Model of teleconsultation pharmaceutical integrated in the electronic clinical history of the patient.

Objective: Describe the phases of implementation, scaling and integration of a  pharmacy teleconsultation model in electronic history, to coordinate the care  transition of patients.

Method: Descriptive and retrospective study in a health area of 500,000 inhabitants (3 years). In the first phase, a working group was created,  a communication platform was designed and a continuity program was piloted between a hospital pharmacist and the 13 primary care pharmacists. The objective was to solve problems related to medications (especially those of  sanitary approval) in polymedicated patients hospitalized in the Short Stay Unit- Emergency. In a second phase, the program included all the patients in any unit  and all the pharmacists in the hospital. In the third phase, the program was  extended to the teleconsultation format within the corporate information  systems of the Health Service. Quantitative descriptive variables were recorded (number, motives and resolution of the teleconsultations).

Results: In total, more than 470 consultations were registered (118 in the first  phase, 158 in the second and 194 in the third), which were resolved  in 90% of  the cases. The main reasons were discrepancies in type approval drugs,  prescribed in the care transition and nutritional assessment.

Conclusions: Teleconsultation allows the coordination of pharmaceutical care  between levels, quickly and easily. Increase the visibility and access of  professionals. Problems are resolved without displacements or time delays for  patients.