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Sanidad paraliza el concurso para el desarrollo del centro logístico que debería preparar la unidosis para la atención farmacéutica en el ámbito sociosanitario. Las incertidumbres que el modelo suscitaba (notable inversión, aparato logístico complejo, centralización en una empresa externa); Las presiones de los Colegios de Farmacéuticos y de la patronal de las residencias privadas AERTE y la proximidad de las elecciones autonómicas, que dificultaría cualquier rectificación caso de generar problemas, han dado al traste con una de los proyectos estrellas del equipo de Carmen Montón.
La central logística para la preparación de la unidosis y su distribución a las residencias publicas y privadas que tienen algún tipo de concierto con la Generalitat, era una parte, no menor pero parcial, de la extensión del modelo valenciano de prestación farmacéutica en el ámbito sociosanitario que se puso en marcha hace mas de 25 años y que hoy esta vigente en el ámbito sociosanitario público y que atiende a unas 5000 camas desde cinco servicios de farmacia, ubicados en cinco residencias de titularidad pública (una en Alicante, dos en Valencia y dos en Castellón) y que es referente a nivel estatal por el aumento de la calidad en la prestación farmacéutica integrada y por el ahorro económico que proporciona a las arcas de la Generalitat en una partida de gasto tan sensible y tan abultada como es el gasto farmacéutico
No obstante, queremos manifestar que esta decisión nos parece bien si verdaderamente es para estudiar cual es la mejor manera de extender el modelo valenciano de atención farmacéutica en el ámbito sociosanitario, pero nos preocupa la lectura que desde distintos grupos se esta haciendo de esta decisión. En primer lugar de los Colegios de Farmacéuticos, que ven esta paralización como una victoria de la presión que como lobby han ejercido sobre la Conselleria. Ellos y AERTE, la patronal de residencias con animo de lucro, se han opuesto desde el principio a cualquier cambio del “status quo” actual y han defendido sus intereses que han visto amenazados por un proceso, que en el fondo supone pasar a la gestión pública una actividad que hasta ahora estaba privatizada y de la que ellos se beneficiaban.
Nos preocupa de hecho que la Conselleria se haya reunido con estos agentes para comunicarles la paralización del concurso y en cambio no lo haya hecho con otras organizaciones e instituciones que estamos desde el principio por el modelo valenciano publico de atención farmacéutica sociosanitaria.
Por todo ello consideramos que el actual modelo que ya atiende a 5000 camas públicas, puede y debe extenderse a todos los departamentos de salud y centrar en ellos la atención integral. Desde luego integrando a los actuales equipos que ya prestan atención farmacoterapéutica y que son los profesionales que desde hace mas de 20 años han implementando el modelo y en los que hay farmacéuticos clínicos, técnicos de farmacia, enfermeros y nutricionistas, que trabajan de manera integral con el resto del equipo sanitario de las residencias, médicos, enfermeros y psicólogos y que han hecho de esta prestación un referente estatal.
Desde ACDESA esperamos que se confirmen las declaraciones de la consellera, manifestando que a la vuelta del verano se retomará la implantación del modelo y desde luego nos parece que buscar el consenso con todos los sectores implicados es el camino adecuado, siempre y cuando sean los intereses de los usuarios y ciudadanos los que prevalezcan en la negociación. La evaluación del modelo actual ya proporciona suficiente evidencia para apostar por su implementación en el ámbito de la Comunidad Valenciana, con o sin central logística.
ACDESA-PV
Julio 2018
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