Evaluation of turkish pharmaceutical track and trace system (ITS): perspective of community pharmacists

Abstract Turkish Pharmaceutical Track & Trace System (ITS) is implemented as a system in which drug movements are tracked in order to ensure drug safety. The system is integrated among drug stores, pharmacies and reimbursement institutions. As the pharmacies are the primary users, their evaluations regarding the system are considered important. In this study, it was aimed to evaluate the pharmacies'- a shareholder of ITS in Turkey- satisfaction level for ITS and problems and suggestions encountered in the system. The most expressed contribution of ITS to the pharmacists' work was the ease of medicine tracking and control with 27.1%. The average satisfaction level of pharmacists about ITS was found to be 2.9±1.2. In the research, the most expressed of the regarding the areas of ITS that need to be developed is 'work without interruption' with 37.1%. ITS application has provided advantages for pharmacies in many aspects that facilitate operations. However, continuous development of technology, increasing information resources and diversity, changing expectations, and utilization levels of the users require the constant improvement of the performance of the system.

Comparison of patient satisfaction with pharmaceutical services of postal pharmacy and community pharmacy

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

Políticas de saúde no Brasil: continuidades e mudanças

Analisar o contexto e a dinâmica da política de saúde brasileira, com ênfase nos anos 2000, é a proposta desta coletânea. O livro traz uma síntese da política de saúde contemporânea e apresenta perspectivas para o futuro. Ainda que com base em perspectivas teóricas e recortes empíricos distintos, os capítulos caracterizam-se pela valorização da dimensão histórica e a consideração da multiplicidade de fatores – econômicos, políticos e sociais – que influenciam a formulação e a implementação das políticas setoriais. O livro está organizado em três partes: contexto, caminhos e processos. A primeira discute as relações entre desenvolvimento, atuação do Estado nas políticas sociais e na saúde, e a dinâmica dos mercados em saúde no Brasil no período recente. O planejamento, o modelo regulatório, o financiamento, a atenção primária à saúde, a gestão do trabalho e da educação em saúde estão entre os temas analisados na segunda parte. Aborda-se ainda a dinâmica da agenda federal da saúde, com destaque para a condução de diferentes políticas, como o Brasil Sorridente, o Serviço de Atendimento Móvel de Urgência e a Farmácia Popular. A terceira parte abrange os processos de interação entre atores relevantes para a construção das políticas nacionais de saúde: as relações intergovernamentais, particularmente na descentralização e regionalização; as relações entre Ministério da Saúde, Conselho Nacional de Saúde e movimentos sociais, associadas a iniciativas de fortalecimento da gestão participativa na saúde; a atuação do Legislativo e suas relações com o Executivo na definição da política setorial.

Sistema de distribución de medicamentos por dosis unitaria para 24 horas, una propuesta de evaluación / System of distribution of medicines for unitarian dose for 24 hours, a proposal of evaluation

El objetivo de este trabajo se centra en el diseño de una metodología para evaluar la calidad en la prestación de la dispensación de medicamentos mediante el Sistema de Distribución de Medicamentos por Dosis Unitaria para 24 horas en la Farmacia del Hospital San Juan de Dios. La metodología incluye la propuesta de estándares e indicadores de calidad, el diseño de instrumentos y la validación de esta en una muestra. El estudio es de tipo transversal y se realiza con 608 camas de la sección de medicina, cirugía y unidad de cuidados intensivos. Se selecciona una muestra aleatoria, estratificada y con selección sistemática de elementos de 96 camas, (67 de cirugía (70.8 por ciento) y 26 de medicina (26.5 por ciento). El límite de confianza es de 90 por ciento y con un margen de error de 10 por ciento. La metodología consistió en determinar el grado de acierto en cuanto a los procedimientos involucrados en el sistema de distribución de medicamentos en el área de la farmacia.

Administración de farmacia: manual para el personal de salud del primer nivel de atención / Pharmacy administration

Dos manuales: uno dirigido a los técnicos responsables de farmacias de centros y puestos de salud de la región y el otro a los profesionales. Contiene: 1. Medicamentos y comunidad; 2. organización de la farmacia; 3. Suministro de la farmacia; 4. La dispensación; 5. Almacenamiento y conservación; 6. Manejo del sistema de información de la farmacia de mi establecimiento de salud