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初级卫生保健中的药学服务:药剂师与使用者意见一致吗?

Pharmaceutical Services in Primary Health Care: are pharmacists and users on the same page?

作者信息

Luz Tatiana Chama Borges, Costa Maria Emília Silva de Souza, Portes Daniela Santana, Santos Lucas Barbi Costa E, Sousa Samuel Rodrigues Almeida E, Luiza Vera Lucia

机构信息

Instituto René Rachou, Fiocruz. Av. Augusto de Lima 1715/Anexo, Barro Preto. 30190-002 Belo Horizonte MG Brasil. tatianachama@ cpqrr.fiocruz.br.

Escola Nacional de Saúde Pública, Fiocruz. Rio de Janeiro RJ Brasil.

出版信息

Cien Saude Colet. 2017 Aug;22(8):2463-2474. doi: 10.1590/1413-81232017228.29642016.

Abstract

This study investigated structural and organizational characteristics of the Pharmaceutical Services based on Primary Health Care (PHCPS) from the viewpoints of users and pharmacists. A mixed method design was applied, combining one-to-one semi-structured interviews with four pharmacists in charge of five public dispensing facilities and 69 users, with a secondary database analysis. Data were collected from February to August 2014 in Divinópolis, a municipality in Minas Gerais State. PHCPS were similar in terms of general activities performed and staff profile and background. While users were concerned about medicines' availability and improvements related to the PHCPS' conveniences and personnel, pharmacists pointed out problems regarding infrastructure to storage. Despite most users had low information on how to use their medicines, no pharmacists declared to participate in medicines dispensing activities. There was a low match between users and pharmacists viewpoints and advantages for concentrate medicines dispensing in a smaller number of facilities were not clear.

摘要

本研究从用户和药剂师的角度调查了基于初级卫生保健的药品服务(PHCPS)的结构和组织特征。采用了混合方法设计,将对负责五个公共配药设施的四名药剂师和69名用户进行的一对一半结构化访谈与二次数据库分析相结合。2014年2月至8月在米纳斯吉拉斯州的迪维诺波利斯市收集数据。PHCPS在开展的一般活动以及工作人员的概况和背景方面相似。用户关注药品的可获得性以及与PHCPS便利性和人员相关的改进,而药剂师指出了基础设施到存储方面的问题。尽管大多数用户对如何使用药品的信息了解较少,但没有药剂师宣称参与药品配药活动。用户和药剂师的观点之间匹配度较低,并且在较少数量的设施中集中配药的优势并不明确。

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