Miranda Elaine S, Fitzgerald James F, Osorio-de-Castro Claudia G S
Departamento de Farmácia e Administração Farmacêutica, Faculdade de Farmácia, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil,
Health Systems and Services, Pan American Health Organization, Washington, D.C., United States of America.
Rev Panam Salud Publica. 2013 Nov;34(5):312-20.
The aim of this article is to provide an outcome evaluation model for preparedness of pharmaceutical services (PS) in disaster situations.
A five-step evaluation model development was conducted. The first step was a search of disaster preparedness and PS literature. The second step consisted of a description of the political and organizational aspects, external context, implementation, and performance of PS in disaster preparedness. A theoretical model on PS preparedness in disaster situations, encompassing pharmaceutical services variables and measures of preparedness, was developed as the third step. The fourth step produced a comprehensive theoretical model for evaluating PS preparedness, combining the two approaches used in steps two and three. The fifth and final step examined the development of the indicator framework.
The results of this methodological approach are presented in the logic model of PS preparedness and the indicator framework, both of which were developed based on the disaster preparedness and PS literature and organized to provide a structured evaluation approach.
PS was conceptualized as a program that can be evaluated by measurable effects. These effects can only be measured based on documented, on-site conditions before and after an event recognized as a disaster situation. This conceptual approach is context-modulated and therefore only applicable where the logistic cycle has been adopted as the rationale for PS.
本文旨在提供一个灾害情况下药学服务（PS）准备情况的结果评估模型。
开展了一个五步评估模型开发过程。第一步是检索灾害准备和药学服务相关文献。第二步包括对灾害准备中药学服务的政治和组织方面、外部环境、实施情况及绩效进行描述。第三步构建了一个灾害情况下药学服务准备情况的理论模型，涵盖药学服务变量和准备情况度量。第四步结合第二步和第三步中使用的两种方法，生成了一个用于评估药学服务准备情况的综合理论模型。第五步也是最后一步，研究了指标框架的制定。
这种方法的结果体现在药学服务准备情况的逻辑模型和指标框架中，二者均基于灾害准备和药学服务相关文献开发，并经过组织以提供一种结构化评估方法。
药学服务被概念化为一个可通过可测量效果进行评估的项目。这些效果只能基于被认定为灾害情况的事件发生前后记录的现场情况来衡量。这种概念方法是根据具体情况进行调整的，因此仅适用于采用后勤周期作为药学服务基本原理的情况。
