Clinical Results of Comprehensive Medication Management Services in Primary Care in Belo Horizonte

Neves, Carina de Morais; Silva, Daniela Álvares Machado; Oliveira, Djenane Ramalho de

doi:10.3390/pharmacy7020058

Cited by 28 publications

(60 citation statements)

References 18 publications

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“…Conhecer a relação e a experiência farmacoterapêutica do paciente é imprescindível para o sucesso das ações do Cuidado VIEIRA et al, 2018). Em compensação, o paciente, ao ser inserido no serviço de clínica farmacêutica, aos poucos descontrói essa visão distorcida, e é reeducado quanto ao uso dos medicamentos, tornando-se um usuário racional do medicamento (LEENDERTSE et al, 2011;RUTTER et al 2014;NEVES et al, 2019).…”

Section: Classe 1: Relação Paciente-medicamentos E O Cuidado Farmacêuticounclassified

A Prática da Integralidade no Cuidado Farmacêutico na Atenção Primária à Saúde

Neto

Borges

2020

Ensaios Ciênc.

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A prática farmacêutica tem se transformado no Brasil e, em virtude das políticas públicas de saúde do país, vindica aprimoramentos para assegurar a integralidade das ações. A pesquisa teve o objetivo de analisar os discursos dos profissionais farmacêuticos sobre a prática clínico-farmacêutica nas Unidades Básicas de Saúde (UBS) da Prefeitura Municipal de Vitória (PMV) consoante o princípio da integralidade. Para tanto, foram entrevistados individualmente doze participantes. A análise dos dados textuais, realizada de modo conjugado por meio do software Alceste e de procedimento de análise de conteúdo, originou quatro classes, agrupando os discursos sobre suas ações mediante o uso irracional de medicamentos, a inserção e a prática clínico-farmacêutica no Núcleo de Apoio à Saúde da Família (NASF), o recepcionamento e o direcionamento legal das atribuições clínicas na esfera municipal e, por fim, os obstáculos a serem superados para a integralidade no Cuidado Farmacêutico. Os resultados demonstram que não há uma uniformidade quanto às ações clínicas farmacêuticas. A integração de suas ações com a equipe do NASF, embora demande novas competências, oportuniza a sistematização do Cuidado Farmacêutico e a operacionalização do princípio da integralidade. Portanto, para sua consolidação, são imprescindíveis a qualificação profissional, o direcionamento legal e o desmantelamento das limitações estruturais. Palavras-chave: Cuidado Farmacêutico. Integralidade. Atenção Básica. Políticas de Saúde. Abstract Pharmaceutical practice has been changing in Brazil and, due to the public health policies in the country, demands improvement to assure the actions integrality. The objective of this research is to analyze the discourses of pharmacy professionals about the pharmaceutical clinic practices in the Basic Healthcare Units (UBS) of Vitória city (PMV), according to the principles of integrality. In order to achieve that, twelve participants were interviewed individually. From the analysis, performed in conjunction with software Alceste and content analysis procedure, four classes were categorized, grouping the discourses about their actions regarding the irrational use of medicines, the addition of clinic-pharmaceutical practice in the Nucleus for the Support of Family Health (NASF), the receiving and legal directing of clinic attributions in the municipal area, and, finally, the obstacles to be surpassed for the integrality of Pharmaceutical Care. The results show that there is no uniformity regarding the clinical pharmaceutical actions. The integration of their actions with the staff of NASF, in spite of demanding new competences, creates opportunity for the systematization of Pharmaceutical Care and the operationalization of the principle of integrality. Therefore, for its consolidation, professional qualification, legal directing and dismantlement of structural limitations are imperative. Keywords: Pharmaceutical Care. Integrality. Basic Care. Health Policies.

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Section: Classe 1: Relação Paciente-medicamentos E O Cuidado Farmacêuticounclassified

A Prática da Integralidade no Cuidado Farmacêutico na Atenção Primária à Saúde

Neto

Borges

2020

Ensaios Ciênc.

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“…Management of DM remains a significant challenge in the US, as estimates indicate that greater than 40% of diabetes patients are uncontrolled with a HbA1c. Diabetic patients who received care from the collaborative team, including a clinical pharmacist, had improvement in most key indicators of diabetes like HbA1c, in both highand low-income countries and in both urban and rural areas [62][63][64][65][66][67][68][69][70][71]. Emphasizing medication adherence, particularly for patients with longer duration of diabetes and those with multiple comorbid diseases should be strongly considered in future diabetes management programs implemented to improve glycemic control in patients with type 2 diabetes [72].…”

Section: Diabetes Carementioning

confidence: 99%

Clinical Pharmacists in Chronic Care

Mohiuddin¹

2019

GJMR

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Pharmacy practice has changed significantly lately. The professionals have the chance to contribute straightforwardly to patient consideration so as to lessen morbimortality identified with medication use, promoting wellbeing and preventing diseases. Healthcare organizations worldwide are under substantial pressure from increasing patient demand. Unfortunately, a cure is not always possible particularly in this era of chronic complications, and the role of physicians has become limited to controlling and palliating symptoms.The increasing population of patients with longterm conditions are associated with high levels of morbidity, healthcare costs and GP workloads. Clinical pharmacy took over an aspect of medical care that had been partially abandoned by physicians. Overburdened by patient loads and the explosion of new drugs, physicians turned to pharmacists more and more for drug information, especially within institutional settings. Once relegated to counting and pouring, pharmacists headed institutional reviews of drug utilization and served as consultants to all types of health-care facilities. In addition, when clinical pharmacists are active members of the care team, they enhance proficiency by: Providing critical input on medicine use and dosing. Working with patients to solve problems with their medications and improve compliance.

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“…Currently, it is increasingly difficult for patients with chronic diseases to manage drug treatment, which has become more and more complex [ 15 ]. Several studies with different theoretical frameworks have tried to understand the experience of daily medication use, always focusing on positive or negative experiences [ 9 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ]…”

Section: Introductionmentioning

confidence: 99%

The Subjective Experience of Using Medications: What We Know and the Paths Forward

Nascimento

Oliveira

2021

Pharmacy

Self Cite

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Medications can cause bodily changes, where the associated benefits and risks are carefully assessed based on the changes experienced in the phenomenal body. For this reason, the phenomenology of Merleau-Ponty is an important theoretical framework for the study of experience related to the daily use of medications. The aim of this study was to discuss the contribution of a recently developed framework of the general ways people can experience the daily use of medications—resolution, adversity, ambiguity, and irrelevance—and present reflections about the little-understood aspects of this experience. However, some issues raised throughout this article remain open and invite us to further exploration, such as (1) the coexistence of multiple ways of experiencing the use of medications, by the same individual, in a given historical time; (2) the cyclical structure of this experience; (3) the impact of habit and routine on the ways of experiencing the daily use of medications; and (4) the contribution of the concept of existential feelings to this experience and its impact on patients’ decision-making. Therefore, the experience with the daily use of medications is a complex and multifaceted phenomenon that directs the decision-making process of patients, impacting health outcomes.

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Clinical Results of Comprehensive Medication Management Services in Primary Care in Belo Horizonte

Cited by 28 publications

References 18 publications

A Prática da Integralidade no Cuidado Farmacêutico na Atenção Primária à Saúde

A Prática da Integralidade no Cuidado Farmacêutico na Atenção Primária à Saúde

Clinical Pharmacists in Chronic Care

The Subjective Experience of Using Medications: What We Know and the Paths Forward

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