Pharmaceutical services in the primary health care of the Brazilian Unified Health System:

Costa, Karen Sarmento; Tavares, Noêmia Urruth Leão; Júnior, José Miguel do Nascimento; Mengue, Sotero Serrate; Álvares, Juliana; Guerra, Augusto Afonso; Acúrcio, Francisco de Assis; Soeiro, Orlando Mário

doi:10.11606/s1518-8787.2017051007146

Cited by 14 publications

(9 citation statements)

References 7 publications

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“…These results suggest that the institutional organization probably helps minimize the judicialization of health care. However, as of 2015, no strategy specifically focused on the organization of assistance was detected, although at that time several Brazilian municipalities experienced institutional disorganization in their health services, especially in the area of pharmaceutical care ( Costa E. A. et al., 2017 ; Costa K. S. et al., 2017 ; Gerlack et al., 2017 ; Leite et al., 2017 ).…”

Section: Resultsmentioning

confidence: 99%

Strategies Implemented by Public Institutions to Approach the Judicialization of Health Care in Brazil: A Systematic Scoping Review

et al. 2020

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Background: The judicialization of health care is a social claim concerning the right to the access to health care. It usually occurs due to gaps in public policy or failures in its application. In Brazil, several public institutions have implemented strategies to approach this phenomenon. However, these strategies have not yet been systematized into functional categories. Objective: To categorize and analyze the strategies implemented by public institutions in Brazil to approach the judicialization of health care. Method: A systematic scoping review was developed following the method proposed by the Joanna Briggs Institute. The descriptor 'judicialization of health' was used to conduct the searches for studies in 18 electronic databases and other types of documents in the gray literature until March 2019. Documents containing the reports of strategies implemented in public institutions to approach the judicialization of health care in Brazil were included. Two independent reviewers assessed the eligibility of the documents and extracted the data. The strategies identified were categorized using definitions from the World Health Organization and existing Brazilian legislation. Results: Seventy eight implemented strategies were identified and organized into nine categories: i. Technical support to the judiciary; ii. State health committees; iii. Organization of assistance; iv. Compliance with court orders, v. Computerized information systems; vi. Administrative proceeding; vii. Defense of the public authority; viii. Pharmacy and therapeutics committee; ix. Alternative dispute resolution. These categories are not mutually exclusive and often act in concert or complement each other's activities. They represent services either existing or provided for in legal provisions by the public administration to meet various types of demands. Conclusions: The categories proposed to approach the judicialization of health care represent some of the recommendations for qualifying public administration or are provided

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Section: Resultsmentioning

confidence: 99%

Strategies Implemented by Public Institutions to Approach the Judicialization of Health Care in Brazil: A Systematic Scoping Review

et al. 2020

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“…O fácil acesso na farmácia foi o motivo principal para a prática da automedicação, demonstrando que os profissionais que atuam neste tipo estabelecimento, principalmente os farmacêuticos, têm importante papel na orientação do uso dos fármacos no que concerne a reações alérgicas; efeitos adversos e colaterais; interações medicamentosas com outras substâncias, como álcool e drogas; orientações e esclarecimentos das informações contidas na bula mesmo que estes fármacos apresentem relativa segurança. A atenção farmacêutica é uma importante estratégia para o URM, uma vez que há carência de informação em todos os segmentos da população (17) .…”

Section: Discussionunclassified

Prática Da Automedicação Entre Estudantes De Ensino Médio

Santos¹,

Andrade

Bohomol

2019

Cogitare Enferm.

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Objetivo: conhecer a prevalência, classes medicamentosas e principais motivos para a prática daautomedicação entre os estudantes de ensino médio.Método: estudo transversal descritivo, com 130 estudantes de uma escola estadual do municípiode São Paulo. Utilizou-se estatística descritiva, testes paramétricos e não paramétricos para análisede dados.Resultados: as estudantes apresentaram idade entre 14 e 20 anos, 91 (70%) eram do sexo femininoe 112 (86,2%) praticaram a automedicação. Destes, 75 (67%) utilizaram para alívio de dores, 18(16,1%) referiram ter tido reações adversas e a classe medicamentosa predominante foi a dosanalgésicos com 147 (59,2%) menções. O fácil acesso do produto nas farmácias foi o principalmotivo apontado por 49 (43,7%) participantes.Conclusão: destaca-se a importância da educação como meio de levar informações aos estudantese familiares, visando desestimular a prática da automedicação nesta faixa populacional.

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“…It was offered as a blended course, mainly through e-learning, with four face-to-face meetings. Besides financing PSAAM during the period of 2010-2016, the MoH was supporting other actions, such as infrastructure and workforce expansion, to develop pharmaceutical services in diverse municipalities (16). The enrollment of potential participants for the course considered the profile of the municipalities included in the "Brazil without Misery" Plan, a social policy of the federal government.…”

Section: Environment and Infrastructure Of The Coursementioning

confidence: 99%

Analysis of a Blended, In-Service, Continuing Education Course in a Public Health System: Lessons for Education Providers and Healthcare Managers

Manzini

Diehl

Farías

et al. 2020

Front. Public Health

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Introduction: To train pharmacists working in the public health system, the Brazilian Ministry of Health developed a specialization course called Pharmaceutical Service and Access to Medicine Management (PSAMM) between 2010 and 2016. The course was free of charge and used e-learning as its main approach. In the end, 2,500 pharmacists were trained. The purpose of this study was to identify and analyze the strengths, weaknesses, opportunities, and threats of an in-service and e-learning course for pharmacists working in a public health system.Materials and Methods: Three workshops involving 67 participants were conducted at the conclusion of the course to analyze the perspective of the PSAMM course's faculty (tutors, regional coordinators, professors, and management committee) and students (pharmacists). Strengths, weaknesses, opportunities, and threats analysis and qualitative analysis methods were used.Results and Discussion: The strength dimension had the greatest number of items. The qualitative analysis resulted in six categories: the category “E-learning in continuing education” had the most cited items. Internal elements such as in-service hands-on activities directly related to the professionals' roles, course contents, faculty, and the methods to offer the course (the mixed methods and materials) were positively assessed. Nonetheless, external elements were considered critical for the course's outcomes such as investments in the infrastructure of pharmaceutical services, access to the internet, local managers' support for continuing education and innovation implementation, practice of interprofessional collaboration, and political stability. The continuing education course in the public health system was affected by internal elements such as its project and structure as well as external elements such as the sociopolitical scenario. Continuing education investment must be accompanied by infrastructure investment and coordination of services.

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Pharmaceutical services in the primary health care of the Brazilian Unified Health System:

Cited by 14 publications

References 7 publications

Strategies Implemented by Public Institutions to Approach the Judicialization of Health Care in Brazil: A Systematic Scoping Review

Strategies Implemented by Public Institutions to Approach the Judicialization of Health Care in Brazil: A Systematic Scoping Review

Prática Da Automedicação Entre Estudantes De Ensino Médio

Analysis of a Blended, In-Service, Continuing Education Course in a Public Health System: Lessons for Education Providers and Healthcare Managers

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