Description of the complexity of prescribed medication regimens in primary health care of Ribeirão Preto - SP

Detalhes bibliográficos
Autor(a) principal: Zanetti, Maria Olívia Barboza
Data de Publicação: 2018
Outros Autores: de Moraes, Jaqueline Lessa, Marchetti, Juliana Maldonado, de Andrade, Regina Célia Garcia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Clinical and Biomedical Research
Texto Completo: https://seer.ufrgs.br/index.php/hcpa/article/view/76622
Resumo: Introduction: Pharmacotherapy is the main therapeutic resource for the management of diseases. However, the number of drugs prescribed, dose frequency, and mode of administration can make the treatment more complex and influence treatment outcomes. The aim of this study was to measure the complexity of prescribed medication regimens in primary health care (PHC) services in Ribeirão Preto, Brazil.Methods: This cross-sectional study included 1,009 participants: 889 from primary health units and 120 from family health units in Ribeirão Preto, Brazil. Treatment complexity was assessed using the Medication Regimen Complexity Index (MRCI).Results: MRCI mean scores were 12.5 points (SD = 9.3) and dose frequency was the major contributor to increase the score. The complexity of pharmacotherapy showed a significant correlation with the number of prescribed medications (r = 0.93, p < 0.01), but not with patients' age (r = 0.28, p < 0.01). There is also no difference in complexity between the sexes (p = 0.83) and the types of primary health care service (p = 0.31). An analysis of variance revealed that patients with lower levels of education receive more complex prescriptions (p < 0.01).Conclusions: The pharmacotherapy prescribed in PHC services from Ribeirão Preto, Brazil is complex, and there is a need to concentrate efforts and adopt strategies to simplify drug prescription without compromising patient's clinical status.Keywords: Primary health care; drug prescriptions; drug therapy; medication regimen complexity
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spelling Description of the complexity of prescribed medication regimens in primary health care of Ribeirão Preto - SPDescription of the complexity of prescribed medication regimens in primary health care of Ribeirão Preto - SPPrimary health caredrug prescriptionsdrug therapymedication regimen complexitydrug prescriptionsPrimary health caredrug prescriptionsdrug therapymedication regimen complexityIntroduction: Pharmacotherapy is the main therapeutic resource for the management of diseases. However, the number of drugs prescribed, dose frequency, and mode of administration can make the treatment more complex and influence treatment outcomes. The aim of this study was to measure the complexity of prescribed medication regimens in primary health care (PHC) services in Ribeirão Preto, Brazil.Methods: This cross-sectional study included 1,009 participants: 889 from primary health units and 120 from family health units in Ribeirão Preto, Brazil. Treatment complexity was assessed using the Medication Regimen Complexity Index (MRCI).Results: MRCI mean scores were 12.5 points (SD = 9.3) and dose frequency was the major contributor to increase the score. The complexity of pharmacotherapy showed a significant correlation with the number of prescribed medications (r = 0.93, p < 0.01), but not with patients' age (r = 0.28, p < 0.01). There is also no difference in complexity between the sexes (p = 0.83) and the types of primary health care service (p = 0.31). An analysis of variance revealed that patients with lower levels of education receive more complex prescriptions (p < 0.01).Conclusions: The pharmacotherapy prescribed in PHC services from Ribeirão Preto, Brazil is complex, and there is a need to concentrate efforts and adopt strategies to simplify drug prescription without compromising patient's clinical status.Keywords: Primary health care; drug prescriptions; drug therapy; medication regimen complexityIntroduction: Pharmacotherapy is the main therapeutic resource for the management of diseases. However, the number of drugs prescribed, dose frequency, and mode of administration can make the treatment more complex and influence treatment outcomes. The aim of this study was to measure the complexity of prescribed medication regimens in primary health care (PHC) services in Ribeirão Preto, Brazil.Methods: This cross-sectional study included 1,009 participants: 889 from primary health units and 120 from family health units in Ribeirão Preto, Brazil. Treatment complexity was assessed using the Medication Regimen Complexity Index (MRCI).Results: MRCI mean scores were 12.5 points (SD = 9.3) and dose frequency was the major contributor to increase the score. The complexity of pharmacotherapy showed a significant correlation with the number of prescribed medications (r = 0.93, p < 0.01), but not with patients' age (r = 0.28, p < 0.01). There is also no difference in complexity between the sexes (p = 0.83) and the types of primary health care service (p = 0.31). An analysis of variance revealed that patients with lower levels of education receive more complex prescriptions (p < 0.01).Conclusions: The pharmacotherapy prescribed in PHC services from Ribeirão Preto, Brazil is complex, and there is a need to concentrate efforts and adopt strategies to simplify drug prescription without compromising patient's clinical status.Keywords: Primary health care; drug prescriptions; drug therapy; medication regimen complexityHCPA/FAMED/UFRGS2018-04-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed ArticleAvaliado por Paresapplication/pdfhttps://seer.ufrgs.br/index.php/hcpa/article/view/76622Clinical & Biomedical Research; Vol. 38 No. 1 (2018): Clinical and Biomedical ResearchClinical and Biomedical Research; v. 38 n. 1 (2018): Clinical and Biomedical Research2357-9730reponame:Clinical and Biomedical Researchinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSenghttps://seer.ufrgs.br/index.php/hcpa/article/view/76622/pdfCopyright (c) 2018 Maria Olívia Barboza Zanettiinfo:eu-repo/semantics/openAccessZanetti, Maria Olívia Barbozade Moraes, Jaqueline LessaMarchetti, Juliana Maldonadode Andrade, Regina Célia Garcia2024-01-19T14:23:13Zoai:seer.ufrgs.br:article/76622Revistahttps://www.seer.ufrgs.br/index.php/hcpaPUBhttps://seer.ufrgs.br/index.php/hcpa/oai||cbr@hcpa.edu.br2357-97302357-9730opendoar:2024-01-19T14:23:13Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS)false
dc.title.none.fl_str_mv Description of the complexity of prescribed medication regimens in primary health care of Ribeirão Preto - SP
Description of the complexity of prescribed medication regimens in primary health care of Ribeirão Preto - SP
title Description of the complexity of prescribed medication regimens in primary health care of Ribeirão Preto - SP
spellingShingle Description of the complexity of prescribed medication regimens in primary health care of Ribeirão Preto - SP
Zanetti, Maria Olívia Barboza
Primary health care
drug prescriptions
drug therapy
medication regimen complexity
drug prescriptions
Primary health care
drug prescriptions
drug therapy
medication regimen complexity
title_short Description of the complexity of prescribed medication regimens in primary health care of Ribeirão Preto - SP
title_full Description of the complexity of prescribed medication regimens in primary health care of Ribeirão Preto - SP
title_fullStr Description of the complexity of prescribed medication regimens in primary health care of Ribeirão Preto - SP
title_full_unstemmed Description of the complexity of prescribed medication regimens in primary health care of Ribeirão Preto - SP
title_sort Description of the complexity of prescribed medication regimens in primary health care of Ribeirão Preto - SP
author Zanetti, Maria Olívia Barboza
author_facet Zanetti, Maria Olívia Barboza
de Moraes, Jaqueline Lessa
Marchetti, Juliana Maldonado
de Andrade, Regina Célia Garcia
author_role author
author2 de Moraes, Jaqueline Lessa
Marchetti, Juliana Maldonado
de Andrade, Regina Célia Garcia
author2_role author
author
author
dc.contributor.author.fl_str_mv Zanetti, Maria Olívia Barboza
de Moraes, Jaqueline Lessa
Marchetti, Juliana Maldonado
de Andrade, Regina Célia Garcia
dc.subject.por.fl_str_mv Primary health care
drug prescriptions
drug therapy
medication regimen complexity
drug prescriptions
Primary health care
drug prescriptions
drug therapy
medication regimen complexity
topic Primary health care
drug prescriptions
drug therapy
medication regimen complexity
drug prescriptions
Primary health care
drug prescriptions
drug therapy
medication regimen complexity
description Introduction: Pharmacotherapy is the main therapeutic resource for the management of diseases. However, the number of drugs prescribed, dose frequency, and mode of administration can make the treatment more complex and influence treatment outcomes. The aim of this study was to measure the complexity of prescribed medication regimens in primary health care (PHC) services in Ribeirão Preto, Brazil.Methods: This cross-sectional study included 1,009 participants: 889 from primary health units and 120 from family health units in Ribeirão Preto, Brazil. Treatment complexity was assessed using the Medication Regimen Complexity Index (MRCI).Results: MRCI mean scores were 12.5 points (SD = 9.3) and dose frequency was the major contributor to increase the score. The complexity of pharmacotherapy showed a significant correlation with the number of prescribed medications (r = 0.93, p < 0.01), but not with patients' age (r = 0.28, p < 0.01). There is also no difference in complexity between the sexes (p = 0.83) and the types of primary health care service (p = 0.31). An analysis of variance revealed that patients with lower levels of education receive more complex prescriptions (p < 0.01).Conclusions: The pharmacotherapy prescribed in PHC services from Ribeirão Preto, Brazil is complex, and there is a need to concentrate efforts and adopt strategies to simplify drug prescription without compromising patient's clinical status.Keywords: Primary health care; drug prescriptions; drug therapy; medication regimen complexity
publishDate 2018
dc.date.none.fl_str_mv 2018-04-11
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
Avaliado por Pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://seer.ufrgs.br/index.php/hcpa/article/view/76622
url https://seer.ufrgs.br/index.php/hcpa/article/view/76622
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://seer.ufrgs.br/index.php/hcpa/article/view/76622/pdf
dc.rights.driver.fl_str_mv Copyright (c) 2018 Maria Olívia Barboza Zanetti
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2018 Maria Olívia Barboza Zanetti
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv HCPA/FAMED/UFRGS
publisher.none.fl_str_mv HCPA/FAMED/UFRGS
dc.source.none.fl_str_mv Clinical & Biomedical Research; Vol. 38 No. 1 (2018): Clinical and Biomedical Research
Clinical and Biomedical Research; v. 38 n. 1 (2018): Clinical and Biomedical Research
2357-9730
reponame:Clinical and Biomedical Research
instname:Universidade Federal do Rio Grande do Sul (UFRGS)
instacron:UFRGS
instname_str Universidade Federal do Rio Grande do Sul (UFRGS)
instacron_str UFRGS
institution UFRGS
reponame_str Clinical and Biomedical Research
collection Clinical and Biomedical Research
repository.name.fl_str_mv Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS)
repository.mail.fl_str_mv ||cbr@hcpa.edu.br
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