Profile of pharmaceutical care in primary health centers in São Bernardo do Campo, Southeastern Brazil
DOI:
https://doi.org/10.1590/s2175-979020200004181113Keywords:
Pharmaceutical services; Pharmaceutical care; Medication therapy management; Pharmacists; Primary health care; Public health systemAbstract
The effective insertion of the pharmacist into primary care is an important goal for health policies. The objective of this study was to describe and analyze pharmacists and Pharmaceutical Care in the primary health centers (UBS) of São Bernardo do Campo. Data were obtained through an interview applied to pharmacists. The instrument has three sections: (1) Pharmacist identification; (2) Pharmacist work; and (3) Pharmaceutical activities. Items in section 3 correspond to the guidelines of agencies that promote Pharmaceutical Care in the primary health system. All 24 pharmacists working in UBS in São Bernardo do Campo were interviewed. Every center dispensing medicines has a responsible pharmacist. These pharmacists are predominantly women and postgraduates. Activities of Pharmaceutical Care reported were: daily prescription analysis (75% of interviewees); monthly participation in patient groups (70.8%); monthly follow-up of pharmacotherapy adherence (58.3%); monthly participation in multiprofessional team meetings (54.2%); monthly home visits (12.5%); health education to the community (83.3%); and pharmacist consultation (37.5%). Frequency of prescription analysis and home visits was weakly associated with aspects of the pharmacist and the facility. This study showed that Pharmaceutical Services are structured in primary care in São Bernardo do Campo and many Pharmaceutical Care activities are offered in its UBS.
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References
Allemann SS, van Mil JW, Botermann L, Berger K, Griese N, Hersberger KE. Pharmaceutical care: the PCNE definition 2013. Int J Clin Pharm. 2014;36(3):544-55.
Álvares J, Alves MCGP, Escuder MML, Almeida AM, Izidoro JB, Guerra AA Junior, et al. National survey on access, use and promotion of rational use of medicines: methods. Rev Saude Publica. 2017;51(Suppl 2):4s.
Angonesi D, Sevalho G. Pharmaceutical care: conceptual and critical fundamentals for a Brazilian model. Ciênc Saúde Colet. 2010;15(Suppl 3):3603-14.
Araújo ALA, Pereira LRL, Ueta JM, Freitas O. Perfil da assistência farmacêutica na atenção primária do Sistema Único de Saúde. Ciênc Saúde Colet. 2008;13(Suppl.):611-7.
Araújo PS, Costa EA, Guerra AA Jr, Acurcio FA, Guibu IA, Álvares J, et al. Pharmaceutical care in Brazil's primary health care. Rev Saude Publica. 2017;51(Suppl 2):6s.
Babar ZU, Kousar R, Murtaza G, Azhar S, Khan SA, Curley L. Randomized controlled trials covering pharmaceutical care and medicines management: a systematic review of literature. Res Social Adm Pharm. 2018;14(6):521-39.
Benson H, Lucas C, Benrimoj SI, Williams KA. The development of a role description and competency map for pharmacists in an interprofessional care setting. Int J Clin Pharm. 2019;41(2):391-407.
Berenguer B, La Casa C, de la Matta MJ, Martín-Calero MJ. Pharmaceutical care: past, present and future. Curr Pharm Des. 2004;10(31):3931-46.
Brasil. Conselho Nacional de Secretários de Saúde. Assistência farmacêutica no SUS. Brasília: CONASS; 2011. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/colec_progestores_livro7.pdf
» http://bvsms.saude.gov.br/bvs/publicacoes/colec_progestores_livro7.pdf
Brasil. Ministério da Saúde. Secretaria de Ciência, Tecnologia e Insumos Estratégicos. Cuidado farmacêutico na atenção básica. Caderno 1: serviços farmacêuticos na atenção básica à saúde. Brasília: Ministério da Saúde; 2014a. Avaliable from: http://bvsms.saude.gov.br/bvs/publicacoes/servicos_farmaceuticos_atencao_basica_saude.pdf
» http://bvsms.saude.gov.br/bvs/publicacoes/servicos_farmaceuticos_atencao_basica_saude.pdf
Brasil. Ministério da Saúde. Secretaria de Ciência, Tecnologia e Insumos Estratégicos. Cuidado farmacêutico na atenção básica. Caderno 2: capacitação para implantação dos serviços de clínica farmacêutica. Brasília: Ministério da Saúde; 2014b. Avaliable from: http://bvsms.saude.gov.br/bvs/publicacoes/cuidado_farmaceutico_atencao_basica_saude_2.pdf
» http://bvsms.saude.gov.br/bvs/publicacoes/cuidado_farmaceutico_atencao_basica_saude_2.pdf
Brasil. Ministério da Saúde. Secretaria de Políticas de Saúde. Departamento de Atenção Básica. Assistência farmacêutica na atenção básica: instruções técnicas para a sua organização. Brasília (DF): Ministério da Saúde; 2006. Avaliable from: http://www.ensp.fiocruz.br/portal-ensp/judicializacao/pdfs/283.pdf
Campbell C, Braund R, Morris C. Beyond the four walls: an exploratory survey of location, employment and roles of pharmacists in primary health care. J Prim Health Care. 2017;9(4):297-310.
Canabarro IM, Hahn S. Panorama da assistência farmacêutica na saúde da família em município do interior do estado do Rio Grande do Sul. Epidemiol Serv Saúde. 2009;18(4):345-55.
Carvalho MN, Álvares J, Costa KS, Guerra AA J, Acurcio FA, Costa EA, et al. Workforce in the pharmaceutical services of the primary health care of SUS, Brazil. Rev Saude Publica. 2017;51(Suppl 2):16s.
Carvalho MN, Costa EMOD, Sakai MH, Gil CRR, Leite SN. Expansão e diversificação da força de trabalho de nível superior nas Unidades Básicas de Saúde no Brasil, 2008 - 2013. Saúde Debate. 2016;40(109):154-62.
Conselho Federal de Farmácia (CFF). O farmacêutico na assistência farmacêutica do SUS: diretrizes para ação. Brasília: CFF; 2015. Avaliable from: http://www.cff.org.br/userfiles/file/livro.pdf
» http://www.cff.org.br/userfiles/file/livro.pdf
Eades CE, Ferguson JS, O'Carroll RE. Public health in community pharmacy: a systematic review of pharmacist and consumer views. BMC Public Health. 2011;11:582.
França Filho JB, Correr CJ, Rossignoli P, Melchiors AC, Fernández-Llimós F, Pontarolo R. Perfil dos farmacêuticos e farmácias em Santa Catarina: indicadores de estrutura e processo. Rev Bras Cienc Farm. 2008;44(1):105-13.
Funchal-Witzel MDR, Castro LLC, Romano-Lieber NS, Narvai PC. Brazilian scientific production on pharmaceutical care from 1990 to 2009. Braz J Pharm Sci. 2011;47(2):409-20.
Gillespie U, Dolovich L, Dahrouge S. Activities performed by pharmacists integrated in family health teams: results from a web-based survey. Can Pharm J (Ott). 2017;150(6):407-16.
Gregório J, Cavaco AM, Lapão LV. How to best manage time interaction with patients? Community pharmacist workload and service provision analysis. Res Social Adm Pharm. 2017;13(1):133-47.
Hazen AC, Wal AW, Sloeserwij VM, Zwart DL, Gier JJ, Wit NJ, et al. Controversy and consensus on a clinical pharmacist in primary care in the Netherlands. Int J Clin Pharm. 2016;38(5):1250-60.
Hepler CD, Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm. 1990;47(3):533-43.
Hipólito Júnior E, Halila GC, Reis WCT, Guimarães MM, Guanaes LD, Pontarolo R, Correr CJ. Quality indicators of pharmacists' services in community pharmacies in Paraná State, Brazil. Braz J Pharm Sci. 2017;53(1):e16021.
Instituto Brasileiro de Geografia e Estatística (IBGE). IBGE Cidades. accessed 2018 August 22 . Available from: https://cidades.ibge.gov.br/brasil/sp/sao-bernardo-do-campo/panorama
» https://cidades.ibge.gov.br/brasil/sp/sao-bernardo-do-campo/panorama
Ivama AM, Noblat L, Castro MS, Oliveira NVBV, Jaramillo NM, Rech N. Consenso Brasileiro de atenção farmacêutica: proposta. Brasília: Organização Pan-Americana da Saúde; 2002a. Avaliable from: http://bvsms.saude.gov.br/bvs/publicacoes/PropostaConsensoAtenfar.pdf
» http://bvsms.saude.gov.br/bvs/publicacoes/PropostaConsensoAtenfar.pdf
Ivama AM, Noblat L, Castro MS, Oliveira NVBV, Jaramillo NM, Rech N. Relatório 2001-2002: atenção farmacêutica no Brasil: trilhando caminhos. Brasília: Organização Pan-Americana da Saúde; 2002b. Avaliable from: https://www.paho.org/bra/index.php?option=com_docman&view=document&layout=default&alias=790-atencao-farmaceutica-no-brasil-trilhando-caminhos-relatorio-2001-2002-0&category_slug=vigilancia-sanitaria-959&Itemid=965
Melo DO, Castro LLC. A contribuição do farmacêutico para a promoção do acesso e uso racional de medicamentos essenciais no SUS. Ciênc Saúde Colet. 2017;22(1):235-44.
Menolli PVS, Ivama AM, Cordoni Júnior A. Caracterización de los servicios farmacêuticos de atención primaria del Sistema Único de Salud en Londrina, Paraná, Brasil. Rev Panam Salud Pública. 2009;25(3):254-59.
Naves JO, Silver LD. Evaluation of pharmaceutical assistance in public primary care in Brasilia, Brazil. Rev Saude Publica. 2005;39(2):223-30.
Obreli-Neto PR, Marusic S, Guidoni CM, Baldoni Ade O, Renovato RD, Pilger D, et al. Economic evaluation of a pharmaceutical care program for elderly diabetic and hypertensive patients in primary health care: a 36-month randomized controlled clinical trial. J Manag Care Spec Pharm. 2015;21(1):66-75.
Oliveira LCF, Assis MMA, Barboni AR. Assistência farmacêutica no Sistema Único de Saúde: da Política Nacional de Medicamentos à atenção básica à saúde. Ciênc Saúde Colet. 2010;15(Suppl 3):3561-7.
Pereira LRL, Freitas O. A evolução da Atenção Farmacêutica e a perspectiva para o Brasil. Rev Bras Cienc Farm. 2008;44(4):601-12.
São Paulo. Secretaria Municipal da Saúde. Manual de assistência farmacêutica. Rede de atenção básica e de especialidades. Descrição de atribuições e atividades de farmacêuticos e técnicos de farmácia. São Paulo: Secretaria Municipal da Saúde; 2016. Avaliable from: http://www.prefeitura.sp.gov.br/cidade/secretarias/upload/ManualAssistenciaFarmaceutica.pdf
» http://www.prefeitura.sp.gov.br/cidade/secretarias/upload/ManualAssistenciaFarmaceutica.pdf
Silva Júnior EB, Nunes LMN. Avaliação da Assistência Farmacêutica na atenção primária no município de Petrolina (PE). Arq Bras Ciên Saúde. 2012;37(2):65-9.
Tan EC, Stewart K, Elliott RA, George J. Pharmacist services provided in general practice clinics: a systematic review and meta-analysis. Res Social Adm Pharm. 2014;10(4):608-22.
World Health Organization (WHO). The world medicines situation 2011, 3rd ed. Geneva: World Health Organization; 2011. Available from: http://who.int/medicines/areas/policy/world_medicines_situation/en/index.html
» http://who.int/medicines/areas/policy/world_medicines_situation/en/index.html
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