ABSTRACT
Objectives: To evaluate the profile of the drugs for continuous use prescribed in Primary Health Care (PHC) in Santa Rosa / RS and to identify presence in the official lists of essential drugs. Methods: Cross-sectional, analytical and quantitative study, with analysis of the digital prescriptions of users of primary health care in Santa Rosa. There was no gender restriction and patients who used at least one chronic drug were included. Data were collected through a printed report from users. Results: The study included 642 participants, with a mean age of 60.40±14.48, 64.3% were female and 47.4%, using polypharmacy. A total of 3.009 drugs were identified, with an average of 4.69±2.82 medications/prescription. There was a higher frequency of the cardiovascular system (46.9%), nervous system (16.8%) and digestive tract and metabolism (14.8%). The most commonly used drugs were hydrochlorothiazide, fluoxetine and omeprazole. Regarding the presence of drugs in the official lists, 90.9% are in RENAME and 90.8% in REMUME, and 80% of users have obtained full access to medicines. In the prescriptions, 0.3% contained antibiotics, 1.3% injectable drugs and all drugs were prescribed by the generic name and in a computerized way. Conclusions: The pharmacotherapeutic profile is similar to the national reality and most indicators are as recommended by the WHO, demonstrating the organization of the PA of the city, which facilitates the access of users to essential medicines. However, there was a high number of drugs per prescription and presence of polypharmacy, evidencing the importance of access to it as well as the promotion of the rational use of these drugs.
ABSTRACT
Introducción: los indicadores de calidad han sido introducidos en la práctica clínica hace más de una década. Objetivo: identificar y evaluar el impacto de los indicadores en hemodiálisis. Métodos: se realizó un estudio retrospectivo, descriptivo y transversal, se definieron indicadores de resultados y seguimiento clínico del proceso de hemodiálisis durante los años 2007-2010 en el Servicio de Hemodiálisis del Instituto de Nefrología. Resultados: después de comenzar a informar estos indicadores y actuar sobre los problemas detectados, las cifras medias de hemoglobina, albúmina y KTV fueron significativamente superiores. Los niveles medios de fósforo y de calcio altos descendieron discretamente en el tiempo. El porcentaje de pacientes prevalentes que tenían fístula arteriovenosa fue superior al estándar marcado en la primera etapa de estudio y disminuyó el número de ingresos. Conclusiones: el seguimiento periódico de indicadores de calidad y la puesta en marcha de las acciones correctoras permiten mejorar los resultados en el servicio
Introduction: the quality indicators have been implemented in the clinical practice for more than a decade. Objective: to identify and to evaluate the impact of the quality indicators in hemodialysis. Methods: a retrospective, cross-sectional and descriptive study was conducted to define the outcome indicators and the clinical follow-up of the hemodialysis process in the 2007-2010 period at the hemodialysis service of the Institute of Nephrology. Results: after starting the report of these indicators and acting upon the detected problems, the average values of hemoglobin, albumin and KTV were significantly higher. The mean high levels of phosphorus and calcium mildly lowered in the course of time. The percentage of patients that had arteriovenous fistula was higher than the marked standard in the first phase of the study and the number of admissions decreased. Conclusions: the systematic follow-up of the quality indicators and the implementation of corrective actions allow improving the results of the service