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1.
Braz. J. Pharm. Sci. (Online) ; 58: e18730, 2022. tab
Article in English | LILACS | ID: biblio-1364410

ABSTRACT

Abstract Pharmaceutical education should enable the development of competences for community pharmacy practice, which is an important field for the pharmacist workforce. The aim of this study was to evaluate the competences perceived by pharmacy interns from a Brazilian pharmacy school for community pharmacy practice. This study adopted a combined quantitative and qualitative approach. The study cohort included undergraduate students who undertook internships in community pharmacy in the final year of the pharmacy course. Students responded to an 11-item structured questionnaire according to a five-point Likert scale that included perceptions of their competences for community pharmacy practice. Among the 693 possible answers, 605 (87.3%) agreed that the course promoted the development of competences for professional practice in community pharmacy. Less than 70% of students perceived themselves as prepared to respond to symptoms and provide non-prescription medicines. Qualitative analysis of the comments revealed three themes: the need to improve patient information skills, improve practice as a member of a health care team, and improve dispensing according to legal requirements. These findings may support improvements in undergraduate pharmacy programs, such as the inclusion of experiential learning, active learning methods, interprofessional education, and development of clinical skills.


Subject(s)
Humans , Male , Female , Perception/ethics , Pharmacy , Professional Practice/ethics , Schools, Pharmacy/classification , Students, Pharmacy/classification , Education, Pharmacy , Evaluation Studies as Topic , Patient Care Team/trends , Pharmacists , Professional Competence/standards , Surveys and Questionnaires , Clinical Competence/standards , Community Pharmacy Services/statistics & numerical data
3.
Espaç. saúde (Online) ; 22(1): [774], 2021. tab
Article in Portuguese | LILACS | ID: biblio-1284483

ABSTRACT

Analisou-se a prevalência de arritmias entre estudantes da área da saúde através de um estudo observacional, tipo coorte retrospectiva, com abordagem quantitativa. A pesquisa deu-se através de uma entrevista estruturada e a realização de um eletrocardiograma. Participaram estudantes dos cursos de farmácia, biomedicina, medicina, psicologia e enfermagem. Foi demonstrada maior prevalência de arritmias entre os estudantes do curso de medicina sem diferença estatisticamente significante. Os grupos apresentaram em comum a presença de sintomas que podem ou não estar relacionados a alterações cardiovasculares, como tontura e palpitação, que podem estar diretamente relacionados à alta demanda emocional devido à sobrecarga de atividades acadêmicas.


Subject(s)
Pharmacy , Research , Students , Electrocardiography , Courses , Medicine , Signs and Symptoms , Catchment Area, Health , Prevalence
5.
Article in English | LILACS, BBO | ID: biblio-1280614

ABSTRACT

ABSTRACT OBJETIVE To evaluate the skills and practices of pharmacy staff during the dispensing of tramadol (drug with fiscalized substance) in drugstores and pharmacies in Medellin, Colombia. METHODS A cross-sectional study was performed. The simulated patient technique was used. The main outcomes included the information provided on the dispensed drug (tramadol), the use of tools to provide information, and the information provided on drug precautions and use recommendations. RESULTS We visited 305 drugstores and pharmacies. The average dispensing time was 2.3 min (SD 1.1 min). In nine drugstores and pharmacies (3.0%), tramadol was not dispensed because it was not in stock. In 17 drugstores and pharmacies (5.7%), the simulated patients were actively informed by the dispensing pharmacy staff; of these, 16 provided oral information and one provided oral and written information. Eight patients (2.7%) received information regarding tramadol use. However, 99% of patients were not informed about tramadol side effects such as dependence, sedation, or hypnosis, and none of the simulated female patients were informed on the precautions related to tramadol use during pregnancy or lactation. CONCLUSIONS Communication skills and appropriate practices of pharmacy staff are critical to patient self-care. However, this study shows their difficulty in counseling about precautions and use recommendations of drugs with fiscalized substances. These outcomes could inform future studies focusing on the rational use of these drugs in drugstores and pharmacies. It is necessary to improve the pharmacy staff competencies through continuing education programs, to facilitate access to information and training.


Subject(s)
Humans , Female , Pharmacies , Pharmacy , Pharmaceutical Preparations , Community Pharmacy Services , Brazil , Cross-Sectional Studies , Colombia
6.
Rev. Saúde Pública Paraná (Online) ; 3(supl. 1): 238-249, dez. 11, 2020.
Article in Portuguese | ColecionaSUS, LILACS, ColecionaSUS, CONASS, SESA-PR | ID: biblio-1151315

ABSTRACT

O surgimento do novo coronavírus exigiu a readaptação de diversos sistemas pertencentes à sociedade. Neste contexto, houve a necessidade da reestruturação dos fluxos de grande parte dos serviços de saúde. O presente relato de experiência descreve as ações adotadas pela Farmácia do Paraná (2ª RSM) para minimizar os impactos da pandemia aos pacientes e funcionários. Foram adotadas medidas de caráter administrativo, organizacional e estrutural, incluindo alterações nos processos de dispensação de medicamentos, nas renovações de cadastro e na busca ativa por usuários elegíveis ao serviço "Remédio em Casa". No panorama inicial da estratégia foi possível verificar um incremento no envio de medicamentos via SEDEX, refletindo em uma redução na quantidade de atendimentos presenciais. Tais ações, realizadas de maneira coordenada, contribuem para a redução do risco de contágio e exposição à Covid-19, refreando o avanço da contaminação e reforçando a importância das medidas de isolamento social. (AU)


The emergence of the new coronavirus required the readaptation of several social systems. In this context, there was a need to restructure flows of many health services. This experience report describes the actions adopted by "Pharmacy of Paraná" (2nd RSM) to minimize the impacts of the pandemic on patients and employees. Administrative, organizational, and structural measures were adopted, including changes in drug dispensing processes, registration renewals, and active search for eligible users of the "Remedies at Home" service. In the initial scenario of the strategy, there was an increase in sending medication via "SEDEX", which reduces the amount of inperson care. These actions, carried out in a coordinated manner, reduce the risk of contagion and exposure to Covid-19, curbing contamination and reinforcing the importance of social isolation measures. (AU)


Subject(s)
Pharmacy , Health Strategies , Coronavirus , Health Services
7.
Rev. cuba. invest. bioméd ; 39(3): e679, jul.-set. 2020. tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1138940

ABSTRACT

Introducción: Los indicadores bibliométricos ayudan a evaluar la repercusión de la evidencia disponible. Objetivo: Comparar el Factor de Impacto, el Eigenfactor Score, SCImago Journal & Country Rank y el Source Normalized Impact per Paper, en revistas de farmacología, toxicología y farmacia de mayor impacto a nivel mundial en sus ediciones 2018. Métodos: Estudio descriptivo, retrospectivo, obtenido del análisis bibliométrico. Se realizó una búsqueda electrónica en el Instituto para la Información Científica en revistas incluidas en el Journal Citation Report (https://scijournal.org/), para la obtención del Factor de Impacto y Puntuación del factor propio, en el portal web oficial de Scimago Journal para acceder al SCImago Journal & Country Rank (https://www.scimagojr.com/) y para la obtención del Source Normalized Impact per Paper en el portal Journal Indicators (https://www.journalindicators.com/indicators), edición 2018. Los datos se cuantificaron mediante el paquete estadístico STATA v.14.0. Se analizó las características de las revistas para cada indicador, la correlación entre las variables se estimó mediante la prueba de Spearman. Resultados: Se analizaron 100 revistas, todas indizadas en las bases de datos seleccionadas. Los coeficientes de correlación de Spearman obtenidos entre los indicadores estudiados fueron: Factor de Impacto y Puntuación del factor propio = 0,246; Factor de Impacto y Scimago Journal & Country Rank = 0,758; Factor de impacto y Source Normalized Impact per Paper = 0,680; Puntuación del factor propio y Scimago Journal & Country Rank = 0,367, Puntuación del factor propio y Source Normalized Impact per Paper = 0,264 y SCImago Journal & Country Rank y Source Normalized Impact per Paper = 0,541; además fueron estadísticamente significativas (p < 0,05). Conclusiones: Se encontró una correlación moderada a alta y significativa entre el factor de impacto, Puntuación del factor propio, SCImago Journal & Country Rank y el Source Normalized Impact per Paper(AU)


Introduction: Bibliometric indicators are useful to evaluate the impact of the evidence available. Objective: Compare the Impact Factor, the Eigenfactor Score, the SCImago Journal & Country Rank and the Source Normalized Impact per Paper of the highest worldwide impact pharmacology, toxicology and pharmacy journals in their 2018 editions. Methods: A retrospective descriptive study was performed of data obtained from bibliometric analysis. An electronic search was conducted at the Scientific Information Institute of journals included in the Journal Citation Report (https://scijournal.org/) to obtain the Impact Factor and the Eigenfactor Score, in the SCImago Journal official web portal to access the SCImago Journal & Country Rank (https://www.scimagojr.com/) and in Journal Indicators (https://www.journalindicators.com/indicators) 2018 edition to obtain the Source Normalized Impact per Paper. Data were quantified with the statistical package STATA v.14.0. An analysis was done of the characteristics of the journals for each indicator, whereas correlation between the variables was estimated with Spearman's test. Results: A total 100 journals were examined, all of them indexed in the databases selected. Examination of the indicators studied revealed the following Spearman's correlation coefficients: Impact Factor and Eigenfactor Score = 0,246; Impact Factor and SCImago Journal & Country Rank = 0,758; Impact Factor and Source Normalized Impact per Paper = 0,680; Eigenfactor Score and SCImago Journal & Country Rank = 0,367, Eigenfactor Score and Source Normalized Impact per Paper = 0,264, and SCImago Journal & Country Rank and Source Normalized Impact per Paper = 0,541. They were all statistically significant (p < 0,05). Conclusions: A moderate to high and significant correlation was found between Impact Factor, Eigenfactor Score, SCImago Journal & Country Rank and Source Normalized Impact per Paper(AU)


Subject(s)
Humans , Pharmacology , Pharmacy , Toxicology , Epidemiology, Descriptive , Retrospective Studies , Bibliometric Indicators , Journal Impact Factor
8.
Rev. Ciênc. Méd. Biol. (Impr.) ; 19(1): 58-65, jun 17, 2020. fig, tab
Article in English | LILACS | ID: biblio-1358677

ABSTRACT

Introduction: non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen are widely used throughout the world. In the psychiatric hospital, where this study was conducted, drugs such as selective serotonin reuptake inhibitors (SSRI) and lithium are widely used and may interact with ibuprofen (IBU). The literature also shows that ibuprofen may lead to changes in the central nervous system, which may trigger the imbalance of psychiatric disorders. Objective: to evaluate whether both the frequency of use and the prescriptions of ibuprofen are in agreement with the information contained in the literature regarding safety, indication, and dose. Methodology: retrospective observational cross-sectional study to evaluate the use of ibuprofen on patients from a psychiatric hospital. The prescriptions were evaluated for a 10-month period. Results: of the total number of prescriptions, 43 contained ibuprofen 600 mg. Note that in most cases, the drug was being prescribed according to the literature. However, in some cases there were divergences in the literature regarding: i) safety ­ information about the absence or presence of ulcers (1; 2.3%), gastrointestinal events (0; 0%) and absence of dyspepsia, abdominal pain and discomfort gastrointestinal (11; 25.5%) ­ ii) and the dose, in which in 19 cases (44%) it was higher than recommended by the literature. In addition, in 2 prescriptions (4.7%), the concomitant use of IBU and SSRI was observed and in 5 (11.6%) of IBU and lithium. Conclusion: the use of this drug often escaped safety and dosage criteria concerning scientific literature.


Introdução: os anti-inflamatórios não esteróides (AINEs), como o ibuprofeno, são amplamente utilizados no mundo todo. No hospital psiquiátrico em que este estudo foi realizado, medicamentos como inibidores seletivos da recaptação de serotonina e lítio são amplamente utilizados e sabe-se que podem interagir com o ibuprofeno. A literatura também mostra que o ibuprofeno pode levar a alterações no sistema nervoso central, o que pode desencadear o desequilíbrio dos distúrbios psiquiátricos. Objetivo: avaliar a frequência da utilização do ibuprofeno e se suas prescrições estão de acordo com as informações contidas na literatura com relação à segurança, indicação e dose. Metodologia: realizou-se um estudo transversal observacional retrospectivo para avaliar o uso de ibuprofeno em pacientes de um hospital psiquiátrico. As prescrições foram avaliadas por um período de 10 meses. Resultados: entre as 43 prescrições avaliadas, recomendou-se a dose de 600 mg. Foi observado que, na maioria dos casos, o medicamento estava sendo usado conforme prescrito na literatura. No entanto, em alguns casos houve divergências da literatura em relação a i) segurança ­ informações sobre a ausência ou presença de úlceras (1; 2,3%), de eventos gastrointestinais (0; 0%) e ausência de dispepsia, dor abdominal e desconforto gastrointestinal (11; 25,5%) ­ ii) dose, em que em 19 casos (44%) foi maior do que o preconizado pela literatura. Além disso, em duas (4,7%) prescrições, foi observado o uso concomitante de IBU e ISRS) e em cinco (11,6%) de IBU e lítio. Conclusão: o uso desse medicamento frequentemente de modo geral não obedeceu aos critérios de segurança e dosagem referentes à literatura científica.


Subject(s)
Humans , Male , Female , Pharmacy , Pharmaceutical Preparations , Ibuprofen , Drug Utilization , Patient Safety , Anti-Inflammatory Agents , Cross-Sectional Studies , Retrospective Studies , Observational Study
9.
São Paulo; s.n; s.n; 2020. 229 p. tab, ilus.
Thesis in Portuguese | LILACS | ID: biblio-1292612

ABSTRACT

Os serviços farmacêuticos na Atenção Primária a Saúde (APS) é um tema emergente ao se tratar do contexto de desenvolvimento das políticas farmacêuticas no Brasil, em especial a de Assistência Farmacêutica. Na área, inúmeros estudos têm sido publicados e diversos grupos e instituições debatem o assunto, porém, sem um único consenso ou modelo propositivo. A APS ou Atenção Básica é o modelo de atenção prioritário adotado no Brasil, no SUS e tem como características a territorialização, o trabalho em equipe multiprofissional, o vínculo e o acolhimento. É um espaço rico de desenvolvimento de serviços farmacêuticos e de viabilidade das estratégias de garantia do direito à saúde, como o acesso a medicamentos essenciais e cuidado no seu uso. Por isso a farmácia na APS é um local de trabalho do farmacêutico, com boa empregabilidade e possibilidade de desenvolvimento de uma atuação não tão ligada a histórica formação do farmacêutico tecnicista. Além disso, é preciso desenvolver reflexões sobre serviços farmacêuticos utilizando dados da realidade, possibilitando que estudos como este possam contribuir no desenvolvimento de serviços na APS a partir das necessidades em saúde, considerando as determinações sociais do processo saúde-doença. Sendo assim, o objetivo desta tese foi o de caracterizar os serviços farmacêuticos na Atenção Primária à Saúde, no município de São Paulo, e como se expressam em diferentes modelos na materialidade da APS. Utilizou-se a pesquisa qualitativa, especificamente a Observação Participante, com abordagem etnográfica como fonte para o aprofundamento do conhecimento, pois permite a compreensão do homem em sua sociabilidade. O estudo foi desenvolvido no município de São Paulo. A primeira parte corresponde a um estudo exploratório, composto por um grupo focal com 20 farmacêuticos e um survey online aplicado a outros 120 farmacêuticos. Todos atuam na Secretaria Municipal de Saúde. Na segunda parte, o estudo foi desenvolvido em 3 Unidades Básicas de Saúde, com aproximadamente 170 horas de observação, registradas em cadernos de campo. Os registros possibilitaram a análise e a formação de categorias conceituais. Por fim, a APS permite uma construção e visão ampliadas do escopo dos serviços farmacêuticos, ao analisá-los a partir da percepção de quem os vive, uma vez que há o entendimento de que os serviços não são fragmentados e que o farmacêutico os executa em um campo complexo, ampliado e dinâmico como a APS. O uso da Observação Participante em estudos na área da saúde, especialmente na Farmácia, possibilita reflexões sobre o fenômeno, que não são isoladas, nem mesmo descontextualizadas da realidade em saúde. Identifica-se a necessidade de estudos qualitativos para a descrição interpretativa dos fenômenos na saúde apoiada nas ciências humanas, (re)fazendo movimentos de síntese críticos e reflexivos. Procedentes da análise, pode-se na observação participante compreender três modelos diferentes de atuação do farmacêutico, que geram concepções de serviços farmacêuticos distintas e que se relacionam aos modelos de APS, sendo alguns mais universais e integrais versus modelos de cobertura universal, focalizados e seletivos. Os serviços farmacêuticos na APS têm um potencial de compreender que as pessoas não são iguais por completo, e que é preciso reconhecer as necessidades e, por conseguinte, sociais. As evidências obtidas foram demonstradas em categorias conceituais relacionadas às diferentes perspectivas dos serviços farmacêuticos na APS, possibilitando entender que o farmacêutico é a referência em medicamentos nas UBS e tem-se feito essencial para a população, especialmente no campo da APS. Tendo nessa perspectiva uma nova prática, aquela que é real, construída pela prática da APS, e não em métodos teóricos de atendimento clínico. Os serviços farmacêuticos que se estabelecem na APS devem contribuir com as condições de vida, permeados pelo debate das determinações sociais de saúde, sendo necessário refletir sobre quais necessidades, àquelas vigentes e de acordo com o que o mercado deseja ou àquelas que correspondem as necessidades reais


Pharmaceutical services in Primary Health Care (PHC) is an emerging concept in the context of developing pharmaceutical policies in Brazil, especially Pharmaceutical Assistance. Numerous studies in this field have been published and several groups and institutions debate the subject; however, there is no consensus on the proposed model. PHC or Basic Care is the preferred model adopted in Brazil, in the Single Health System (SHS), and is characterized by territorialization, multiprofessional teamwork, relationships, and user embracement. It is a rich space for the development of pharmaceutical services and viable strategies for ensuring the right to health, including access to essential medicines and care in their use. That is why the pharmacy in PHC is a pharmacist's place of work, with good employability, and the possibility of developing an activity that goes beyond the traditional scope f a technical pharmacist. In addition, it is necessary to examine pharmaceutical services using actual data, enabling studies such as this to contribute to the development of PHC services based on health needs, considering the social determinants of the health-disease process. Thus, the objective of this thesis was to characterize the pharmaceutical services in PHC, in the city of São Paulo, and examine how they are expressed in different models in the materiality of PHC. We used qualitative research, specifically participant observation, with an ethnographic approach, to obtain in-depth knowledge, since it allows the understanding of man in his social context. The study was conducted in the city of São Paulo. The first part consists of an exploratory study, on a focus group with 20 pharmacists, and an online survey of another 120 pharmacists. They all work at the Municipal Health Office. The second part of the study was conducted in three Basic Health Units (BHU), with approximately 170 hours of observation recorded in field notebooks. The records made it possible to analyze and form conceptual categories. Finally, PHC allows a broader construct and vision of the scope of pharmaceutical services, by analyzing them from the perception of those who experience them, since there is an understanding that the services are not fragmented and that the pharmacist performs them in a complex, expanded, and dynamic field, like PHC. The use of participant observation in health field studies, especially in Pharmacy, allows reflections on the phenomenon, which are not isolated, nor decontextualized from the reality in health. The need for qualitative studies is felt for the interpretative description of health phenomena supported by the human sciences, (re)making critical and reflective synthesis movements., By using participant observation in the analysis, it is possible to understand three different models of the pharmacist's performance, which lead to distinct conceptions of pharmaceutical services and are related to PHC models, some of them more universal and integral compared to universal coverage models that are focused and selective. The pharmaceutical services in PHC have the potential to understand that people are not completely the same, and that it is necessary to recognize the needs, and therefore the social conditions. The evidence obtained has been demonstrated in conceptual categories related to the different perspectives of pharmaceutical services in PHC, making it possible to understand that the pharmacist is the authority in medicines at the Health Care Unit and has become essential for the population, especially in the field of PHC. This perspective comprises a new approach, one that is realistic and practical, built by the practice of PHC, and not based on theoretical methods of clinical care. The pharmaceutical services established in PHC must contribute to living conditions, accompanied by the debate on social health determinations, and it is necessary to reflect on which are the needs that are in force and according to what the market wants or those that correspond to real necessities


Subject(s)
Primary Health Care/ethics , Unified Health System/standards , Health Services/classification , Patient Care Team , Pharmacists/standards , Pharmacy/classification , Social Behavior/history , Pharmaceutical Preparations/administration & dosage , Health Strategies , Universal Health Insurance/trends , Qualitative Research , Drug and Narcotic Control/methods , Right to Health/classification
10.
Arch. Health Sci. (Online) ; 26(2): http://www.cienciasdasaude.famerp.br/index.php/racs/article/view/1372, abri-set.2019.
Article in Portuguese | LILACS | ID: biblio-1045957

ABSTRACT

Introdução: A dispensação de medicamentos corresponde a entrega de medicação ao paciente, mediante solicitação por meio da prescrição. Uma dispensação adequada colabora com a segurança na terapia medicamentosa. Objetivo: Descrever o conhecimento e a atuação dos profissionais da farmácia sobre a dispensação dos medicamentos. Métodos: Trata-se de estudo exploratório-descritivo, transversal e quantitativo, realizado em uma maternidade escola na Região Nordeste do Brasil, com 25 profissionais da farmácia. Resultados: A maioria dos participantes informou que a farmácia estudada utiliza o sistema misto de distribuição dos medicamentos (96,0%), não possui programa informatizado para a dispensação de medicamentos (52,0%), o ambiente de trabalho se encontra inadequado (84,0%), presenciaram (68,0%) ou cometeram (52,0%) erros relativos a dispensação, nunca realizam a dupla checagem (72,0%), sempre identificam e diferenciam o estoque de medicamentos potencialmente perigosos dos demais (80,0%), nunca utilizam fontes de distrações durante a análise e dispensação dos medicamentos (56,0%) e algumas vezes dispensam medicamentos por ordem verbal (60,0%). Conclusão: Verificou-se a necessidade de se modificar a prática da farmácia estudada por meio de educação permanente e implementação de estratégias que minimizem a ocorrência de erros.


Introduction: The dispensing of medication corresponds to the delivery of medication for the patient, upon request by means of prescription. A proper dispensation contributes to safety in drug therapy. Objective: To describe the knowledge and professionals of the pharmacy about the dispensation of medicines. Methods: This is an exploratory-descriptive cross-sectional and quantitative study carried out in a maternity school in the Northeastern region of Brazil, with 25 pharmacy professionals. Results: Most of the participants reported that the pharmacy used the mixed drug distribution system (96.0%). They also reported that there is no computerized dispensing program for medicines (52.0%), and the work environment was inadequate (84.0%). Most of them (68%) have witnessed errors related to the dispensation, or they have made the error themselves (52.0%). Double checking was done by 72.0%. The majority (80%) always identify and differentiate the stock of potentially dangerous drugs from others. Those who never used sources of distraction during the analysis and dispensing of medications were 56.0% and 60% sometimes dispensed medications in verbal order. Conclusion: It was verified the need to modify the practice of the pharmacy studied through permanent education and implementation of strategies that minimize the occurrence of errors.


Subject(s)
Pharmacists , Pharmacy , Professional Practice , Pharmaceutical Preparations , Epidemiology, Descriptive , Cross-Sectional Studies , Knowledge , Drug Therapy , Education, Continuing
11.
REVISA (Online) ; 8(4): 505-511, Out-Dez.2019.
Article in English, Portuguese | LILACS | ID: biblio-1051077

ABSTRACT

Objetivo: proporcionar à comunidade acadêmica e social as práticas corretas de armazenamento e descarte dos medicamentos vencidos, em desuso e/ou inapropriados na instituição de ensino superior no DF. Método: A coleta dos medicamentos ocorreu no período de um ano, entre 2018 e 2019. Foi realizada a abertura da caixa de coleta permanente na Instituição de Educação Superior e a contagem manual de todos os medicamentos descartados. Os medicamentos foram relacionados em uma planilha de acordo com a classificação de bioequivalência, vias de administração, formas farmacêuticas, validade, preparação e classe terapêutica. Resultados: Desta forma, o ponto ativo fixo de coleta de medicamentos descartados na Instituição de Educação Superior proporciona um grande impacto social e ambiental, colaborando tanto com orientações na sociedade quanto promovendo uma ação permanente de auxílio aos órgãos governamentais a promoverem ações de correto destinação de medicações que tenham sido descartados. No período de 1 (um) ano, de um total de 922 unidades, sendo 84 medicamentos distintos, a predominância foi de medicamentos similares. Dentre as vias de administração, os medicamentos administrados via oral foram os mais descartados. Além disso, observa-se que esse ponto foi instalado há 1 ano, ou seja, em agosto de 2018, e foram contabilizados medicamentos desde 2012, ou seja, a população tem o hábito em armazenar esses medicamentos mesmo vencidos em domicílio. Conclusão: Constatou-se a necessidade de melhor esclarecimento sobre o assunto através de campanhas de incentivo e orientação, quanto ao destino adequado para resíduos de medicamentos e promoção ao uso racional de medicamentos, a fim de conscientizar a sociedade a utilização moderada dos medicamentos e a implementação de pontos de coleta acessíveis à população.


Objective: To provide the academic and social community with the correct storage and disposal practices for expired, disused and/or inappropriate medicines in the higher education institution in the Federal District. Method: The collection of medicines took place within one year, between 2018 and 2019. The permanent collection box was opened at the Higher Education Institution and the manual counting of all discarded medicines. The drugs were listed in a spreadsheet according to bioequivalence classification, routes of administration, pharmaceutical forms, validity, preparation and therapeutic class. Results: Thus, the fixed active point of collection of discarded medicines in the Higher Education Institution provides a great social and environmental impact, collaborating with orientations in the society as well as promoting a permanent action of assistance to the government agencies to promote actions of correct destination of. medications that have been discarded. In the period of 1 (one) year, out of a total of 922 units, being 84 different drugs, the predominance was similar drugs. Among the routes of administration, the drugs administered orally were the most discarded. In addition, it is observed that this point was installed 1 year ago, that is, in August 2018, and medicines have been counted since 2012, that is, the population has the habit of storing these medicines even at home. Conclusion: There was a need for better clarification on the subject through incentive and orientation campaigns, as to the appropriate destination for drug residues and promotion of the rational use of medicines, in order to make society aware of the moderate use of medicines and implementation of collection points accessible to the population.


Subject(s)
Pharmacy
12.
Rev. méd. Chile ; 147(9): 1190-1198, set. 2019. graf
Article in Spanish | LILACS | ID: biblio-1058663

ABSTRACT

Julio Escámez Contreras was a highly creative, skilled and versatile Chilean painter who painted in Chile from 1940 to 1974 when he went into exile to Costa Rica and died there in 2015. In 1953-54, Escámez painted a large mural in a private pharmacy in the city of Concepcion, Chile, The History of Medicine and Pharmacy in Chile. This mural describes the origins and development of medicine and pharmacy in Chile, placing that origin in the medicinal activities of the mapuche indigenous population. The mural consists of three sections, each painted on the upper segment of three adjacent walls in the pharmacy, with each section focused on one period in the evolution of medicine and pharmacy in Chile. The first section is devoted to indigenous medical practices including its pharmacopeia and religious practices, the second describes medical approaches during colonial times, still with strong indigenous components but also with indigenous and Catholic hybrid religious elements, while the third depicts modern medicine, including chemistry, anatomical, physical and pharmacological activities complemented with public health components such as nursing, vaccination and health education. Read from left to right, the mural provides a highly lively, accurate and valid depiction of the evolution of medicine and pharmacy in Chile. Escámez' artistry and skill in the use of perspective, color, landscape, architecture and Chilean subjects, including real life individuals, produces a typical Chilean mural. However, his originality and consummate use of a non-verbal visual language delivers a more universal message, one that helps to explain the repeated efforts, of the government responsible for his exile, to destroy some of the works produced by him.


Subject(s)
Humans , Male , Pharmacy , Chile , Public Health
13.
San Salvador; s.n; abr. 2019. 66 p. graf, tab, ilus.
Thesis in Spanish | LILACS | ID: biblio-1007277

ABSTRACT

OBJETIVO: Caracterizar la atención farmacéutica en pacientes poli medicados con enfermedades crónicas no transmisibles, del Hospital Nacional Especializado Rosales, atendidos en la farmacia especializada del MINSAL. Agosto 2017 - Agosto 2018. METODOLOGÍA: Se realizó un estudio descriptivo de corte transversal; La muestra fue 378 expedientes de pacientes diagnosticados con Enfermedades Crónicas no Transmisibles, con seguimiento en el área de atención farmacéutica; Se diseñó una matriz para recolectar la información y facilitar su análisis haciendo uso de frecuencias de variables múltiples de SPSS. RESULTADOS: el 40% de las edades estaban en el rango de 66 años o más, el sexo femenino predominó con el 69%, más del 50% de los participantes estaban solteros, la ocupación más frecuente del estudio, fue ama de casa con un 43%, el 56% de las personas sabían leer, pero no habían realizado estudios de nivel básico, Las características personales fueron el PRM que predominó en el estudio con un 39% de los casos, la educación en medidas no farmacológicas fue la intervención que más se realizó de parte de los profesionales farmacéuticos con un 50% del total de casos, y el 71% de los casos reportados logró una mejoría en el control de su presión arterial con el seguimiento farmacoterapéutico. CONCLUSIONES: Se encontró que las características personales son el problema relacionado con la medicación más frecuente en pacientes con Enfermedades Crónicas no Transmisibles, la educación en medidas no farmacológicas es la intervención que más se realiza en atención farmacéutica y los logros en pacientes se evidenciaron en un mejor control de la presión arterial


Subject(s)
Humans , Pharmacy , Pharmacy Service, Hospital , Pharmaceutical Services , Noncommunicable Diseases , Public Health , Epidemiology, Descriptive
14.
Rev. baiana saúde pública ; 43(1): 288-300, 2019.
Article in Portuguese | LILACS | ID: biblio-1140170

ABSTRACT

A educação construtivista é uma excelente alternativa para direcionar uma formação farmacêutica com as competências necessárias para atuar no âmbito da gestão do Sistema Único de Saúde (SUS). Este artigo tem como objetivo relatar a vivência do ambiente virtual como ferramenta de formação construtivista em saúde. Trata-se da experiência entre educador e educandos do curso de farmácia, com uso de metodologias ativas de ensino-aprendizagem baseadas no construtivismo. Em busca dessa construção, foi utilizado o webfólio como ferramenta de formação construtivista na disciplina práticas em saúde coletiva II: gestão. Assim, a proposta de utilização desse método é fundamentada à luz da obra de Paulo Freire em simbiose com Manoel de Barros. O processo de aprendizagem com a construção do webfólio e viagem educacional permitiu refletir sobre a realidade da nossa sociedade e a formação de agentes transformadores para gestão do SUS. Assim, os educandos foram empoderados e sensibilizados a seguir com o compromisso de reproduzir a corresponsabilidade no âmbito profissional, buscando a qualidade do atendimento com vistas à integralidade da assistência ao cuidado. A utilização dessas ferramentas foi assertiva por estimular uma formação por competências, interdisciplinaridade, interprofissionalidade, além de permitir nos maravilharmos com novas experimentações por meio de uma sociedade que muda permanentemente.


Constructivist education is an excellent alternative to direct pharmaceutical training with the necessary skills to act within the scope of the Unified Health System (SUS) management. This article reports the experience of virtual environments as a tool for constructivist education in health, namely the experience between educator and Pharmacy students with use of active teaching-learning methodologies based on constructivism. A webfólio was used as a tool for constructivist training in the discipline Practices in Collective Health II: Management. Thus, the theoretical framework is based on the work of Paulo Freire and Manoel de Barros. The learning process with the construction of the webfólio and educational trip allowed to reflect on the reality of our society and the formation of transforming agents for SUS management. Thus, the students were empowered and sensitized to follow the commitment to reproduce co-responsibility in professional settings, seeking the quality of care while aiming for the integrality of care. The use of these tools was assertive as it stimulated education based on competences, interdisciplinarity, interprofessionality, in addition to allowing us to marvel at new experiments through a society that changes permanently.


La educación constructivista es una excelente alternativa para brindar la formación farmacéutica con las competencias necesarias para actuar en el ámbito de la gestión del Sistema Único de Salud (SUS). Este artículo tiene como objetivo relatar la vivencia del ambiente virtual como una herramienta de formación constructivista en salud. Esta es la experiencia entre educador y alumnos del curso de Farmacia con el uso de metodologías activas de enseñanza-aprendizaje basadas en el constructivismo. Para esa construcción se utilizó el webfólio como herramienta de formación constructivista en la disciplina Prácticas en Salud Colectiva II: Gestión. Así la propuesta de utilización de este método está fundamentada bajo la luz de la obra de Paulo Freire en simbiosis con Manoel de Barros. El proceso de aprendizaje con la construcción del webfólio y el viaje educativo permitió reflexionar sobre la realidad de nuestra sociedad y la formación de agentes transformadores para la gestión del SUS. Los estudiantes fueron empoderados y sensibilizados a seguir con el compromiso de reproducir la corresponsabilidad en el ámbito profesional, buscando la calidad de la atención para la integralidad de la asistencia al cuidado. La utilización de esas herramientas permitió estimular una formación por competencias, interdisciplinaridad, interprofesionalidad, además de sorprendernos con nuevas experiencias en una sociedad que cambia permanentemente.


Subject(s)
Pharmacy , Quality of Health Care , Students, Pharmacy , Unified Health System , Construction Industry
15.
Enferm. foco (Brasília) ; 10(6): 28-35, 2019. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1099454

ABSTRACT

Objetivo: Identificar as características da fiscalização do exercício profissional realizadas por quatro conselhos profissionais da área da saúde. Metodologia: Estudo documental analítico, no qual foram incluídas leis de criação dos conselhos e resoluções vigentes que regulamentam a fiscalização do exercício profissional da Enfermagem, Medicina, Odontologia e Farmácia. Resultados: As profissões analisadas neste estudo possuem lei de criação de seus conselhos. A Enfermagem, a Medicina e a Farmácia possuem resoluções que normatizam o sistema de fiscalização. Foram identificadas características relacionadas ao processo de trabalho, atribuições dos ficais e penalidades relacionadas à fiscalização do exercício profissional. Conclusões: Os conselhos de classe, à medida que fiscalizam o exercício profissional, possuem papel primordial na assistência à saúde. Além disso, cabe destacar a importância da padronização da fiscalização no contexto da saúde, tendo em vista a necessidade de realizar uma assistência multi e interprofissional com foco no cliente. (AU)


Objective: To identify the features of the professional regulation performed by four professional councils in the health sector. Methodology: Analytical documentary study. Laws were included for the creation of the councils, likewise the current resolutions that regulate the supervision of the professional practice of Nursing, Medicine, Dentistry and Pharmacy. Results: The professions in this study have the law creation of their councils. Nursing, Medicine and Pharmacy have resolutions that standardize the inspection system. The work process characteristics, taxes attributions and penalties related to the supervision of professional practice were identified. Conclusions: Professional councils play a key role in patient safety as they monitor professional practice. In addition, it is important to emphasize the importance of standardization of supervision in the context of health, considering the need to carry out a multi and interprofessional assistance focused on the client. (AU)


Objectivo: Identificar las características de la fiscalización del ejercicio profesional realizadas por cuatro consejos profesionales del área de salud. Metodología: Estudio documental analítico, en el que fueron incluidas las leyes de creación de los consejos y resoluciones vigentes que regulan la fiscalización del ejercicio profesional de la Enfermería, Medicina, Odontología y Farmacia. Resultados: Las profesiones analisadas en este estudio poseen ley de creación de sus consejos. La enfermería, la Medicina y la Farmacia poseen resoluciones que normatizan el sistema de fiscalización. Se identificaron características relacionadas al proceso de trabajo, atribuciones de los fiscales y penalidades relacionadas a la fiscalización del ejercicio profesional, poseen papel primordial en la seguridad del paciente. Conclusiones: Los consejos de clase, a medida que fiscalizan el ejercicio profesional, desempeñan un papel primordial en la asistencia a la salud. Además, cabe destacar la importancia de la estandarización de la fiscalización en el contexto de la salud, con vistas a la necesidad de realizar una asistencia multi e interprofesional con foco en el cliente. (AU)


Subject(s)
Health Care Coordination and Monitoring , Pharmacy , Nursing , Dentistry , Medicine
16.
Braz. J. Pharm. Sci. (Online) ; 55: e17618, 2019. tab
Article in English | LILACS | ID: biblio-1039043

ABSTRACT

An exploratory study was conducted to present the approach of Brazilian hospital pharmacists to registering, documenting, archiving and disseminating clinical practice. The data were collected using an electronic questionnaire (n=348). In fact, 97.41% of pharmacists record their clinical practice, out of which 64.01% (n=217) do in electronic form, mainly in private hospitals (p<0.000), in the central, southern and southeastern regions (p=0.040), and by professionals with 1-5 years of experience (p=0.001). The main software used is non-specific to clinical practice: an electronic spreadsheet (47.93%; n=104) and text editor (13.37%; n=29). The archiving of records is performed by 87.61% (n=297) of professionals, where 80.13% (n=238) do so in physical form; however, 77.31% (n=184) of these files are kept for less than the standard recommended time. Documentation in medical records is carried out by 55.17% (n=192) of pharmacists, increasing among those with 1-5 years of clinical practice (p=0.001), and dissemination is performed by 74.71% (n=260) of hospital pharmacists, with a lower frequency in public hospitals (p=0.012) and among professionals with fewer hours dedicated exclusively to clinical pharmacy (p=0.012). These results can undergird the revision of competency-based training programs of Brazilian clinical pharmacists to remain pharmacists as a valuable health team member


Subject(s)
Pharmacists/classification , Pharmaceutical Services/organization & administration , Brazil/ethnology , Practice Guideline , Outcome and Process Assessment, Health Care , Pharmacy/standards , Pharmacy Service, Hospital/ethics , Formulary
17.
Health SA Gesondheid (Print) ; 24: 1-7, 2019. tab
Article in English | AIM, AIM | ID: biblio-1262537

ABSTRACT

Background: The growing drive in South Africa to contain medicine cost has seen the emergence of postal pharmacy as an alternative mechanism to dispense chronic medicines. Patient satisfaction with pharmaceutical services has received limited attention in South Africa. Aim: The aim of this study was to compare the level of patient satisfaction with pharmaceutical services between postal and community pharmacies. Setting: The research was conducted in the eThekwini Municipality, KwaZulu- Natal Province, South Africa in July and August 2014. Methods: A cross-sectional quantitative study using a randomised, telephonic questionnaire survey was conducted. Selected land telephone numbers were called until a sample size of 250 community pharmacy participants and 125 postal pharmacy participants was obtained. Results: Nine hundred and five telephone calls were made to obtain a sampling frame of 375 (41.44%) respondents, 250 for community and 125 for postal. After adjusting overall satisfaction by removing financial satisfaction, there was no significant difference between satisfaction in the two groups (p= 0.471). Postal pharmacy participants reported a higher level of financial satisfaction (p= 0.001). Community pharmacy participants reported a higher level of satisfaction with counselling or explanation (p= 0.028) and less medicine wastage (p< 0.001). Conclusions: Patient satisfaction with pharmaceutical services provided by either community or postal pharmacy was not significantly different. However, community pharmacies tend to address patients' specific concerns more effectively. With the move to National Health Insurance, policymakers need to ensure that they provide high-quality pharmaceutical services and are more inclusive of community pharmacies to deliver quality care


Subject(s)
National Health Programs , Patient Satisfaction , Pharmacy , Pharmacy/organization & administration , South Africa
18.
Article in English | WPRIM | ID: wpr-741829

ABSTRACT

PURPOSE: We examined the prevalence of anemia, annual screening for anemia, and treatment of anemia with iron among children with inflammatory bowel disease (IBD). METHODS: A retrospective study of U.S. pediatric patients with IBD was performed in the MarketScan commercial claims database from 2010–2014. Children (ages 1–21) with at least two inpatient or outpatient encounters for IBD who had available lab and pharmacy data were included in the cohort. Anemia was defined using World Health Organization criteria. We used logistic regression to determine differences in screening, incident anemia, and treatment based on age at first IBD encounter and sex. RESULTS: The cohort (n=2,446) included 1,560 Crohn's disease (CD) and 886 ulcerative colitis (UC). Approximately, 85% of CD and 81% of UC were screened for anemia. Among those screened, 51% with CD and 43% with UC had anemia. Only 24% of anemia patients with CD and 20% with UC were tested for iron deficiency; 85% were iron deficient. Intravenous (IV) iron was used to treat 4% of CD and 4% UC patients overall and 8% of those with anemia. CONCLUSION: At least 80% of children with IBD were screened for anemia, although most did not receive follow-up tests for iron deficiency. The 43%–50% prevalence of anemia was consistent with prior studies. Under-treatment with IV iron points to a potential target for quality improvement.


Subject(s)
Anemia , Child , Cohort Studies , Colitis, Ulcerative , Crohn Disease , Follow-Up Studies , Humans , Inflammatory Bowel Diseases , Inpatients , Iron , Logistic Models , Mass Screening , Outpatients , Pharmacy , Prevalence , Quality Improvement , Retrospective Studies , United States , World Health Organization
19.
Article in English | WPRIM | ID: wpr-765140

ABSTRACT

BACKGROUND: In order to provide essential scientific evidence on the population's health status and social health determinants as well as the current capacity of the health care system in Vietnam to health policy makers and managers, Vietnam Ministry of Health, Hanoi University of Public Health, Hanoi Medical University, and Ho Chi Minh University of Medicine and Pharmacy collaborated with Seoul National University (Korea) and conducted a health system survey in the Quoc Oai district (of Hanoi capital) that represented northern rural Vietnam. METHODS: The study design was a cross-sectional study. The survey covered different topics (more than 200 questions) and was administered in three separate questionnaires: 1) Basic information of all household members; 2) Household characteristics; and 3) Individual characteristics. Socio-demographic characteristics among the households and individuals were collected from 2,400 households sampled by multi-stage cluster sampling method: more than 200 questions. RESULTS: The household size of Quoc Oai was larger than the national average and there was no significant difference in gender composition. In addition, the proportions of pre-elderly, age 55–64, and elderly group (65 years old and over) were higher than the national population statistics. In this context, demographic transition has begun in Quoc Oai. CONCLUSION: This study design description provides the basic information about a baseline survey of a future prospective cohort (as a part of a collaborative project on strengthening the health system in Vietnam) to the prospective data user of this survey.


Subject(s)
Aged , Cohort Studies , Cross-Sectional Studies , Delivery of Health Care , Family Characteristics , Health Policy , Humans , Methods , Pharmacy , Population Characteristics , Population Dynamics , Prospective Studies , Public Health , Seoul , Surveys and Questionnaires , Vietnam
20.
HU rev ; 45(4): 408-414, 2019.
Article in Portuguese | LILACS | ID: biblio-1177127

ABSTRACT

Introdução: A segurança do paciente é um dos principais alvos de estudo na atualidade, em diversos segmentos no âmbito da saúde. Os problemas relacionados a medicamentos (PRM) se destacam entre os mais cometidos nos serviços de saúde. A atuação do farmacêutico na farmácia clínica se institui como um serviço que contribui para a otimização dos cuidados hospitalares melhorando a qualidade da farmacoterapia, minimizando os problemas relacionados aos medicamentos. Objetivo: Identificar e quantificar os PRM e as intervenções farmacêuticas encontradas no serviço de Farmácia do Hospital Universitário da Universidade Federal de Juiz de Fora (HU-UFJF) e também apresentar as taxas de aceitação das intervenções farmacêuticas de acordo com a aceitabilidade da equipe de saúde. Material e Métodos: Foi feito um estudo retrospectivo observacional no HU-UFJF dos resultados obtidos pelo serviço de farmácia clínica no período de abril a outubro de 2018. Resultados: Foram avaliadas 18.795 prescrições, sendo encontrados e considerados 2.834 PRM, sendo o tipo de problema relacionado ao medicamento mais prevalente o de diluição e/ou taxa de infusão correspondendo a 28,7%. Houve uma boa aceitação por parte da equipe de saúde às intervenções propostas pelo farmacêutico. Conclusão: O serviço de farmácia clínica detectou vários problemas relacionados ao uso de medicamento, que levou a oportunidades de melhoria na farmacoterapia, contribuindo para a segurança do paciente.


Introduction: Patient safety is one of the main study targets today, in several segments in the health field. Drug-related problems (DRP) stand out among the most commonly committed in health services. The pharmacist's role in the clinical pharmacy is established as a service that contributes to the optimization of hospital care by improving the quality of pharmacotherapy, minimizing drug-related problems. Objective: To identify and quantify the DRP and pharmaceutical interventions found in the Pharmacy Service of the University Hospital of the Federal University of Juiz de Fora (HU-UFJF) and also present the acceptance rates of pharmaceutical interventions according to the acceptability of the health team. Material and Methods: A retrospective observational study was carried out at HU-UFJF of the results obtained by the clinical pharmacy service from April to October 2018. Results: 18.795 prescriptions were evaluated and 2.834 PRM were found and considered. The most prevalent type of drug-related problem was dilution and/or infusion rate corresponding to 28.7%. Conclusion: The clinical pharmacy service detected several problems related to drug use, which led to opportunities for improvement in pharmacotherapy, contributing to patient safety.


Subject(s)
Pharmacy , Pharmaceutical Services , Patient Care Team , Pharmaceutical Preparations , Prescriptions , Patient Safety , Medication Errors
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