Identificación de barreras y facilitadores para la (des)prescripción de benzodiacepinas: un estudio cualitativo con pacientes y profesionales sanitarios

Autores/as

  • A. Marquina-Márquez Department of Sociology and Social Work. University of Valladolid. Valladolid. Spain.
  • A. Olry-de-Labry-Lima Escuela Andaluza de Salud Pública. Granada. España. http://orcid.org/0000-0001-5448-1370
  • C. Bermúdez-Tamayo Escuela Andaluza de Salud Pública https://orcid.org/0000-0002-2964-6361
  • I. Ferrer López Distrito Atención Primaria Sevilla, Junta de Andalucía
  • J. Marcos-Marcos Department of Health Psychology. University of Alicante. Spain. https://orcid.org/0000-0002-7607-6672

DOI:

https://doi.org/10.23938/ASSN.1005

Palabras clave:

Prescripción de fármacos, Benzodiacepinas, Atención Primaria, Investigación Cualitativa

Resumen

Fundamento. La tendencia en la prescripción de benzodiacepinas ha crecido en la última década. España está entre los países donde este tipo de fármacos es el más prescrito por profesionales en Atención Primaria. El propósito de este estudio es identificar factores que podrían estar actuando como barreras y facilitadores en la (des)prescripción de benzodiacepinas desde la perspectiva de pacientes y profesionales sanitarios.

Material y métodos. Estudio cualitativo a través de entrevistas semiestructuradas con profesionales sanitarios (n=17) y pacientes (n=27), y un grupo nominal con profesionales sanitarios (n=19). Las entrevistas fueron transcritas y analizadas utilizando un análisis temático.

Resultados. El análisis reveló temas claves organizados como barreras y facilitadores conectados a tres dimensiones interrelacionadas: el contexto comunitario y social de la prescripción; la estructura, organización y/o gestión del sistema sanitaria, y la relación médico-paciente. La excesiva carga laboral de los profesionales fue ampliamente citada como influyente en la prescripción excesiva. Acciones como promover la prescripción social de activos en salud o desarrollar estrategias para facilitar la alianza terapéutica y mejorar la comunicación médico-paciente, fueron vistos como facilitadores.

Conclusiones. Los hallazgos sugieren el rol que el enfoque salutogénico y el modelo de activos en salud pueden jugar en el desarrollo de una atención clínica centrada en la persona. El estudio considera la importancia de promover métodos y técnicas de intervenvión no farmacológicos, la promoción de equipos multidisciplinares y la formación en habilidades psicosociales.

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Biografía del autor/a

A. Marquina-Márquez, Department of Sociology and Social Work. University of Valladolid. Valladolid. Spain.

  1. Department of Sociology and Social Work. University of Valladolid. Valladolid. Spain.
  2. Applied Sociocultural Studies Research Group (SEJ208). University of Granada. Granada. Spain.

A. Olry-de-Labry-Lima, Escuela Andaluza de Salud Pública. Granada. España.

1. Andalusian School of Public Health (Spanish acronym EASP). Granada. Spain.

2. Health Research Institute of Granada (ibs.GRANADA). Granada. Spain.

3. Biomedical Research Center Network of Epidemiology and Public Health (CIBERESP). Madrid. Spain.

C. Bermúdez-Tamayo, Escuela Andaluza de Salud Pública

  1. Andalusian School of Public Health (Spanish acronym EASP). Granada. Spain.
  2. Health Research Institute of Granada (ibs.GRANADA). Granada. Spain.
  3. Biomedical Research Center Network of Epidemiology and Public Health (CIBERESP). Madrid. Spain.

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Publicado

2022-08-17

Cómo citar

Marquina-Márquez, A., Olry-de-Labry-Lima, A., Bermúdez-Tamayo, C., Ferrer López, I., & Marcos-Marcos, J. (2022). Identificación de barreras y facilitadores para la (des)prescripción de benzodiacepinas: un estudio cualitativo con pacientes y profesionales sanitarios. Anales Del Sistema Sanitario De Navarra, 45(2), e1005. https://doi.org/10.23938/ASSN.1005

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