Análise dos serviços de assistência farmacêutica nos municípios da 27ª região de saúde do Rio Grande do Sul
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Manancial - Repositório Digital da UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/28579 |
Resumo: | Pharmaceutical Services (PS) involves a set of steps aimed at maintaining access to medicines and promoting rationality of use. Its services include managerial activities, with a logistical focus, and clinical activities, which include education actions with the health team and the community, in addition to direct care provided to patients. The actions must be integrated with each other and articulated with other health services. This study aimed to analyze the execution of PS actions in the twelve municipalities of the 27th Health Region of Rio Grande do Sul and, through the perception of key actors, characterize the management and structuring of PS, in addition to understanding the challenges and advances for consolidating management and clinical services. A cross-sectional study was conducted in which the source of information was professionals and managers of the Brazilian public health system (SUS) at the municipal level. Data collection occurred from June to December 2021, through individual remote interviews, with the application of semistructured questionnaires. The data were analyzed quantitatively, based on absolute and relative frequencies, and quali-quantitative, using the Collective Subject Discourse technique. The results pointed to a heterogeneous reality, some municipalities stood out positively, because the pharmacist is involved in the elaboration of management instruments, there is integration of this professional with collaborative activities in Primary Health Care and pharmaceutical care activities are offered. According to the reports of pharmacists who perform individual care and other evidence in the literature, through this activity it is possible to detect problems associated with the use of pharmacotherapy, so the absence of clinical services leads to ignorance of such failures. Despite advances, rapid delivery of medicines is a reality in some places. Ensuring access is essential for the SUS, however, only the availability of the drug is insufficient for Rational Drug Use (RDU), so pharmaceutical services should be recognized as part of the care process. The challenges that compromise the promotion of RDU include the shortage of professionals working in PS, inadequate ambience, insufficient training and the vision of professionals, managers and users focused on medicine. Municipalities also face budget deficits that require more efficient management of health resources. It is concluded that the reorganization of pharmaceutical services raises the recognition of existing barriers, which serves as an incentive for managers and for the articulation of pharmacists in other health services and in the planning of actions. |
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Análise dos serviços de assistência farmacêutica nos municípios da 27ª região de saúde do Rio Grande do SulAnalysis of pharmaceutical services in the municipalities of the 27th health region of Rio Grande do SulGestão em saúdeUso de medicamentosAtenção primária em saúdeServiços comunitários de farmáciaHealth managementDrug utilizationPrimary health careCommunity pharmacy servicesCNPQ::CIENCIAS DA SAUDEPharmaceutical Services (PS) involves a set of steps aimed at maintaining access to medicines and promoting rationality of use. Its services include managerial activities, with a logistical focus, and clinical activities, which include education actions with the health team and the community, in addition to direct care provided to patients. The actions must be integrated with each other and articulated with other health services. This study aimed to analyze the execution of PS actions in the twelve municipalities of the 27th Health Region of Rio Grande do Sul and, through the perception of key actors, characterize the management and structuring of PS, in addition to understanding the challenges and advances for consolidating management and clinical services. A cross-sectional study was conducted in which the source of information was professionals and managers of the Brazilian public health system (SUS) at the municipal level. Data collection occurred from June to December 2021, through individual remote interviews, with the application of semistructured questionnaires. The data were analyzed quantitatively, based on absolute and relative frequencies, and quali-quantitative, using the Collective Subject Discourse technique. The results pointed to a heterogeneous reality, some municipalities stood out positively, because the pharmacist is involved in the elaboration of management instruments, there is integration of this professional with collaborative activities in Primary Health Care and pharmaceutical care activities are offered. According to the reports of pharmacists who perform individual care and other evidence in the literature, through this activity it is possible to detect problems associated with the use of pharmacotherapy, so the absence of clinical services leads to ignorance of such failures. Despite advances, rapid delivery of medicines is a reality in some places. Ensuring access is essential for the SUS, however, only the availability of the drug is insufficient for Rational Drug Use (RDU), so pharmaceutical services should be recognized as part of the care process. The challenges that compromise the promotion of RDU include the shortage of professionals working in PS, inadequate ambience, insufficient training and the vision of professionals, managers and users focused on medicine. Municipalities also face budget deficits that require more efficient management of health resources. It is concluded that the reorganization of pharmaceutical services raises the recognition of existing barriers, which serves as an incentive for managers and for the articulation of pharmacists in other health services and in the planning of actions.A Assistência Farmacêutica (AF) envolve um conjunto de etapas que visam manter o acesso aos medicamentos e promover a racionalidade do uso. Os serviços farmacêuticos incluem atividades gerenciais, com enfoque logístico, e atividades clínicas, que compreendem ações de educação com a equipe de saúde e a comunidade, além da assistência direta prestada aos pacientes. As ações devem estar integradas entre si e articuladas aos demais serviços de saúde. O objetivo do estudo foi analisar a execução das ações de AF nos doze municípios da 27ª Região de Saúde do Rio Grande do Sul e, através da percepção de atores-chave, caracterizar a gestão e a estruturação da AF, além de compreender os desafios e avanços para consolidação dos serviços gerenciais e clínicos. Foi realizado um estudo transversal em que a fonte de informação foram profissionais e gestores do Sistema Único de Saúde (SUS) em âmbito municipal. A coleta de dados ocorreu de junho a dezembro de 2021, por meio de entrevistas remotas individuais, com aplicação de questionários semiestruturados. Os dados foram analisados de forma quantitativa, a partir de frequências absoluta e relativa, e quali-quantitativa, com emprego da técnica do Discurso do Sujeito Coletivo. Os resultados apontaram para uma realidade heterogênea, alguns municípios destacaram-se positivamente, pois o farmacêutico está envolvido na elaboração dos instrumentos de gestão, existe integração desse profissional com as atividades colaborativas na Atenção Primária em Saúde e são ofertadas atividades assistenciais do Cuidado Farmacêutico. De acordo com os relatos de farmacêuticos que realizam atendimento individual e demais evidências da literatura, através dessa atividade é possível detectar problemas associados ao uso da farmacoterapia, por isso, a ausência de serviços clínicos leva ao desconhecimento de tais falhas. Apesar dos avanços, a entrega rápida dos medicamentos é uma realidade em alguns locais. Garantir o acesso é essencial para o SUS, no entanto, somente a disponibilidade do medicamento é insuficiente para o Uso Racional de Medicamentos (URM), por isso os serviços farmacêuticos devem ser reconhecidos como integrantes do processo de cuidado. Os desafios que comprometem a promoção do URM incluem a escassez de profissionais que atuam na AF, a ambiência inadequada, a capacitação insuficiente e a visão de profissionais, gestores e usuários com foco no medicamento. Os municípios também enfrentam déficits orçamentários que demandam gestão mais eficiente dos recursos da saúde. Conclui-se que a reorganização dos serviços farmacêuticos suscita o reconhecimento de barreiras existentes, o que serve de incentivo aos gestores e para a articulação do farmacêutico nos demais serviços de saúde e no planejamento das ações.Universidade Federal de Santa MariaBrasilCiências da SaúdeUFSMPrograma de Pós-Graduação em Ciências da SaúdeCentro de Ciências da SaúdeRies, Edi Francielehttp://lattes.cnpq.br/5252782576561685Flores, Liziane MaahsGossenheimer, Agnes NogueiraBayer, Valéria Maria LimbergerSilveira, Taíse Foletto2023-04-06T17:27:32Z2023-04-06T17:27:32Z2023-02-06info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://repositorio.ufsm.br/handle/1/28579porAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSM2023-04-06T17:27:32Zoai:repositorio.ufsm.br:1/28579Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/ONGhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.comopendoar:2023-04-06T17:27:32Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)false |
dc.title.none.fl_str_mv |
Análise dos serviços de assistência farmacêutica nos municípios da 27ª região de saúde do Rio Grande do Sul Analysis of pharmaceutical services in the municipalities of the 27th health region of Rio Grande do Sul |
title |
Análise dos serviços de assistência farmacêutica nos municípios da 27ª região de saúde do Rio Grande do Sul |
spellingShingle |
Análise dos serviços de assistência farmacêutica nos municípios da 27ª região de saúde do Rio Grande do Sul Silveira, Taíse Foletto Gestão em saúde Uso de medicamentos Atenção primária em saúde Serviços comunitários de farmácia Health management Drug utilization Primary health care Community pharmacy services CNPQ::CIENCIAS DA SAUDE |
title_short |
Análise dos serviços de assistência farmacêutica nos municípios da 27ª região de saúde do Rio Grande do Sul |
title_full |
Análise dos serviços de assistência farmacêutica nos municípios da 27ª região de saúde do Rio Grande do Sul |
title_fullStr |
Análise dos serviços de assistência farmacêutica nos municípios da 27ª região de saúde do Rio Grande do Sul |
title_full_unstemmed |
Análise dos serviços de assistência farmacêutica nos municípios da 27ª região de saúde do Rio Grande do Sul |
title_sort |
Análise dos serviços de assistência farmacêutica nos municípios da 27ª região de saúde do Rio Grande do Sul |
author |
Silveira, Taíse Foletto |
author_facet |
Silveira, Taíse Foletto |
author_role |
author |
dc.contributor.none.fl_str_mv |
Ries, Edi Franciele http://lattes.cnpq.br/5252782576561685 Flores, Liziane Maahs Gossenheimer, Agnes Nogueira Bayer, Valéria Maria Limberger |
dc.contributor.author.fl_str_mv |
Silveira, Taíse Foletto |
dc.subject.por.fl_str_mv |
Gestão em saúde Uso de medicamentos Atenção primária em saúde Serviços comunitários de farmácia Health management Drug utilization Primary health care Community pharmacy services CNPQ::CIENCIAS DA SAUDE |
topic |
Gestão em saúde Uso de medicamentos Atenção primária em saúde Serviços comunitários de farmácia Health management Drug utilization Primary health care Community pharmacy services CNPQ::CIENCIAS DA SAUDE |
description |
Pharmaceutical Services (PS) involves a set of steps aimed at maintaining access to medicines and promoting rationality of use. Its services include managerial activities, with a logistical focus, and clinical activities, which include education actions with the health team and the community, in addition to direct care provided to patients. The actions must be integrated with each other and articulated with other health services. This study aimed to analyze the execution of PS actions in the twelve municipalities of the 27th Health Region of Rio Grande do Sul and, through the perception of key actors, characterize the management and structuring of PS, in addition to understanding the challenges and advances for consolidating management and clinical services. A cross-sectional study was conducted in which the source of information was professionals and managers of the Brazilian public health system (SUS) at the municipal level. Data collection occurred from June to December 2021, through individual remote interviews, with the application of semistructured questionnaires. The data were analyzed quantitatively, based on absolute and relative frequencies, and quali-quantitative, using the Collective Subject Discourse technique. The results pointed to a heterogeneous reality, some municipalities stood out positively, because the pharmacist is involved in the elaboration of management instruments, there is integration of this professional with collaborative activities in Primary Health Care and pharmaceutical care activities are offered. According to the reports of pharmacists who perform individual care and other evidence in the literature, through this activity it is possible to detect problems associated with the use of pharmacotherapy, so the absence of clinical services leads to ignorance of such failures. Despite advances, rapid delivery of medicines is a reality in some places. Ensuring access is essential for the SUS, however, only the availability of the drug is insufficient for Rational Drug Use (RDU), so pharmaceutical services should be recognized as part of the care process. The challenges that compromise the promotion of RDU include the shortage of professionals working in PS, inadequate ambience, insufficient training and the vision of professionals, managers and users focused on medicine. Municipalities also face budget deficits that require more efficient management of health resources. It is concluded that the reorganization of pharmaceutical services raises the recognition of existing barriers, which serves as an incentive for managers and for the articulation of pharmacists in other health services and in the planning of actions. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-04-06T17:27:32Z 2023-04-06T17:27:32Z 2023-02-06 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufsm.br/handle/1/28579 |
url |
http://repositorio.ufsm.br/handle/1/28579 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Brasil Ciências da Saúde UFSM Programa de Pós-Graduação em Ciências da Saúde Centro de Ciências da Saúde |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Brasil Ciências da Saúde UFSM Programa de Pós-Graduação em Ciências da Saúde Centro de Ciências da Saúde |
dc.source.none.fl_str_mv |
reponame:Manancial - Repositório Digital da UFSM instname:Universidade Federal de Santa Maria (UFSM) instacron:UFSM |
instname_str |
Universidade Federal de Santa Maria (UFSM) |
instacron_str |
UFSM |
institution |
UFSM |
reponame_str |
Manancial - Repositório Digital da UFSM |
collection |
Manancial - Repositório Digital da UFSM |
repository.name.fl_str_mv |
Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM) |
repository.mail.fl_str_mv |
atendimento.sib@ufsm.br||tedebc@gmail.com |
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1805922176782565376 |