Abstract：
OBJECTIVE:The phenomenon of reverse drug trafficking in the legal supply chain is an unlawful practice to serious risks to public health. The aims was to identify proactively pharmacies that carry out these illegal activities. METHODS:An analysis was performed through the crossing billing data to SAS of 52 million packs of medicines for the 496 pharmacies in the province over a period of 29 months with the drug packaging data supplied by the distribution entities of the province with the implementation of specific indicator defined called 'percentage overbought' allows us to detect those pharmacies at high risk of being involved in this illicit trade. RESULTS:It was tested in two pharmacies one rural and other urban a detour of 5.130 medicine containers and an illicit profit obtained from € 9,591.78 for the first and 9.982 packaging and € 26,885.11 for the second; they had gone unnoticed in previous inspections. CONCLUSIONS:The methodology implemented to define a profile of infringing pharmacies high risk in these illicit practices, identify new ones that had not been sanctioned, weigh the drugs for illegal trade and to identify new drugs subject to diversion; also added as a challenge, it helps to adjust accurately and effectively calculate the illicit profit obtained. OBJETIVO:El fenómeno del tráfico inverso en la cadena legal de suministro de medicamentos es una práctica ilícita con graves riesgos para la Salud Pública. El objetivo de este trabajo fue identificar de forma proactiva las oficinas de farmacia que realizan estas conductas ilegales. METODOS:Se cruzaron los datos de facturación al SAS de 52 millones de envases de medicamentos con los de las 496 farmacias de la provincia en un periodo de 29 meses (abril de 2012 a agosto de 2014). Junto con la aplicación del indicador específico definido denominado “porcentaje de sobrecompra”, permitió identificar los establecimientos farmacéuticos con alto riesgo de estar implicados en el comercio ilícito. RESULTADOS:Se comprobó que hubo desvío en dos oficinas de farmacia, una rural (de 5.130 envases de medicamentos y beneficio ilícito obtenido de 9.591,78 €) y otra urbana (9.982 envases y 26.885,11 €), los cuales habían pasado desapercibidos en anteriores actuaciones inspectoras. CONCLUSIONES:La metodología implantada permite definir un perfil de oficina de farmacia infractora de alto riesgo en estas prácticas ilícitas, identificarlas, ponderar los fármacos destinados a este comercio ilegal y determinar nuevos medicamentos objeto de desvío. Ayuda a ajustar de forma precisa el cálculo del beneficio ilícito obtenido.
journal_name
Rev Esp Salud Publicajournal_title
Revista espanola de salud publicaauthors
López Pérez MA,Muñoz Arias M,Vázquez Mourelle Rsubject
Has Abstractpub_date
2016-04-04 00:00:00pages
E8eissn
1135-5727issn
2173-9110journal_volume
90pub_type
杂志文章abstract：:Like some other countries in the Region, Spain has recently experienced multiple but small measles outbreaks resulting from several importations and in which health care professionals were also infected. The European Regional Verification Commission (RVC) for Measles and Rubella Elimination, an independent panel of ex...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：10.4321/S1135-57272015000400003
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVE:Hand hygiene (HH) is essential for the prevention of health care-associated infections (HAIs). Compliance rates documented in Spain and internationally are low, although improvement is possible using some strategies and training. The aim of this study was to know the evolution of the adherence to the 5 moment...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：
更新日期：2020-07-22 00:00:00
abstract：:This article analyzes all of the food safety-related aspects related to the use of genetically modified organisms into agriculture and food. A discussion is provided as to the uncertainties related to the insertion of foreign genes into organisms, providing examples of unforeseen, undesirable effects and of instabilit...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章,评审
doi：10.1590/s1135-57272005000200013
更新日期：2005-03-01 00:00:00
abstract：OBJECTIVE:Breastfeeding for its multiple benefits is the best cost-effective health intervention and should be a public health priority. The aim of this study was to determine motivations and barriers perceived by mothers to initiate or to maintain breastfeeding. METHODS:A cross-sectional, observational study was carr...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：
更新日期：2016-09-06 00:00:00
abstract：BACKGROUND:Even if there is a wide consensus on the concept of a dependent individual, in practice national valuation systems produce completely different results. The objective in this work is to compare the application of different valuation scales for dependency on the Spanish population and to identify the differen...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：10.1590/s1135-57272009000300004
更新日期：2009-05-01 00:00:00
abstract：BACKGROUND:The new socio-demographic reality that came about with the incorporation of the immigrant population in Spain requires an analysis of the needs and priorities generated by this situation in all areas, including research in health. The objective of this study is to determine the general characteristics of a g...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章,评审
doi：10.4321/S1135-57272014000600002
更新日期：2014-11-01 00:00:00
abstract：:Although various measures have been implemented in Spain with the aim to modifying the behavior of motor vehicle users, it has not been observed a descending trend in traffic accident and injuries from traffic accident. This article considers the question of whether the measures taken to reduce motor vehicle crash-rel...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：
更新日期：2002-03-01 00:00:00
abstract：BACKGROUND:Tuberculosis continues to be a major public health problem. Knowing the incidence, trend and geographical spread of reported tuberculosis may serve to evaluate the prevention and control measures implemented and point to further needs. METHODS:Retrospective study of the reported cases of tuberculosis in the...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：
更新日期：2002-05-01 00:00:00
abstract：:The search of new health management formulas focused to give wide services is one of the priorities of our present health policies. Those formulas examine the optimization of the links between the main actors involved in public health, ie, users, professionals, local socio-political and corporate agents. This paper is...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：10.4321/S1135-57272013000400002
更新日期：2013-07-01 00:00:00
abstract：BACKGROUND:Positive results in infections of borrelia burgdorferi and Rickettsia conorii in human and canine population is studied in order to understand the situation of both in humans, and at the same time discover the importance of the dog as an indicator of these agents among those in the Health Area of San Andrés ...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：
更新日期：1997-03-01 00:00:00
abstract：OBJECTIVE:The clinical approach of fibromyalgia is a cause of frustration for some professionals due to the controversy on its diagnosis, etiopathology and clinical management. The aim of this study was to explore the beliefs and knowledge on fibromyalgia among health professionals from different specialties of the pub...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：
更新日期：2020-01-10 00:00:00
abstract：OBJECTIVE:In the last decade, public policy makers are applying new tools to promote healthy habits, starting from the behavioral economics sciences and social psychology. These tools are known as nudges, and before being applied, the degree of acceptance that the population presents about them must be analyzed. The ob...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：
更新日期：2020-07-24 00:00:00
abstract：:We present the adaptation for Spain of the updated European Cardiovascular Prevention Guidelines. In this update, greater stress is laid on the population approach, and especially on the promotion of physical activity and healthy diet through dietary, leisure and active transport policies in Spain. To estimate vascula...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：
更新日期：2020-09-11 00:00:00
abstract：BACKGROUND:Knowing Influenza absenteeism in the educational environment. Making health education in the same medium. METHODS:Among other actions carried out in the pandemic plan, the absences were monitored by flu-like symptoms in children from kindergarten, primary and secondary public schools and reached epidemiolog...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：10.1590/s1135-57272010000500019
更新日期：2010-09-01 00:00:00
abstract：BACKGROUND:Understanding social representations (SR) of physical activity (PA) and active play (AP) in preschool children, allows us to address PA promotion in this age group. METHODS:We conducted a scoping review of 34 articles describing characteristics of SR: elements, information and attitudes and a meta-synthesis...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章,评审
doi：
更新日期：2020-06-02 00:00:00
abstract：:In the midst of the SARS-CoV-2 public-health pandemic emergency, it is important to understand its zoonotic origin and how an animal virus finally infects humans. Identifying the circumstances in which a virus jumps species boundaries to infect humans so productively is objective of this work and will help us to deter...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：
更新日期：2020-09-30 00:00:00
abstract：BACKGROUND:Social inequality in health is an increasing phenomenon in the world. The aim was to compare in 2002 and 2012, the magnitude of inequalities in leisure-time physical inactivity by educational level in Spain, but also the trends in health perception, in physically inactive people. METHODS:A cross-sectional s...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：10.4321/S1135-57272015000300004
更新日期：2015-05-01 00:00:00
abstract：BACKGROUND:The term "Patient Reported Outcomes" (PRO) is defined as any result assessed directly by the patient and based on his perception of the illness and its treatment. The scope of the study is to determine and compare the use of PRO measures with other types of effectiveness endpoints in the summary of the produ...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：10.4321/S1135-57272014000500006
更新日期：2014-10-01 00:00:00
abstract：BACKGROUND:The aim of this study was to evaluate the screening strategy (quantitative immunological test vs biochemical test) in a population-based screening program for colorectal cancer (CRC) in Catalonia. METHODS:The fourth round of a screening program for CRC with a fecal occult blood test was implemented in Hospi...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：10.1590/S1135-57272011120000008
更新日期：2011-12-01 00:00:00
abstract：BACKGROUND:In order for vaccination programs to be carried out properly, it is essential for the vaccination coverage to be known. On the Balearic Islands, the reported coverage was much less than for the rest of Spain. The objective of this study is that of estimating the coverage of the vaccinations included on the r...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：
更新日期：2002-07-01 00:00:00
abstract：OBJECTIVE:Childhood obesity is a global problem, sociodemographic and cultural factors influence its presence. An analysis of disparities in the prevalence of childhood obesity in Peru was made by sex and region in 2015. METHODS:Analysis of the information reported by the Sistema de Información del Estado Nutricional ...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：
更新日期：2016-09-13 00:00:00
abstract：:The precautionary principle is a response to uncertainty in the face of risks to health or the environment. In general, it involves taking measures to avoid potential harm, despite lack of scientific certainty. In recent years it has been applied, not without difficulties, as a legal and political principle in many co...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章,评审
doi：10.1590/s1135-57272005000200003
更新日期：2005-03-01 00:00:00
abstract：BACKGROUND:The purpose of this work is to analyze the fertility of the hydatid cysts from ovine, animal species of great epidemiological interest in the hydatid disease, and the ability of the gerbil (Meriones unguiculatus) as model experimental for the study "in vivo" of this hidatyd disease as preliminary phase of th...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：
更新日期：1997-09-01 00:00:00
abstract：BACKGROUND:The Hospital Morbidity Survey (EMH) includes, at the moment, 85% of hospitals and 90% of discharges, and is the only national data source that allows to deepen with information about diagnostics, gender or age, in the study of hospitals as place of death. This work aims to analyze the presence of inhospital ...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：10.1590/s1135-57272008000600010
更新日期：2008-11-01 00:00:00
abstract：OBJECTIVE:Only very few instruments have been developed to assess sexual knowledge and practices. Most of the research to date has been carried out with adolescent samples, but not with university students, who are also at a particularly risky stage. The aim of this study was to design and validate a brief questionnair...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：
更新日期：2018-06-01 00:00:00
abstract：BACKGROUND:the C-section rate has been criticized as a performance indicator for not considering that different hospitals manage deliveries with diverse risks. In this work we explore the characteristics of a new indicator restricted to low C-section risk deliveries. METHODS:retrospective cohort of all births (n=214,6...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：10.4321/S1135-57272014000300002
更新日期：2014-05-01 00:00:00
abstract：OBJECTIVE:The Basque Government (Spain) approved a population based Colorectal Cancer Screening Programme in 2008 with its base on Primary Healthcare. Since then, a coverage of 100% of the population and an average participation rate of 68.4% have been achieved. General Practitioners and nurses play a central role on i...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：
更新日期：2021-01-26 00:00:00
abstract：OBJECTIVE:To evaluate preventive interventions on alcohol consumption has been long recommended in Spain. The impact evaluation of structured programs and specific actions for the prevention and treatment of alcohol consumption (PAPTCA) would allow making better informed decisions on public health financing based on th...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：
更新日期：2020-06-18 00:00:00
abstract：OBJECTIVE:One of the fist lines of action of the National Plan against Antibiotic Resistance (PRAN) is to monitor the use of antibiotics as a fundamental basis for the fight against resistance. In order to know the antibiotic prescription habits, we pretended to describe the outpatient prescription of systemic antibiot...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：
更新日期：2020-09-25 00:00:00
abstract：OBJECTIVE:Ocular infections caused by human adenovirus are highly contagious and can cause outbreaks, especially in nursing homes. In this work, we describe the epidemiological and analytical research as well as the control measures carried out for a conjunctivitis outbreak. METHODS:Descriptive epidemiological study. ...
journal_title：Revista espanola de salud publica
pub_type： 杂志文章
doi：
更新日期：2020-09-08 00:00:00
