Clinical pharmaceutical services in primary health care of the Federal District
Performance frequency and conditioning factors
DOI:
https://doi.org/10.1590/s2175-97902022e19029Keywords:
Pharmaceutical care, Primary health care, Pharmaceutical servicesAbstract
Pharmaceutical services correspond to a set of actions that aim to guarantee the integral access and rational use of drugs by the population. In this sense, this study aimed to identify the frequency and conditioning factors for clinical services of primary care in the Federal District, Brazil. A quantitative cross-sectional study was conducted, in which 34 pharmacists were interviewed. The most frequently developed clinical pharmaceutical services were dispensing, pharmaceutical guidance for users, and technical-pedagogical activities for the health team. There is a greater frequency of operation of clinical services by pharmacists working in pharmacies with physical infrastructure, with better levels of adequacy, greater support from management and health staff, and the inclusion in Family Health Support Nucleus activities. Although the clinical pharmaceutical services in primary care are incipient, the study raises important data for the reorientation and qualification of these actions.
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Akerman M, Freitas O. National Survey on Access, Use and Promotion of Rational Use of Medicines (PNAUM): evaluation of pharmaceutical services in the primary health care. Rev Saúde Pública. 2017;51(Suppl 2):1s.
Araújo PS, Costa EA, Guerra Junior AA, Acurcio FA, Guibu IA, Álvares J, et al. Pharmaceutical care in Brazil’s primary health care. Rev Saúde Pública . 2017a;51(Suppl 2):6s.
Araújo SQ, Costa KS, Luiza VL, Lavras C, Santana EA, Tavares NUL. Organização dos serviços farmacêuticos no Sistema Único de Saúde em regiões de saúde. Ciênc Saúde Coletiva. 2017b;22(4):1181-191.
Blenkinsopp A, Bond C, Raynor DK. Medication reviews. Br J Clin Pharmacol. 2012;74(4):573-80.
Blondal AB, Sporrong SK, Almarsdottir AB. Introducing Pharmaceutical Care to Primary Care in Iceland-An Action Research Study. Pharmacy (Basel). 2017; 5(2):23.
Brasil. Ministério da Saúde. Cuidado farmacêutico na atenção básica. Caderno 1: Serviços farmacêuticos na atenção básica à saúde. 2014. [Accessed on: 20 jul 2016]. Available at: Available at: 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
Castelino RL, Bajorek BV, Chen TF. Retrospective evaluation of home medicines review by pharmacists in older Australian patients using the medication appropriateness index. Ann Pharmacother. 2010;44(12):1922-9.
Cazarim MS, Freitas O, Penaforte TR, Achcar A, Pereira LR. Impact Assessment of Pharmaceutical Care in the Management of Hypertension and Coronary Risk Factors after Discharge. PLoS One. 2016;11(6): e0155204.
Costa EA, Araújo PS, Pereira MT, Souto AC, Souza GS, Guerra-Júnior AA, et al. Technical issues and conservation conditions of medicines in the primary health care of the Brazilian Unified Health System. Rev Saúde Pública . 2017;51(Suppl 2):12s.
Durme T, Macq J, Anthierens S, Symons L, Schmitz O, Paulus D, et al. Stakeholders’ perception on the organization of chronic care: a SWOT analysis to draft avenues for health care reforms. BMC Health Serv Res. 2014; 14: 179.
Eikenhorst L, Taxis K, Dijk L, Gier H. Pharmacist-Led Self-management Interventions to Improve Diabetes Outcomes. A Systematic Literature Review and Meta-Analysis. Front Pharmacol. 2017; 8: 891.
Gerlack LF, Karnikowski MGO, Areda CA, Galato D, Oliveira AG, Álvares J, et al. Management of pharmaceutical services in the Brazilian primary health care. Rev Saúde Pública . 2017;51(Suppl 2):15s.
Hazen AC, Sloeserwij VM, Zwart DL, de Bont AA, Bouvy ML, de Gier JJ, et al. Design of the POINT study: Pharmacotherapy Optimisation through Integration of a Non-dispensing pharmacist in a primary care Team (POINT). BMC Fam Pract. 2015;16:76.
Heide, Wang J, Droomers M, Spreeuwenberg P, Rademakers J, Uiters E. The relationship between health, education, and health literacy: results from the Dutch Adult Literacy and Life Skills Survey. J Health Commun. 2013;18 Suppl 1:172-84.
Hughes CA, Breault RR, Hicks D, Schindel TJ. Positioning pharmacists’ roles in primary health care: a discourse analysis of the compensation plan in Alberta, Canada. BMC Health Serv Res . 2017;17(1):770.
Jorgenson D, Dalton D, Farrell B, Tsuyuki RT, Dolovich L. Guidelines for pharmacists integrating into primary care teams. Can Pharm J (Ott). 2013;146(6):342-52.
Jorgenson D, Laubscher T, Lyons B, Palmer R. Integrating pharmacists into primary care teams: barriers and facilitators. Int J Pharm Pract. 2014;22(4):292-9.
Krska J, Cromarty JA, Arris F, Jamieson D, Hansford D, Duffus PR, et al. Pharmacist-led medication review in patients over 65: a randomized, controlled trial in primary care. Age Ageing. 2001;30(3):205-11.
Leite SN, Manzini F, Álvares J, Guerra Junior AA, Costa EA, Acurcio FA, et al. Infrastructure of pharmacies of the primary health care in the Brazilian Unified Health System: Analysis of PNAUM - Services data. Rev Saúde Pública . 2017; 51(Supl. 2):13s.
Lui E, Ha R, Truong C. Applying the pharmaceutical care model to assess pharmacist services in a primary care setting. Can Pharm J (Ott). 2017;150(2):90-3.
Merks P, ŚWieczkowski D, Jaguszewski MJ. Patients’ perception of pharmaceutical services available in a community pharmacy among patients living in a rural area of the United Kingdom. Pharm Pract (Granada). 2016;14(3):774.
Nakamura CA, Leite SN. A construção do processo de trabalho no Núcleo de Apoio à Saúde da Família: a experiência dos farmacêuticos em um município do sul do Brasil. Ciênc Saúde Coletiva . 2016;21(5):1565-572.
Nascimento RCRM, Álvares J, Guerra JAA, Gomes IC, Costa EA, Leite SN, et al. Availability of essential medicines in primary health care of the Brazilian Unified Health System. Rev Saúde Pública . 2017;51(Suppl 2):10s.
PAHO. Servicios farmacéuticos basados en la atención primaria de salud. Documento de posición de la OPS/ OMS. 2013. [Accessed on: 12 dec 2017]. Available at: file:///C:/Users/D%C3%A9bora/Downloads/SerieRAPSANo6-2013%20(1).pdf.
Pereira NC, Luiza VL, Cruz MM. Serviços farmacêuticos na atenção primária no município do Rio de Janeiro: um estudo de avaliabilidade. Saúde Debate. 2015;39(105):451-68.
Reis VS, Alves MR, Tavares VG, Fernandes MR, Radighieri RR, Alves MML. Consejos farmacéuticos a pacientes con trastornos de humor. Rev Cubana Farm. 2013;47(3):353-62.
Salter C, Holland R, Harvey I, Henwood K. “I haven’t even phoned my doctor yet.” The advice giving role of the pharmacist during consultations for medication review with patients aged 80 or more: qualitative discourse analysis. BMJ. 2007;334(7603):1101.
Soeiro OM, Tavares NUL, Nascimento-Júnior JMD, Guerra AA Junior, Costa EA, Acurcio FA, et al. Patient satisfaction with pharmaceutical services in Brazilian primary health care. Rev Saúde Pública . 2017;51(suppl 2):21s.
Trinacty M, Farrell B, Schindel TJ, Sunstrum L, Dolovich L, Kennie N, et al. Learning and Networking: Utilization of a Primary Care Listserv by Pharmacists. Can J Hosp Pharm. 2014;67(5):343-52.
Tsuyuki RT, Berg A, Khan NA. The ultimate opportunity for advancing pharmacy practice. Can Pharm J/Revue Pharmaciens Canada. 2017;150(4):225-226.
Vargas FB. Trabalho, emprego, precariedade: dimensões conceituais em debate. Caderno CRH. 2016;29(77):313-31.
WHO. Primary health care. 2017. [Accessed on: 11 nov 2017]. Available at: Available at: http://www.who.int/topics/primary_health_care/en
» http://www.who.int/topics/primary_health_care/en
Zermansky AG, Alldred DP, Petty DR, Raynor DK, Freemantle N, Eastaugh J, et al. Clinical medication review by a pharmacist of elderly people living in care homes-- randomised controlled trial. Age Ageing . 2006;35(6):586-91.
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