Adesão às listas de medicamentos essenciais por médicos brasileiros em atuação no sistema único de saúde

Magarinos-Torres, Rachel; Esher, Ângela; Caetano, Rosângela; Pepe, Vera Lúcia Edais; Osório-de-Castro, Claudia Garcia Serpa

doi:10.1590/s0100-55022014000300006

Cited by 7 publications

(8 citation statements)

References 18 publications

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“…As a consequence, health professionals' view about PS may be distorted. A nationwide study evaluating physicians' awareness about essential medicines lists revealed they do not have adequate information and also perceive that the composition of the lists is not adequate for clinical demands (Magarinos-Torres et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…For this purpose, educational strategies involving users of the public health system are needed to promote engagement and improve access to PS in SUS. This is especially relevant considering that in judiciary, health professional, and patient organizations' perceptions, medicine selection and clinical guidelines do not meet population needs (Magarinos-Torres et al, 2014;Vargas-Pelaez et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

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Strategies to Approach Medicines Litigation: An Action Research Study in Brazil

2021

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Background: In the last decades, litigation has been increasingly used to access medicines in Brazil. This phenomenon has led to the development of diverse strategies to reduce its negative impact on the organization of pharmaceutical services. In spite of that, managers still face difficulties dealing with lawsuits.Objective: This study aims to report the planning and implementation of strategies to approach medicines litigation in a municipality located in the southeast region of Brazil.Methods: Mixed methods were employed through an action research cycle. A network coordination team included researchers from university and municipal managers. The scenario analysis comprised the characterization of pharmaceutical services and the profile of medicines lawsuits. Afterward, strategies were planned to deal with the central problem identified. The action plan involved educational outreach visits and distribution of printed materials for health professionals, evaluated through opinion survey. Group conversations were conducted with the users of the public health system, followed by thematic analysis of reports.Results: The characterization of pharmaceutical services in the municipality revealed that treatments supplied were in accordance with the National Medicines Policy. In addition, a sector was implemented to attend demands for non-incorporated medicines. In spite of the services available, the characterization of lawsuits indicated that the main claimants were users of the public health system, requiring non-incorporated medicines, with therapeutic alternatives available. Thus, educational outreach visits were held in 14 health units (23 physicians in total). Everyone who answered the evaluation declared that they were very satisfied with the approach. Group conversations with the users of the health system reached 227 participants in total. In regard to users’ perception about pharmaceutical services, thematic analysis of reports identified three main categories including aspects related to medicines provided, users assisted, and quality of service.Conclusion: The study described the first cycle of an action research project to develop strategies to approach medicines litigation at the municipal level. The application of educational outreach visits for health professionals and group conversations with health system users is a promising approach to improve access to information about pharmaceutical services in Brazil.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Strategies to Approach Medicines Litigation: An Action Research Study in Brazil

2021

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“…• Almeida et al, (2018);Medeiros, (2018); Meneses et al, (2018); Lourenço et al, (2018); Torres et al, (2014), apresentam evidências de que intervenções educacionais para profissionais da saúde proporcionam melhorias significativas na logística da assistência farmacêutica. • Soler & Maia (2019); Almeida et al, (2018) ;Maschietto, (2018) ;Medeiros, (2018); Meneses et al, (2018); Chiaroti et al, (2017); Oliveira et al, (2017); Scalercio, (2017); Torres et al, (2014), apresentam evidências de que a prestação de serviços farmacêuticos (cuidado farmacêutico) aos usuários qualificam a assistência farmacêutica no município.…”

Section: Evidências De Intervenções Que Asseguram Uma Melhor Qualidadunclassified

“…• Almeida et al, (2018);Scalercio, (2017); Soler et al, (2017), apresentam evidências de que a contratação de Profissionais Farmacêuticos são determinantes para a melhoria da assistência farmacêutica e para o acesso aos medicamentos. • Almeida et al, (2018) ;Martins, (2018); Lourenço et al, (2018); Meneses et al, (2018); Oliveira et al, (2017); Medeiros, (2018); Scalercio, (2017); Chiaroti et al, (2017); Soler et al, (2017), Torres et al, (2014); Jaberidoost et al, (2013); Merisio et al, (2012); Amaral, (2011), apresentam evidências de que intervenções organizacionais fortalecem a gestão técnica da assistência farmacêutica, reduzindo custos e melhorando o acesso aos medicamentos.…”

Section: Evidências De Intervenções Que Asseguram Uma Melhor Qualidadunclassified

Prática de governança e gestão técnica da assistência farmacêutica no Município de Xinguara, Pará

Ferreira

Soler

2021

RSD

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Objetivo: Investigar a prática de governança e gestão técnica da assistência farmacêutica no município de Xinguara, Pará. Métodos: Trata-se de um estudo de caso, ocorrido entre julho de 2018 e junho de 2019, fundamentado na Pesquisa-Ação e na Triangulação de Métodos, sobre o processo de governança e gestão técnica da assistência farmacêutica. Resultados: Apresenta-se evidências sobre tipos de intervenções que asseguram uma melhor qualidade da assistência farmacêutica, os desfechos da oficina de planejamento estratégico situacional, o cumprimento de indicadores relacionados as práticas de governança, indicadores relacionados instrumentos de planejamento e gestão, gestão técnica da assistência farmacêutica, gestão clínica do medicamento, políticas setoriais e cumprimento de indicadores relacionados a logística da assistência farmacêutica. Conclusão: Infere-se a necessidade do planejamento municipal explicitar as ações de assistência farmacêutica articuladas à coordenação técnica de assistência farmacêutica e vinculadas aos instrumentos de gestão. Preconiza-se intervenções farmacêuticas que fortaleçam a governança e a gestão técnica da assistência farmacêutica no município de Xinguara, Pará.

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“…O resultado encontrado nessa região difere de outros estudos que apontam desconhecimento e, portanto, baixa adesão às LME pelos médicos do sistema público de saúde brasileiro [22]. No entanto, este resultado pode refletir um outro contexto inerente aos serviços de saúde mental, no qual o uso da medicação é um importante componente do tratamento e o acesso à terapia é um fator a ser considerado pelos prescritores para contribuir com a adesão do paciente ao tratamento.…”

Section: Artigo Originalunclassified

Prescrições em serviços de saúde mental: aspectos legais e indicadores do uso racional de medicamentos

Silva

Lima

2017

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. ABSTRACT AIMS: To evaluate the legal aspects and indicators of rational drug use in prescriptions issued by mental health services. METHODS: Prescriptions dispensed by pharmacies of reference of the Psychosocial Care Centers located in the Medio Paraopeba region, Minas Gerais, Brazil, were evaluated. A semi-structured questionnaire was developed for the collection of data, including the World Health Organization prescribing indicators and the criteria for compliance of prescriptions with the Brazilian legislation. RESULTS: A total of 390 prescriptions were analyzed, and the average number of drugs in each prescription was 2.17. It was observed that 96.78% of the drugs were prescribed by their generic names and that 97.13% were on the essential medicines list of municipalities. Legal aspects of the prescriptions were met for several criteria: 99.23% of the prescriptions had the prescriber's signature, 98.97% showed the date of issue, and 97.69% contained minimum information for the user regarding the use of the medications. None of the assessed health centers issued prescriptions with all the necessary patient data and with information about the dispensed medications, as required by law. CONCLUSIONS: The study indicated that most of the prescriptions analyzed complied with the legal requirements and that the indicators of rational medication use were satisfactory. However, information on dispensing control and records of users was incomplete, demonstrating problems with patient identification and with the traceability of dispensed medicines.

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Adesão às listas de medicamentos essenciais por médicos brasileiros em atuação no sistema único de saúde

Cited by 7 publications

References 18 publications

Strategies to Approach Medicines Litigation: An Action Research Study in Brazil

Strategies to Approach Medicines Litigation: An Action Research Study in Brazil

Prática de governança e gestão técnica da assistência farmacêutica no Município de Xinguara, Pará

Prescrições em serviços de saúde mental: aspectos legais e indicadores do uso racional de medicamentos

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