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Braz. J. Pharm. Sci. (Online) ; 59: e22802, 2023. tab
Artigo em Inglês | LILACS | ID: biblio-1505844

RESUMO

Abstract This study aimed to characterize and compare medicines formularies (MFs) used in Long-Term Care (LTC) facilities in Portugal, and to identify the prevalence of Potentially Inappropriate Medicines (PIMs). A systematic contact with LTC facilities was undertaken in December 2021. MFs were systematized according to the Anatomical Therapeutical Chemical classification system (ATC), followed by descriptive content analysis. A structured comparison between MFs developed by public organizations and private LTC facilities was performed. After duplicate removal and exclusion of medicines not for systemic use, two explicit criteria - the Algorithm of medication review in frail older people and the EU(7)-PIM list - were employed for PIMs identification. Five MFs were obtained and assessed. The three MFs developed by private institutions covered 23% of the national LTC facilities and approximately 34% of the national total of beds. Heterogeneity was particularly high for the Alimentary tract and metabolism, Blood and blood-forming organs, Musculoskeletal system, and Respiratory system ATC groups. A PIM prevalence of 29,4% was identified. Medicines distribution between the MFs suggests the need to develop national guidelines towards harmonizing medicines usage in LTC. The prevalence of PIMs found highlights the importance of a particular optimized use of this health technology in aged sub-populations


Assuntos
Farmacêuticos/classificação , Formulário Farmacêutico , Instituição de Longa Permanência para Idosos/classificação , Comitê de Farmácia e Terapêutica/classificação , Portugal/etnologia , Idoso , Preparações Farmacêuticas/administração & dosagem , Lista de Medicamentos Potencialmente Inapropriados/ética
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