Alexandra Monteiro Guerra Liliana, Façanha da Cruz Fresco Paula
based at Pharmacy Department, Special Prison Santa Cruz do Bispo, Porto, Portugal.
Int J Prison Health. 2013;9(4):187-95. doi: 10.1108/IJPH-04-2013-0016.
The primary purpose of this paper is to collect reliable information to characterize the pharmacy services in Portuguese prisons. The secondary purpose is to develop a set of suggestions for improving these services and, therefore, improve the health services provided to the inmate population.
DESIGN/METHODOLOGY/APPROACH: A three pages survey was developed that included questions covering the characterization of prison health teams, pharmacy services and pharmacy activities. This survey was sent to all Portuguese prisons, with capacity higher than 50 prisoners. The response rate was of 87.5 per cent.
It was found that only 6.1 per cent of prisons had pharmacists and that in 63 per cent the guards still participated in pharmacy activities. There were not Pharmacy and Therapeutics Committees in 94 per cent of prisons and 94.4 per cent did not present adequate storage conditions for drugs. Only 51.7 per cent of prisons had computers in the pharmacy and only 3.4 per cent had access to the internet. This study found that there is a gap between public and prison pharmacy services, since most prison pharmacies in Portugal are solely locals of storage and distribution of drugs, with no effective management nor promotion of drug rational use.
ORIGINALITY/VALUE: This paper is the first study about pharmacy services in Portuguese prisons. The information collected could be very useful to improve the Portuguese prison pharmacy services provided to prisoners.
本文的主要目的是收集可靠信息,以描述葡萄牙监狱中的药房服务。次要目的是制定一套改进这些服务的建议,从而改善为囚犯群体提供的医疗服务。
设计/方法/途径:设计了一份三页的调查问卷,其中包括有关监狱医疗团队、药房服务和药房活动特征的问题。该调查问卷被发送给了所有关押囚犯人数超过50人的葡萄牙监狱。回复率为87.5%。
发现只有6.1%的监狱有药剂师,63%的监狱中警卫仍参与药房活动。94%的监狱没有药事与治疗委员会,94.4%的监狱没有合适的药品储存条件。只有51.7%的监狱药房有电脑,只有3.4%的监狱可以上网。该研究发现,公共药房服务与监狱药房服务之间存在差距,因为葡萄牙的大多数监狱药房仅仅是药品储存和分发的场所,没有有效的管理,也没有促进合理用药。
原创性/价值:本文是关于葡萄牙监狱药房服务的第一项研究。所收集的信息对于改善向囚犯提供的葡萄牙监狱药房服务可能非常有用。