Evidence map›Paper›PMID 40703484›Full record

Observational studyFarmaceuticos comunitarios2025

[Causes of Patient Referral by Community Pharmacists in Madrid: An Analysis of the Conexión Futuro Study].

Amparo Bonilla Guijarro, María Dolores Fernández Otero, Noelia Tejedor García, José Ma Ordóñez Iriarte, Antonio Aguilar Ros

Abstract readObservational StudyEnglish Abstract
In one paragraph

Observational study in Farmaceuticos comunitarios, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Amparo Bonilla GuijarroDoctora en Biomedicina y Ciencias de la Salud. Profesora Asociada Facultad de Farmacia Universidad San Pablo CEU. Farmacia comunitaria Arganda del Rey, Madrid España.
María Dolores Fernández OteroFarmacéutica comunitaria. Vocal de SEFAC Madrid. Miembro de varios grupos de trabajo en SEFAC y SOCFIC España.
Noelia Tejedor GarcíaDoctora en Farmacia. Profesora Asociada Universidad Rey Juan Carlos. Farmacia comunitaria Madrid España.
José Ma Ordóñez IriarteDoctor in Public Health. Professor Francisco de Vitoria University, Madrid. España.
Antonio Aguilar RosDoctor en Farmacia. Profesor emérito Facultad de Farmacia Universidad San Pablo CEU. España.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The high prevalence of problems related to invalid or erroneous prescriptions causes numerous patient referrals from community pharmacy, as well as problems related to patients' adherence to their treatments and underscores the importance of effective review and validation systems in pharmacies. Objective: To identify and quantify the causes of patient referral from community pharmacies to physicians. Methods: Observational, cross-sectional, non-interventional and analytical study. The possible causes of patient referral from community pharmacies were defined and these causes were quantified by means of an online questionnaire. Results: A total of 3530 referrals were recorded from 165 community pharmacists in 114 pharmacies. The most frequent cause of referral was lack of a valid prescription (57.7%). Health problems requiring a prescription (18.4%) and problems with the prescribed medication, such as shortages or incorrect dosage (17.2%) were also identified.The study highlights the importance of implementing Complementary Dispensing (CD) and Independent Dispensing (ID) to reduce referrals and improve adherence to treatment. Thirty-two percent of referrals could have been avoided through these professional pharmaceutical actions, reducing the pressure on primary care, specialized and emergency care centers, allowing pharmacists to adjust or advance prescriptions under consensus with physicians or to dispense certain drugs without prescription. The previously defined referrals were collected by means of a validated questionnaire. Conclusion: Expanding the competencies of community pharmacists would improve the efficiency of the health care system, reducing referrals and improving adherence to treatment.

Indexed as

Community Pharmacy ServicesPharmacistsReferral and ConsultationAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedSpainSurveys and QuestionnairesCommunity pharmacydispensingmedication adherencepharmaceutical careprimary care

Identifiers

PMID40703484
PMCPMC12282468

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.