巴西依赖处方的概念层面、影响及现状：叙述性综述
Conceptual aspects, impact, and state of the art of dependent prescription in Brazil: narrative review.
作者信息
Andrade Heuler S, Guimarães Eliete A A, Obreli Neto Paulo R, Pereira Mariana L, Zanetti Maria O B, Reis Tiago M, Baldoni André O
机构信息
Universidade Federal de São João Del-Rei (UFSJ) - CCO - Divinópolis, Minas Gerais, Brazil.
出版信息
Porto Biomed J. 2020 Jun 4;5(3):e66. doi: 10.1097/j.pbj.0000000000000066. eCollection 2020 May-Jun.
BACKGROUND
Nonmedical prescription is recognized in several countries as an excellent strategy in facing emerging demands that put a strain on the health system. It is a practice carried out by professionals who are not doctors and who, after obtaining specific qualifications and legal authorization, can prescribe medication and curatives. In Brazil, although there is already a legal subsidy for prescription in some professions, it is still an underdeveloped activity with few studies.
OBJECTIVE
This study aimed to describe the conceptual aspects and state of the art of this type of prescription in Brazil.
METHODS
It is a narrative review of the literature that included national and international regulations related to the subject, as well as available articles, published in electronic journals in different databases. Key terms used were nonmedical prescription, nursing prescription, and pharmaceutical prescription.
RESULTS
It was evidenced that nonmedical prescription has ample potential for improving the quality of care and the health conditions of patients. One can highlight as positive results the improvement of work satisfaction and self-confidence of those who have developed this practice; improvement of teamwork reported by other professionals due to the reduction of work overload; greater patient satisfaction in relation to access; and care provided by prescribers.
CONCLUSIONS
It is understood that there are many challenges for the consolidation of this activity in Brazil and that its success depends on a joint effort of health and educational institutions, health professionals, and patients.
背景
在一些国家，非医疗处方被视为应对给卫生系统带来压力的新出现需求的一项出色策略。这是由非医生专业人员开展的一种做法，这些人员在获得特定资质和法律授权后，可以开具药物和治疗剂。在巴西，尽管某些职业的处方已有法律补贴，但这仍是一项发展不完善的活动，相关研究较少。
目的
本研究旨在描述巴西这类处方的概念性方面和现状。
方法
这是一项文献叙述性综述，纳入了与该主题相关的国家和国际法规以及在不同数据库的电子期刊上发表的现有文章。使用的关键词为非医疗处方、护理处方和药物处方。
结果
有证据表明，非医疗处方在改善护理质量和患者健康状况方面具有巨大潜力。可以突出的积极成果包括：开展这种做法的人员工作满意度和自信心提高；其他专业人员报告称，由于工作负担减轻，团队合作得到改善；患者在就医机会和处方者提供的护理方面满意度更高。
结论
据了解，在巴西巩固这项活动面临诸多挑战，其成功取决于卫生和教育机构、卫生专业人员及患者的共同努力。
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