Rational use of medicines: prescribing indicators at different levels of health care
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Pharmaceutical Sciences |
Texto Completo: | https://www.revistas.usp.br/bjps/article/view/68964 |
Resumo: | This multicenter study aimed to investigate prescribing patterns of drugs at different levels of health care delivery in university-affiliated outpatient clinics located in eight cities in the South and Midwest of Brazil. All prescriptions collected were analyzed for various items, including WHO prescribing indicators. A total of 2,411 prescriptions were analyzed, and 469 drugs were identified. The number of drugs prescribed per encounter, the frequency of polypharmacy, and the percentage of encounters with at least one injection or antibiotic prescribed were higher in centers providing primary health care services, compared to those where this type of care is not provided. Most drugs (86.1%) were prescribed by generic name. In centers with primary health care services, drug availability was higher, drugs included in the National and Municipal Lists of Essential Medicines were more frequently prescribed, and patients were given more instructions. However, warnings and non-pharmacological measures were less frequently recommended. This study reveals trends in drug prescribing at different levels of health care delivery in university-affiliated outpatient clinics and indicates possible areas for improvement in prescribing practices. |
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Brazilian Journal of Pharmaceutical Sciences |
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Rational use of medicines: prescribing indicators at different levels of health care Medicamentos^i2^suso racioMedicamentos^i2^sprescriAssistência à Saúde^i2^sindicadores de qualidFarmácia^i2^sserviços comunitárMedicines^i1^srationalMedicines^i1^sprescriptHealth Care^i1^squality indicatPharmacy^i1^scommunity servi This multicenter study aimed to investigate prescribing patterns of drugs at different levels of health care delivery in university-affiliated outpatient clinics located in eight cities in the South and Midwest of Brazil. All prescriptions collected were analyzed for various items, including WHO prescribing indicators. A total of 2,411 prescriptions were analyzed, and 469 drugs were identified. The number of drugs prescribed per encounter, the frequency of polypharmacy, and the percentage of encounters with at least one injection or antibiotic prescribed were higher in centers providing primary health care services, compared to those where this type of care is not provided. Most drugs (86.1%) were prescribed by generic name. In centers with primary health care services, drug availability was higher, drugs included in the National and Municipal Lists of Essential Medicines were more frequently prescribed, and patients were given more instructions. However, warnings and non-pharmacological measures were less frequently recommended. This study reveals trends in drug prescribing at different levels of health care delivery in university-affiliated outpatient clinics and indicates possible areas for improvement in prescribing practices. Este estudo multicêntrico teve como objetivo investigar o padrão de prescrição de medicamentos para pacientes ambulatoriais atendidos em serviços de saúde vinculados a universidades com diferentes níveis de atenção, em oito cidades do sul e centro-oeste do Brasil. As prescrições coletadas foram submetidas à análise de diversos itens, incluindo os indicadores de prescrição propostos pela OMS. No total, 2.411 prescrições foram analisadas e 469 medicamentos foram identificados. O número de medicamentos prescritos por consulta, a frequência de polifarmácia e a porcentagem de consultas com pelo menos um medicamento injetável ou um antimicrobiano prescrito foram maiores em centros de saúde que ofereciam cuidados de atenção básica, em comparação com aqueles que não dispunham desse tipo de atendimento. A maioria dos medicamentos foi prescrita pelo nome genérico (86,1%). Em unidades com cuidados de atenção básica, a acessibilidade foi maior, a prescrição de medicamentos presentes nas Listas Nacional e Municipais de Medicamentos Essenciais foi mais frequente e instruções foram fornecidas aos pacientes mais comumente. Entretanto, advertências e medidas não farmacológicas foram indicadas com menor frequência. Este estudo revela tendências de prescrição de medicamentos em serviços de saúde ligados a universidades, com diferentes níveis de atenção, e indica possíveis áreas de melhoria na prática da prescrição. Universidade de São Paulo. Faculdade de Ciências Farmacêuticas2013-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/bjps/article/view/6896410.1590/S1984-82502013000200015Brazilian Journal of Pharmaceutical Sciences; Vol. 49 No. 2 (2013); 329-340Brazilian Journal of Pharmaceutical Sciences; v. 49 n. 2 (2013); 329-340Brazilian Journal of Pharmaceutical Sciences; Vol. 49 Núm. 2 (2013); 329-3402175-97901984-8250reponame:Brazilian Journal of Pharmaceutical Sciencesinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/bjps/article/view/68964/71442Copyright (c) 2018 Brazilian Journal of Pharmaceutical Sciences (Impresso)info:eu-repo/semantics/openAccessFerreira, Maria Beatriz CardosoHeineck, IsabelaFlores, Liziane MaahsCamargo, Aline LinsDal Pizzol, Tatiane da SilvaTorres, Iraci Lucena da SilvaKoenig, AlvaroTrevisol, Daisson JoséMelo, Adriana Mary Mestriner Felipe deCardoso, Teófilo Fernando MazonMonreal, Maria Tereza Ferreira DuenhasKadri, Mônica Cristina Toffoli2013-12-13T13:08:43Zoai:revistas.usp.br:article/68964Revistahttps://www.revistas.usp.br/bjps/indexPUBhttps://old.scielo.br/oai/scielo-oai.phpbjps@usp.br||elizabeth.igne@gmail.com2175-97901984-8250opendoar:2013-12-13T13:08:43Brazilian Journal of Pharmaceutical Sciences - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Rational use of medicines: prescribing indicators at different levels of health care |
title |
Rational use of medicines: prescribing indicators at different levels of health care |
spellingShingle |
Rational use of medicines: prescribing indicators at different levels of health care Ferreira, Maria Beatriz Cardoso Medicamentos^i2^suso racio Medicamentos^i2^sprescri Assistência à Saúde^i2^sindicadores de qualid Farmácia^i2^sserviços comunitár Medicines^i1^srational Medicines^i1^sprescript Health Care^i1^squality indicat Pharmacy^i1^scommunity servi |
title_short |
Rational use of medicines: prescribing indicators at different levels of health care |
title_full |
Rational use of medicines: prescribing indicators at different levels of health care |
title_fullStr |
Rational use of medicines: prescribing indicators at different levels of health care |
title_full_unstemmed |
Rational use of medicines: prescribing indicators at different levels of health care |
title_sort |
Rational use of medicines: prescribing indicators at different levels of health care |
author |
Ferreira, Maria Beatriz Cardoso |
author_facet |
Ferreira, Maria Beatriz Cardoso Heineck, Isabela Flores, Liziane Maahs Camargo, Aline Lins Dal Pizzol, Tatiane da Silva Torres, Iraci Lucena da Silva Koenig, Alvaro Trevisol, Daisson José Melo, Adriana Mary Mestriner Felipe de Cardoso, Teófilo Fernando Mazon Monreal, Maria Tereza Ferreira Duenhas Kadri, Mônica Cristina Toffoli |
author_role |
author |
author2 |
Heineck, Isabela Flores, Liziane Maahs Camargo, Aline Lins Dal Pizzol, Tatiane da Silva Torres, Iraci Lucena da Silva Koenig, Alvaro Trevisol, Daisson José Melo, Adriana Mary Mestriner Felipe de Cardoso, Teófilo Fernando Mazon Monreal, Maria Tereza Ferreira Duenhas Kadri, Mônica Cristina Toffoli |
author2_role |
author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Ferreira, Maria Beatriz Cardoso Heineck, Isabela Flores, Liziane Maahs Camargo, Aline Lins Dal Pizzol, Tatiane da Silva Torres, Iraci Lucena da Silva Koenig, Alvaro Trevisol, Daisson José Melo, Adriana Mary Mestriner Felipe de Cardoso, Teófilo Fernando Mazon Monreal, Maria Tereza Ferreira Duenhas Kadri, Mônica Cristina Toffoli |
dc.subject.por.fl_str_mv |
Medicamentos^i2^suso racio Medicamentos^i2^sprescri Assistência à Saúde^i2^sindicadores de qualid Farmácia^i2^sserviços comunitár Medicines^i1^srational Medicines^i1^sprescript Health Care^i1^squality indicat Pharmacy^i1^scommunity servi |
topic |
Medicamentos^i2^suso racio Medicamentos^i2^sprescri Assistência à Saúde^i2^sindicadores de qualid Farmácia^i2^sserviços comunitár Medicines^i1^srational Medicines^i1^sprescript Health Care^i1^squality indicat Pharmacy^i1^scommunity servi |
description |
This multicenter study aimed to investigate prescribing patterns of drugs at different levels of health care delivery in university-affiliated outpatient clinics located in eight cities in the South and Midwest of Brazil. All prescriptions collected were analyzed for various items, including WHO prescribing indicators. A total of 2,411 prescriptions were analyzed, and 469 drugs were identified. The number of drugs prescribed per encounter, the frequency of polypharmacy, and the percentage of encounters with at least one injection or antibiotic prescribed were higher in centers providing primary health care services, compared to those where this type of care is not provided. Most drugs (86.1%) were prescribed by generic name. In centers with primary health care services, drug availability was higher, drugs included in the National and Municipal Lists of Essential Medicines were more frequently prescribed, and patients were given more instructions. However, warnings and non-pharmacological measures were less frequently recommended. This study reveals trends in drug prescribing at different levels of health care delivery in university-affiliated outpatient clinics and indicates possible areas for improvement in prescribing practices. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/bjps/article/view/68964 10.1590/S1984-82502013000200015 |
url |
https://www.revistas.usp.br/bjps/article/view/68964 |
identifier_str_mv |
10.1590/S1984-82502013000200015 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/bjps/article/view/68964/71442 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Brazilian Journal of Pharmaceutical Sciences (Impresso) info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Brazilian Journal of Pharmaceutical Sciences (Impresso) |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Ciências Farmacêuticas |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Ciências Farmacêuticas |
dc.source.none.fl_str_mv |
Brazilian Journal of Pharmaceutical Sciences; Vol. 49 No. 2 (2013); 329-340 Brazilian Journal of Pharmaceutical Sciences; v. 49 n. 2 (2013); 329-340 Brazilian Journal of Pharmaceutical Sciences; Vol. 49 Núm. 2 (2013); 329-340 2175-9790 1984-8250 reponame:Brazilian Journal of Pharmaceutical Sciences instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Brazilian Journal of Pharmaceutical Sciences |
collection |
Brazilian Journal of Pharmaceutical Sciences |
repository.name.fl_str_mv |
Brazilian Journal of Pharmaceutical Sciences - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
bjps@usp.br||elizabeth.igne@gmail.com |
_version_ |
1787713368703893504 |