{"id":6752,"date":"2016-09-15T14:32:18","date_gmt":"2016-09-15T14:32:18","guid":{"rendered":"http:\/\/fefac.cat\/empresarial\/?p=6752"},"modified":"2016-09-15T14:32:18","modified_gmt":"2016-09-15T14:32:18","slug":"el-debat-sobre-els-spd-a-quant-cobrarlos","status":"publish","type":"post","link":"https:\/\/fefac.cat\/empresarial\/el-debat-sobre-els-spd-a-quant-cobrarlos\/","title":{"rendered":"El debat sobre els SPD: A quant cobrar-los?"},"content":{"rendered":"<p>El debat sobre a quin import s&rsquo;ha de cobrar el servei d&rsquo;SPD s&rsquo;ha reobert amb la resoluci&oacute; d&rsquo;Andalusia que regula el servei de farm&agrave;cies a resid&egrave;ncies. Segons aquesta normativa, les farm&agrave;cies han d&rsquo;estar acreditades per fer SPD i es premia les que ofereixin el servei gratu&iuml;tament.<\/p>\n<p>El posicionament de FEFAC sobre aquesta q&uuml;esti&oacute; el va expressar en una <a href=\"http:\/\/www.fefac.cat\/intranet\/noticies\/_userfiles\/files\/Actualitat\/Not%EDcies\/Revista%20FEFAC.pdf\">entrevista <\/a>el seu president, Antoni Torres: &ldquo;El cam&iacute; d&rsquo;oferir serveis sense cost com a estrat&egrave;gia de diferenciaci&oacute; i compet&egrave;ncia sobre els dem&eacute;s companys porta a l&rsquo;absurd de la prestaci&oacute; de serveis. Tal com diu l&rsquo;aforisme &lsquo;el que res no costa, res no val&rsquo;, una de les formes de que l&rsquo;usuari valori la tasca professional que hi ha al darrera d&rsquo;un SPD &eacute;s posar-li un preu. No t&eacute; cap sentit desenvolupar activitats que nom&eacute;s aportin cost d&rsquo;estructura a la farm&agrave;cia, que ja t&eacute; redu&iuml;da la rendibilitat del medicament. El missatge que enviem a l&rsquo;Administraci&oacute; si no cobrem aquests tipus de serveis professionals &eacute;s que si l&rsquo;usuari no el paga no hi ha motius pels quals ens els hagin de pagar amb fons p&uacute;blics&rdquo;.<\/p>\n<p>Aquesta idea &eacute;s compartida pel president del Consejo General de Colegios de Farmac&eacute;uticos, Jes&uacute;s Aguilar, que afirma a Diariofarma&nbsp;que &ldquo;el que no es remunera, no es valora, ni per part de l&rsquo;Administraci&oacute; ni dels propis pacients&rdquo;.<\/p>\n<p>Els requisits del Servei de Salut d&rsquo;Andalusia per servir a resid&egrave;ncies han portat a la Societat Espanyola de Farm&agrave;cia Familiar i Comunit&agrave;ria (SEFAC) a presentar un recurs contra la resoluci&oacute;, en considerar que &ldquo;atempten contra la dignitat del farmac&egrave;utic i vulneren el seu dret al lliure exercici de la professi&oacute; i la llibertat d&rsquo;empresa de la farm&agrave;cia&rdquo;.<\/p>\n<p><strong>L&rsquo;Administraci&oacute; basca ho remunera<\/strong><\/p>\n<p>El Pa&iacute;s Basc &eacute;s l&rsquo;&uacute;nica comunitat aut&ograve;noma que remunera aquest servei. Des de 2009, el reben les persones que reben ajut domiciliari. A la prov&iacute;ncia de Biscaia, estan acreditades 338 de les 432 farm&agrave;cies. L&rsquo;Administraci&oacute; les paga 31,16 euros per pacient i mes.<\/p>\n<p>Quan el servei es presta de manera privada, cada farm&agrave;cia pot fixar el preu lliurement. Les organitzacions farmac&egrave;utiques no poden realitzar recomanacions sobre l&rsquo;import perqu&egrave; no ho permet la Comissi&oacute; Nacional de la Compet&egrave;ncia. Com a refer&egrave;ncia, podria servir el Pa&iacute;s Basc, per&ograve; Juan del Arco, membre del Grupo d&rsquo;SPD del COF de Biscaia, explica a Diariofarma,&nbsp;d&rsquo;una banda, que, encara que les farm&agrave;cies cobrin 31,16 euros, la quantitat que es calcula a la qual s&rsquo;hauria de cobrar el servei per tal que aquest fos sostenible s&oacute;n 35 euros (a la prov&iacute;ncia de Biscaia). Segons afirma aquest expert, &ldquo;es tracta d&rsquo;un servei d&rsquo;alta qualificaci&oacute; professional i, des del punt de vista de l&rsquo;&uacute;s dels medicaments, el m&eacute;s diferent que hi ha respecte un &lsquo;pastiller&rdquo;.<\/p>\n<p>Un estudi publicat a <a href=\"http:\/\/www.pharmcareesp.com\/index.php\/PharmaCARE\/article\/view\/101\/97\">Pharmaceutical Care<\/a> el 2013, del Consell de Col&middot;legis de Farmac&egrave;utics de Catalunya, calcula que el cost del servei &eacute;s de 19,85 euros al mes.<\/p>\n<p>El Consell de Col&middot;legis andal&uacute;s, Cacof, va realitzar una f&oacute;rmula de cobrament del servei, qu&eacute; t&eacute; en compte el nombre de medicaments, les incid&egrave;ncies, el n&uacute;mero de bl&iacute;sters i el material utilitzat:<\/p>\n<h3 style=\"background: rgb(238, 238, 238); border: 1px solid rgb(204, 204, 204); padding: 5px 10px;\"><strong>F&oacute;rmula per calcular el cost de l&#39;SPD<\/strong><\/h3>\n<div style=\"background:#eee;border:1px solid #ccc;padding:5px 10px;\"><strong>Preu SPD = [(N x 0.7) + (1+i)] x p + E<\/strong><\/div>\n<div style=\"background:#eee;border:1px solid #ccc;padding:5px 10px;\">N: n&uacute;m. de medicaments a emblistar<\/div>\n<div style=\"background:#eee;border:1px solid #ccc;padding:5px 10px;\">0.7: factor pel qual s&rsquo;amortigua la pujada del cost a mesura que augmenta el nombre de medicaments<\/div>\n<div style=\"background:#eee;border:1px solid #ccc;padding:5px 10px;\">i: incid&egrave;ncies* (essent el valor diferent segons el nombre d&rsquo;incid&egrave;ncies): entre 1-2, i=1; 3-5, i=2; m&eacute;s de 6, i=3<\/div>\n<div style=\"background:#eee;border:1px solid #ccc;padding:5px 10px;\">P: factor p aplicat en formulaci&oacute; magistral<\/div>\n<div style=\"background:#eee;border:1px solid #ccc;padding:5px 10px;\">E: preu del material durant una setmana (uns 0,6 euros)<\/div>\n<div style=\"background:#eee;border:1px solid #ccc;padding:5px 10px;\"><small>* Fraccionament de comprimits, comunicaci&oacute; amb el metge, entrevista inicial, preparaci&oacute; setmanal, medicaments no emblistables, canvi en la medicaci&oacute;n.<\/small><\/div>\n","protected":false},"excerpt":{"rendered":"<p>El debat sobre a quin import s&rsquo;ha de cobrar el servei d&rsquo;SPD s&rsquo;ha reobert amb la resoluci&oacute; d&rsquo;Andalusia que regula el servei de farm&agrave;cies a resid&egrave;ncies. Segons aquesta normativa, les [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[11,12,13,14,15,19],"tags":[264,348,1438],"class_list":["post-6752","post","type-post","status-publish","format-standard","hentry","category-fefac","category-afb","category-afet","category-afell","category-agfe","category-professio","tag-spd","tag-serveis-professionals","tag-servei"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>El debat sobre els SPD: A quant cobrar-los? - FEFAC<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fefac.cat\/empresarial\/el-debat-sobre-els-spd-a-quant-cobrarlos\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"El debat sobre els SPD: A quant cobrar-los? - FEFAC\" \/>\n<meta property=\"og:description\" content=\"El debat sobre a quin import s&rsquo;ha de cobrar el servei d&rsquo;SPD s&rsquo;ha reobert amb la resoluci&oacute; d&rsquo;Andalusia que regula el servei de farm&agrave;cies a resid&egrave;ncies. 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