Primary pharmaceutical assistance in a Regional Inter-Agency Committee on Health: evaluation and shared action for organization
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/113078 |
Resumo: | ABSTRACT - Introduction: Determining how primary pharmaceutical assistance is structured allows us to establish situational diagnoses and to visualize possible implications for an essential part of the Brazilian Unified Health System. Methods: We evaluated pharmaceutical services of all municipalities that compose the Regional Inter-Agency Committee on Health of Ourinhos-São Paulo (CIR-Ourinhos-SP) through structure, process, and outcome indicators, and, in a shared way, we proposed actions to qualify the practice. We conducted direct observations of drugs, records, documents, interviews with pharmacists, and visits to health care centers, totaling 12 municipalities, 41 health care centers, and 3 pharmaceutical supply services. Results: In the thematic workshop carried out with municipal representatives, we found that 68.33% of health care centers and 70% of pharmaceutical supply services met good storage practices. We verified an average of 0.85 pharmacists per unit and the presence of 88.91% of marker drugs. Workshop proposals were sent to managers and pharmacists responsible for pharmaceutical assistance of 12 municipalities. Conclusions: Most indicators were below the established standards, demonstrating the need for adjustments in the infrastructure and provision of training for professionals. |
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Primary pharmaceutical assistance in a Regional Inter-Agency Committee on Health: evaluation and shared action for organizationA assistência farmacêutica básica numa Comissão Intergestores Regional: avaliação e ação compartilhada para organizaçãoPharmaceutical assistanceHealth evaluationBrazilian Unified Health SystemHealth managementAssistência FarmacêuticaAvaliação em saúdeSistema Único de SaúdeGestão em saúdeABSTRACT - Introduction: Determining how primary pharmaceutical assistance is structured allows us to establish situational diagnoses and to visualize possible implications for an essential part of the Brazilian Unified Health System. Methods: We evaluated pharmaceutical services of all municipalities that compose the Regional Inter-Agency Committee on Health of Ourinhos-São Paulo (CIR-Ourinhos-SP) through structure, process, and outcome indicators, and, in a shared way, we proposed actions to qualify the practice. We conducted direct observations of drugs, records, documents, interviews with pharmacists, and visits to health care centers, totaling 12 municipalities, 41 health care centers, and 3 pharmaceutical supply services. Results: In the thematic workshop carried out with municipal representatives, we found that 68.33% of health care centers and 70% of pharmaceutical supply services met good storage practices. We verified an average of 0.85 pharmacists per unit and the presence of 88.91% of marker drugs. Workshop proposals were sent to managers and pharmacists responsible for pharmaceutical assistance of 12 municipalities. Conclusions: Most indicators were below the established standards, demonstrating the need for adjustments in the infrastructure and provision of training for professionals.RESUMO - Introdução: A apuração de como as Assistências Farmacêuticas Básicas (AFB) municipais estão estruturadas permite o delineamento do diagnóstico situacional e visualização de possíveis implicações em parte essencial do Sistema Único de Saúde. Métodos: Avaliamos as AFB de todos os municípios que compõem a Comissão Intergestores Regional de Saúde de Ourinhos-SP (CIR-Ourinhos- SP), por meio de indicadores de estrutura, processo e resultado, e propôs-se, de forma compartilhada, ações para qualificar a prática. Foram realizadas observações diretas em medicamentos, cadastros, documentos, entrevistas com farmacêuticos, visitas às unidades de saúde (US), perfazendo 12 municípios, 41 US e 03 Centrais de Abastecimento Farmacêutico (CAF). Resultados: Na oficina temática realizada com os representantes municipais verificou- se, entre outras coisas, que 68,33% das US e 70% das CAF, cumpriam as boas práticas de armazenamento. Foi encontrada a média de 0,85 farmacêutico por unidade e presença de 88,91% de medicamentos marcadores. As propostas da Oficina foram encaminhadas aos gestores e farmacêuticos responsáveis pelas AFB dos 12 municípios. Conclusões: A maioria dos indicadores ficou abaixo dos padrões estabelecidos, demonstrando a necessidade de adequações na infraestrutura e de oferta de capacitações para as os profissionais.Universidade Nova de Lisboa, Escola Nacional de Saúde PúblicaRUNNambu, Maurício MassayukiProbst, Livia FernandesGondinho, Brunna Verna CastroPereira, Antonio CarlosBulgareli, Jaqueline VilelaCortellazzi, Karine LauraPossobon, Rosana de FátimaGuerra, Luciane Miranda2021-03-04T11:25:21Z2019-012019-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/113078engNambu, Maurício Massayuki; Probst, Livia Fernandes; Gondinho, Brunna Verna Castro; Pereira, Antonio Carlos; Bulgareli, Jaqueline Vilela; Cortellazzi, Karine Laura; Possobon, Rosana de Fátima; Guerra, Luciane Miranda - Primary pharmaceutical assistance in a Regional Inter-Agency Committee on Health: evaluation and shared action for organization = A assistência farmacêutica básica numa Comissão Intergestores Regional: avaliação e ação compartilhada para organização. Portuguese Journal of Public Health. ISSN 2504-3137. Vol. 37, Nº 1 (Janeiro/Abril 2019), p. 26-372504-313710.1159/000500928info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-05-22T17:50:56Zoai:run.unl.pt:10362/113078Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-05-22T17:50:56Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Primary pharmaceutical assistance in a Regional Inter-Agency Committee on Health: evaluation and shared action for organization A assistência farmacêutica básica numa Comissão Intergestores Regional: avaliação e ação compartilhada para organização |
title |
Primary pharmaceutical assistance in a Regional Inter-Agency Committee on Health: evaluation and shared action for organization |
spellingShingle |
Primary pharmaceutical assistance in a Regional Inter-Agency Committee on Health: evaluation and shared action for organization Nambu, Maurício Massayuki Pharmaceutical assistance Health evaluation Brazilian Unified Health System Health management Assistência Farmacêutica Avaliação em saúde Sistema Único de Saúde Gestão em saúde |
title_short |
Primary pharmaceutical assistance in a Regional Inter-Agency Committee on Health: evaluation and shared action for organization |
title_full |
Primary pharmaceutical assistance in a Regional Inter-Agency Committee on Health: evaluation and shared action for organization |
title_fullStr |
Primary pharmaceutical assistance in a Regional Inter-Agency Committee on Health: evaluation and shared action for organization |
title_full_unstemmed |
Primary pharmaceutical assistance in a Regional Inter-Agency Committee on Health: evaluation and shared action for organization |
title_sort |
Primary pharmaceutical assistance in a Regional Inter-Agency Committee on Health: evaluation and shared action for organization |
author |
Nambu, Maurício Massayuki |
author_facet |
Nambu, Maurício Massayuki Probst, Livia Fernandes Gondinho, Brunna Verna Castro Pereira, Antonio Carlos Bulgareli, Jaqueline Vilela Cortellazzi, Karine Laura Possobon, Rosana de Fátima Guerra, Luciane Miranda |
author_role |
author |
author2 |
Probst, Livia Fernandes Gondinho, Brunna Verna Castro Pereira, Antonio Carlos Bulgareli, Jaqueline Vilela Cortellazzi, Karine Laura Possobon, Rosana de Fátima Guerra, Luciane Miranda |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
RUN |
dc.contributor.author.fl_str_mv |
Nambu, Maurício Massayuki Probst, Livia Fernandes Gondinho, Brunna Verna Castro Pereira, Antonio Carlos Bulgareli, Jaqueline Vilela Cortellazzi, Karine Laura Possobon, Rosana de Fátima Guerra, Luciane Miranda |
dc.subject.por.fl_str_mv |
Pharmaceutical assistance Health evaluation Brazilian Unified Health System Health management Assistência Farmacêutica Avaliação em saúde Sistema Único de Saúde Gestão em saúde |
topic |
Pharmaceutical assistance Health evaluation Brazilian Unified Health System Health management Assistência Farmacêutica Avaliação em saúde Sistema Único de Saúde Gestão em saúde |
description |
ABSTRACT - Introduction: Determining how primary pharmaceutical assistance is structured allows us to establish situational diagnoses and to visualize possible implications for an essential part of the Brazilian Unified Health System. Methods: We evaluated pharmaceutical services of all municipalities that compose the Regional Inter-Agency Committee on Health of Ourinhos-São Paulo (CIR-Ourinhos-SP) through structure, process, and outcome indicators, and, in a shared way, we proposed actions to qualify the practice. We conducted direct observations of drugs, records, documents, interviews with pharmacists, and visits to health care centers, totaling 12 municipalities, 41 health care centers, and 3 pharmaceutical supply services. Results: In the thematic workshop carried out with municipal representatives, we found that 68.33% of health care centers and 70% of pharmaceutical supply services met good storage practices. We verified an average of 0.85 pharmacists per unit and the presence of 88.91% of marker drugs. Workshop proposals were sent to managers and pharmacists responsible for pharmaceutical assistance of 12 municipalities. Conclusions: Most indicators were below the established standards, demonstrating the need for adjustments in the infrastructure and provision of training for professionals. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-01 2019-01-01T00:00:00Z 2021-03-04T11:25:21Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/113078 |
url |
http://hdl.handle.net/10362/113078 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Nambu, Maurício Massayuki; Probst, Livia Fernandes; Gondinho, Brunna Verna Castro; Pereira, Antonio Carlos; Bulgareli, Jaqueline Vilela; Cortellazzi, Karine Laura; Possobon, Rosana de Fátima; Guerra, Luciane Miranda - Primary pharmaceutical assistance in a Regional Inter-Agency Committee on Health: evaluation and shared action for organization = A assistência farmacêutica básica numa Comissão Intergestores Regional: avaliação e ação compartilhada para organização. Portuguese Journal of Public Health. ISSN 2504-3137. Vol. 37, Nº 1 (Janeiro/Abril 2019), p. 26-37 2504-3137 10.1159/000500928 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Nova de Lisboa, Escola Nacional de Saúde Pública |
publisher.none.fl_str_mv |
Universidade Nova de Lisboa, Escola Nacional de Saúde Pública |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
mluisa.alvim@gmail.com |
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1817545783061250048 |