Silva Oliveira Tatiana de Alencar, Alves do Nascimento Angela Maria
Universidade Estadual de Feira de Santana, Feira de Santana, BA, 44036-900, Brazil.
Cien Saude Colet. 2011 Sep;16(9):3939-49. doi: 10.1590/s1413-81232011001000031.
The scope of this study was to discuss the organization of the pharmaceutical assistance service in the family healthcare program. Qualitative research from a critical/analytical perspective was conducted in family healthcare units in a municipality of the state of Bahia, Brazil. Data was collected on the basis of systematic observation, semi-structured interviews and documents analysis from a dialectic standpoint. The organization of Pharmaceutical Assistance consisted of selection, planning, acquisition, storage and dispensing activities. The process was studied in the implementation phase, which was occurring in a centralized and uncoordinated fashion, without the proposed team work. An excess of activity was observed among the healthcare workers and there was an absence of a continued education policy for the workers. For the transformation of this situation and to ensure the organization of pharmaceutical assistance with quality and in an integrated manner, a reworking of the manner of thinking and action of the players concerned (managers, health workers and users), who participate directly in the organization, is necessary. Furthermore, mechanical, bureaucratic and impersonal work practices need to be abandoned.
本研究的范围是讨论家庭医疗保健计划中药物援助服务的组织情况。从批判性/分析性角度对巴西巴伊亚州一个市的家庭医疗保健单位进行了定性研究。基于系统观察、半结构化访谈以及从辩证角度进行的文件分析收集数据。药物援助的组织包括选择、规划、采购、储存和配药活动。该过程在实施阶段进行了研究,实施阶段以集中且不协调的方式进行,没有提议的团队协作。观察到医护人员活动过多,且缺乏针对工作人员的继续教育政策。为了改变这种状况并确保以高质量和综合方式组织药物援助,有必要对直接参与组织的相关人员(管理人员、医护人员和用户)的思维和行动方式进行重新调整。此外,需要摒弃机械、官僚和冷漠的工作方式。