Barreto Joslene Lacerda, Guimarães Maria do Carmo Lessa
Secretaria da Saúde do Estado da Bahia, Salvador, Brasil.
Cad Saude Publica. 2010 Jun;26(6):1207-20. doi: 10.1590/s0102-311x2010000600014.
This article analyzes the decentralized management of pharmaceutical care at the municipal (local) level in the State of Bahia, Brazil. The working hypothesis is that conditioning factors for such management results mainly from an essentially technical and procedures-based approach that still prevails in pharmaceutical care. Two research strategies were used: an extensive strategy, based on the Protocol of Indicators developed by the Nucleus for Studies and Research in Pharmaceutical Care (NEPAF) at the School of Pharmacy, Federal University in Bahia, in two Bahian municipalities. Data were collected with questionnaires, a checklist, and document analysis. The intensive phase used semi-structured interviews with key informants. The findings confirm the initial premises, detecting management practices limited to the operational dimension, with an emphasis on aspects of the logistic cycle in pharmaceutical care. Some limited strides were identified in the organizational and sustainability dimensions, focused on promoting greater participation and autonomy in the management of pharmaceutical care at the municipal level.
本文分析了巴西巴伊亚州市级(地方)层面药学服务的分散式管理。研究假设是,这种管理的制约因素主要源于药学服务中仍然盛行的一种基本基于技术和程序的方法。采用了两种研究策略:一种广泛策略,基于巴伊亚联邦大学药学院药学服务研究与研究核心(NEPAF)制定的指标协议,在巴伊亚州的两个城市进行。通过问卷调查、清单和文件分析收集数据。强化阶段对关键信息提供者进行了半结构化访谈。研究结果证实了最初的前提,发现管理实践仅限于运营层面,重点是药学服务物流周期的各个方面。在组织和可持续性层面发现了一些有限的进展,重点是促进市级层面药学服务管理中的更大参与和自主权。