"Focus sull'aderenza terapeutica del paziente diabetico di tipo II, analizzata attraverso il progetto di Pharmaceutical Care "Gestiamo insieme il diabete!" realizzato dal Dipartimento di Farmacia in collaborazione con l'Ordine dei Farmacisti di Livorno"
Bibliographic record
Abstract
Il ruolo del farmacista e l'attività della farmacia devono subire un'evoluzione,che non può e non deve più essere relegata alla logistica e alla dispensazione, ma che dovrà indirizzarsi sempre più verso l'erogazione di servizi avanzati basati su competenze specifiche molto più orientate al paziente che al farmaco. Questo sviluppo della figura del farmacista si identifica nell'introduzione del concetto di "Pharmaceutical Care" che prevede la presa in carico del paziente nella gestione attiva della cronicità, la verifica dell'aderenza alla terapia e il monitoraggio delle terapie farmacologiche, in stretta collaborazione con altri operatori sanitari. Un servizio che è già ampiamente sviluppato da anni in paesi come gli Stati, il Canada o l'Australia o il Nord Europa e che ha la necessità di essere portato avanti. Il progetto sulla valutazione dell'aderenza nei pazienti diabetici di tipo II messo in atto dal Dipartimento di Farmacia dell'Università di Pisa è un chiaro esempio di come le farmacie territoriali non solo hanno il potenziale per supportare il paziente ma anche per generare grandi risparmi per il Servizio Sanitario nel ridurre le complicazioni invalidanti e costose. The role of the pharmacist and the activity of the pharmacy need to have an evolution, which cannot and must no longer be relegated to logistics and dispensation, but which will have to increasingly target the provision of advanced skills-based services specifications much more patient-oriented than drug-oriented. This development of the figure of the pharmacist is identified in the introduction of the concept of "Pharmaceutical Care" which involves taking charge of the patient in the active management of chronicity, verifying adherence to therapy, and monitoring of drug therapies, in close collaboration with other healthcare professionals. A service that has been widely developed for years in countries such as the States, Canada or Australia or Northern Europe and which needs to be carried out. The project on the evaluation of adherence in type II diabetic patients implemented by the Department of Pharmacy of the University of Pisa is a clear example of how local pharmacies have not only the potential to support the patient but also to generate great savings for the Health Service in reducing disabling and expensive complications.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.007 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.006 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.004 |
| Insufficient payload (model declined to judge) | 0.014 | 0.003 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".