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Pharmaceutical care in Brazil’s primary health care

OBJECTIVE: To characterize the activities of clinical nature developed by pharmacists in basic health units and their participation in educational activities aiming at health promotion. METHODS: This article is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medi...

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Autores principales: Araújo, Patricia Sodré, Costa, Ediná Alves, Guerra, Augusto Afonso, Acurcio, Francisco de Assis, Guibu, Ione Aquemi, Álvares, Juliana, Costa, Karen Sarmento, Karnikowski, Margô Gomes de Oliveira, Soeiro, Orlando Mario, Leite, Silvana Nair
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Saúde Pública da Universidade de São Paulo 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5676414/
https://www.ncbi.nlm.nih.gov/pubmed/29160454
http://dx.doi.org/10.11606/S1518-8787.2017051007109
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author Araújo, Patricia Sodré
Costa, Ediná Alves
Guerra, Augusto Afonso
Acurcio, Francisco de Assis
Guibu, Ione Aquemi
Álvares, Juliana
Costa, Karen Sarmento
Karnikowski, Margô Gomes de Oliveira
Soeiro, Orlando Mario
Leite, Silvana Nair
author_facet Araújo, Patricia Sodré
Costa, Ediná Alves
Guerra, Augusto Afonso
Acurcio, Francisco de Assis
Guibu, Ione Aquemi
Álvares, Juliana
Costa, Karen Sarmento
Karnikowski, Margô Gomes de Oliveira
Soeiro, Orlando Mario
Leite, Silvana Nair
author_sort Araújo, Patricia Sodré
collection PubMed
description OBJECTIVE: To characterize the activities of clinical nature developed by pharmacists in basic health units and their participation in educational activities aiming at health promotion. METHODS: This article is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015), a cross-sectional and exploratory study, of evaluative nature, consisting of a survey of information in a representative sample of cities, stratified by the Brazilian regions that constitute domains of study, and a subsample of primary health care services. The interviewed pharmacists (n=285) were responsible for the delivery of medicines and were interviewed in person with the use of a script. The characterization of the activities of clinical nature was based on information from pharmacists who declared to perform them, and on participation in educational activities aiming at health promotion, according to information from all pharmacists. The results are presented in frequency and their 95% confidence intervals. RESULTS: From the interviewed subjects, 21.3% said they perform activities of clinical nature. Of these, more than 80% considered them very important; the majority does not dispose of specific places to perform them, which hinders privacy and confidentiality in these activities. The main denominations were “pharmaceutical guidance” and “pharmaceutical care.” The registration of activities is mainly made in the users’ medical records, computerized system, and in a specific document filed at the pharmacy, impairing the circulation of information among professionals. Most pharmacists performed these activities mainly along with physicians and nurses; 24.7% rarely participated in meetings with the health team, and 19.7% have never participated. CONCLUSIONS: Activities of clinical nature performed by pharmacists in Brazil are still incipient. The difficulties found point out to the professionals’ improvisation and effort. The small participation in educational activities of health promotion indicates little integration of pharmacists with the health team and of pharmaceutical services with other health actions.
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spelling pubmed-56764142017-12-06 Pharmaceutical care in Brazil’s primary health care Araújo, Patricia Sodré Costa, Ediná Alves Guerra, Augusto Afonso Acurcio, Francisco de Assis Guibu, Ione Aquemi Álvares, Juliana Costa, Karen Sarmento Karnikowski, Margô Gomes de Oliveira Soeiro, Orlando Mario Leite, Silvana Nair Rev Saude Publica Original Articles OBJECTIVE: To characterize the activities of clinical nature developed by pharmacists in basic health units and their participation in educational activities aiming at health promotion. METHODS: This article is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015), a cross-sectional and exploratory study, of evaluative nature, consisting of a survey of information in a representative sample of cities, stratified by the Brazilian regions that constitute domains of study, and a subsample of primary health care services. The interviewed pharmacists (n=285) were responsible for the delivery of medicines and were interviewed in person with the use of a script. The characterization of the activities of clinical nature was based on information from pharmacists who declared to perform them, and on participation in educational activities aiming at health promotion, according to information from all pharmacists. The results are presented in frequency and their 95% confidence intervals. RESULTS: From the interviewed subjects, 21.3% said they perform activities of clinical nature. Of these, more than 80% considered them very important; the majority does not dispose of specific places to perform them, which hinders privacy and confidentiality in these activities. The main denominations were “pharmaceutical guidance” and “pharmaceutical care.” The registration of activities is mainly made in the users’ medical records, computerized system, and in a specific document filed at the pharmacy, impairing the circulation of information among professionals. Most pharmacists performed these activities mainly along with physicians and nurses; 24.7% rarely participated in meetings with the health team, and 19.7% have never participated. CONCLUSIONS: Activities of clinical nature performed by pharmacists in Brazil are still incipient. The difficulties found point out to the professionals’ improvisation and effort. The small participation in educational activities of health promotion indicates little integration of pharmacists with the health team and of pharmaceutical services with other health actions. Faculdade de Saúde Pública da Universidade de São Paulo 2017-09-22 /pmc/articles/PMC5676414/ /pubmed/29160454 http://dx.doi.org/10.11606/S1518-8787.2017051007109 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Araújo, Patricia Sodré
Costa, Ediná Alves
Guerra, Augusto Afonso
Acurcio, Francisco de Assis
Guibu, Ione Aquemi
Álvares, Juliana
Costa, Karen Sarmento
Karnikowski, Margô Gomes de Oliveira
Soeiro, Orlando Mario
Leite, Silvana Nair
Pharmaceutical care in Brazil’s primary health care
title Pharmaceutical care in Brazil’s primary health care
title_full Pharmaceutical care in Brazil’s primary health care
title_fullStr Pharmaceutical care in Brazil’s primary health care
title_full_unstemmed Pharmaceutical care in Brazil’s primary health care
title_short Pharmaceutical care in Brazil’s primary health care
title_sort pharmaceutical care in brazil’s primary health care
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5676414/
https://www.ncbi.nlm.nih.gov/pubmed/29160454
http://dx.doi.org/10.11606/S1518-8787.2017051007109
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