
<article-title xml:lang="en"><![CDATA[Efficiency of the pharmacotherapy follow-up of polymedicated elderly people in a specialized pharmacy of the area, 2018]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Elías Díaz]]></surname>
<given-names><![CDATA[Ingrid]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Fariñas]]></surname>
<given-names><![CDATA[Anai]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gerrero Valera]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de La Habana Instituto de Farmacia y Alimentos ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Finlay de Vacunas  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Militar Central &#8220;Dr. Luis Díaz Soto&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>19</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1729-519X2020000500012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1729-519X2020000500012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1729-519X2020000500012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El seguimiento farmacoterapéutico favorece el uso efectivo y seguro de los medicamentos, pero en el país se requiere evidencia de su eficiencia para la toma de decisiones sobre su futura implementación.  Objetivo:  Determinar la eficiencia del seguimiento farmacoterapéutico a adultos mayores polimedicados en una farmacia especial de área del municipio Diez de Octubre de La Habana, Cuba.  Material y Métodos:  Análisis costo-efectividad, que comparó realizar el seguimiento farmacoterapéutico a domicilio con no hacerlo. Se utilizó la perspectiva social para estimar el costo por resultado negativo asociado a la medicación resuelto. Se estimó el costo directo de brindar el servicio, así como el impacto económico sobre el consumo de medicamentos y el uso de los servicios de salud por los pacientes.  Resultados:  En ambos grupos, los pacientes fueron en su mayoría mujeres, la edad media fue de aproximadamente 75 años y 2,02 resultados negativos de la medicación, como promedio. Se resolvieron 27 de los mismos (42,19%) lo que generó una reducción en el costo por tratamiento farmacológico mensual de 65,45 Moneda nacional y por uso de servicios de salud de 465,07 Moneda nacional. El seguimiento farmacoterapéutico resultó una alternativa costo ahorradora, con una liberación de 22,71 Moneda nacional por cada resultado negativo asociados a la medicación resuelto.  Conclusiones:  El seguimiento farmacoterapéutico comunitario brindado a los adultos mayores polimedicados en un área de salud en La Habana, resultó ser una tecnología eficiente para la racionalización de la terapéutica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Pharmacotherapy follow-up encourages the effective and safe use of medicines; however, evidence of their efficiency is required to make decisions about their future implementation in the country.  Objective:  To determine the efficiency of the pharmacotherapy follow-up of polymedicated elderly people in Diez de Octubre municipality, Havana, Cuba.  Material and Methods:  Cost-effectiveness analysis based on the comparison between pharmacotherapy follow-up of medicines administered at home and pharmacotherapy without follow-up. Social perspective was used to estimate the cost of a negative outcome associated with medication. The direct cost of providing the service was estimated, as well as the economic impact on the consumption of medicines and the use of health services by patients.  Results:  The patients were mostly women in both groups; the mean age was approximately 75 years and there were 2.02 negative outcomes associated with medication, on average. Twenty-seven of them (42.19%) were resolved, resulting in a reduction in the cost of monthly pharmacological treatment of 65.45 Cuban pesos and a reduction in the health care costs of 465.07 Cuban pesos. Pharmacotherapy follow-up proved to be a cost-saving alternative with a release of 22.71 Cuban pesos for every negative outcome associated with the use of medication.  Conclusions:  Pharmacotherapy follow-up provided to polymedicated elderly people in a health area in Havana demonstrated to be an efficient technology for the rationalization of therapeutics.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Eficiencia]]></kwd>
<kwd lng="es"><![CDATA[costo]]></kwd>
<kwd lng="es"><![CDATA[efectividad]]></kwd>
<kwd lng="es"><![CDATA[servicios farmacéuticos]]></kwd>
<kwd lng="es"><![CDATA[adulto mayor]]></kwd>
<kwd lng="es"><![CDATA[polifarmacia]]></kwd>
<kwd lng="en"><![CDATA[Efficiency]]></kwd>
<kwd lng="en"><![CDATA[cost]]></kwd>
<kwd lng="en"><![CDATA[effectiveness]]></kwd>
<kwd lng="en"><![CDATA[pharmaceutical services]]></kwd>
<kwd lng="en"><![CDATA[elderly]]></kwd>
<kwd lng="en"><![CDATA[polypharmacy]]></kwd>
</kwd-group>
</article-meta>
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