title: [Health care models for patients with multiple chronic conditions and the role of the hospital pharmacy/the hospital pharmacist].
abstract: BACKGROUND
  Managing care for patients with chronic conditions currently represents one of the greatest challenges to health care systems. As a subgroup of these patients, those with multiple chronic conditions are at greater risk for death or disability, and they consume more resources. They are characterized by the coexistence of two or more chronic illnesses lasting a year or longer which require ongoing medical attention and/or interfere with their daily activities. For these polypathological patients pharmaceutical care would be of special benefit, thus, their needs should be a priority objective for hospital pharmacy.
  
  
  OBJECTIVE
  To increase awareness of this type of patients and the characteristics of the principal approaches and health care models proposed to improve chronic disease management, as well as to emphasize the urgency for hospital pharmacists to join these models, and to present various activities that pharmacists might carry out as an integral part of these approaches.
  
  
  RESULTS
  Numerous models exist internationally, including the Chronic Care Model and the Kaiser Permanente pyramid of risks. In our country a growing number of initiatives has culminated in the recent Seville Declaration. For the hospital pharmacy, caring for the chronically ill patient following a model that is multi-professional, cooperative, integral, and patient centered, is an enormous task. Pharmacy departments and the Spanish Society of Hospital Pharmacy should reorient their strategies for pharmaceutical care, training, and research. Of special interest are those activities designed to improve adherence, adequacy, and continuity in treatments, all the while emphasizing active patient participation.
authors: B
authors: B
authors: Santos-Ramos
authors: M J
authors: MJ
authors: Otero López
authors: M
authors: M
authors: Galván-Banqueri
authors: E R
authors: ER
authors: Alfaro-Lara
authors: M D
authors: MD
authors: Vega-Coca
authors: M D
authors: MD
authors: Nieto-Martín
authors: M
authors: M
authors: Ollero-Baturone
mesh_terms: D019090:Case Management; D002908:Chronic Disease / Q000628:therapy*; D015897:Comorbidity; D003695:Delivery of Health Care / Q000458:organization & administration*; D006801:Humans; D017146:Models, Organizational; D018802:Patient-Centered Care; D010593:Pharmaceutical Services; D010595:Pharmacists; D010607:Pharmacy Service, Hospital / Q000458:organization & administration*; D018570:Risk Assessment