2026-04-17T15:49:42Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/2262162026-04-08T14:25:09Zcom_2072_1057col_2072_478815col_2072_478917

00925njm 22002777a 4500 dc Torres-Novellas, Berta author Guayta, Rafael (Guayta Escolies) author Rius, Pilar author Castellà, Amparo author Gascón Lecha, M. Pilar author Modamio Charles, Pilar author Mariño Hernández, Eduardo L. author 2026-01-27T10:05:55Z 2026-01-27T10:05:55Z 2021 2026-01-27T10:05:55Z The prevalence of elderly patients with chronic illnesses, associated polypharmacy and a high risk of functional and cognitive impairment has increased in recent</p><p>years. The care of Complex Chronic Patients (CCP) therefore represents a challenge for health systems in developed countries around the world. This paper presents</p><p>a study protocol that will explore the effects of an intervention within a pharmaceutical care programme (PCAF) on optimising CCP care and on the suitability of</p><p>the organisational methods proposed for the PCAF programme.</p><p>This is a multicentre experimental study. The setting will be primary health care and community pharmacies in the so-called ‘autonomous community’ of Catalonia</p><p>in Spain. The participants will be CPP attended to Primary Healthcare Centres with the CCP code in their electronic medical record. The included CCP will be</p><p>distributed in two strata depending on whether they will be considered likely to receive the arranged medicinal treatment as Monitored Dosage System according</p><p>to benefits based on criteria or not. They will then be assigned by random stratified sampling at a ratio of 1:1 to the control or intervention groups. A sample size of</p><p>860 patients is estimated. Patients will undergo 12 months follow-up. The primary outcome of this study will be the medication adherence measured by the Morisky</p><p>Green Test and the billing/prescription ratio. Malalties cròniques Atenció farmacèutica Chronic diseases Pharmacy practice A study protocol for an experimental study for a pharmaceutical care programme to improve chronic complex disease management: PCAF programme