[FASEa-C Project: Pharmacists Joining the Team in Chronic Care Monitoring].

OBJECTIVE

To describe the implementation of a care pathway integrating in-person clinical consultations by the Primary Care Pharmacist (PCP) in a health center, assessingorganizational feasibility and user perception. This study represents the preliminary phase for subsequent evaluation of health outcomes through a clinical trial.

DESIGN

Descriptive, cross-sectional observational study, with prospective recruitment of chronically polymedicated patients during implementation.

SETTING

Urban health center in the Campo de Gibraltar Oeste Health Management Area (Andalusia, Spain), characterized by high care demand and social-health vulnerability.

PARTICIPANTS

Chronic patients receiving ≥10 medications. Exclusion criteria were terminal illness, severe cognitive impairment, or palliative care.

INTERVENTIONS: Implementation of a multidisciplinary network focused on Structured Medication Review conducted by the PCP through scheduled appointments. Protocols for coordination and use of Electronic Health Record (EHR) tools were established. The review included a in-person interview to assess adherence and knowledge, witheducational interventions and medication recommendations recorded on the shared REDCap® platform.

MAIN OUTCOME MEASURES: Number and type of prescription-related issues per patient, acceptance of PCP recommendations by family physicians, and patient satisfaction.

RESULTS

A total of160 polymedicated chronicpatients were attended and 1,600 prescriptions were evaluated; 3.8% showed incidents, 46.10% beingpotentially inappropriate treatments. Family physicians accepted 67% of recommendations. Satisfaction was high: 90% were very satisfied with kindness, 87% with consultation time, and 96% would recommend the intervention.

CONCLUSIONS

Integration of the PCP was feasible and well accepted. REDCap® ensured traceability and facilitated care coordination.