Pharmaceutical Sciences Department, Faculty of Pharmaceutical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Pharmaceutical Sciences Department, Federal University of Santa Catarina, Florianópolis, SC, Brazil.
Prim Health Care Res Dev. 2022 May 20;23:e31. doi: 10.1017/S1463423622000160.
This study aims to describe how the pharmaceutical services are performed in Primary Healthcare Centers of the Brazilian Public Health System in a large city. Background: There is extensive international discussion about the role of pharmacists in health care teams, particularly in Primary Health Care (PHC). However, in Brazil, there is still no consensus on what services the pharmacist should perform in multidisciplinary teams in PHC.
This study used mixed methods research, and it was conducted with 200 pharmacists who work in PHC Centers of the public health system in São Paulo. The study was conducted using a focus group and an online survey, and qualitative and quantitative data were obtained.
The analysis of the data from the focus group showed two central themes: (i) pharmaceutical services go beyond medicines and (ii) the contributions of the pharmacist to a multidisciplinary team work in PHC. The survey explored 29 services provided by pharmacists, 7 of which were provided daily. It is important to emphasize that pharmacists do not differentiate the relevance attributed to services considered clinical from those that are managerial or more related to access to medicines. This is an opportunity to develop their teamwork skills. Hence, it is necessary to consolidate the professional identity of the pharmacist and to organize their work processes in a multidisciplinary team. PHC is a space that allows a wide development of pharmaceutical services.
本研究旨在描述巴西公立医疗体系中的初级保健中心的药剂师如何提供药学服务。背景：国际上广泛讨论了药剂师在医疗团队中的作用，特别是在初级保健（PHC）中。然而，在巴西，对于药剂师在 PHC 多学科团队中应提供哪些服务，仍未达成共识。
本研究采用混合方法研究，对象为在圣保罗公立医疗体系的 200 名从事 PHC 工作的药剂师。研究采用焦点小组和在线调查进行，获取定性和定量数据。
焦点小组数据分析显示出两个核心主题：（i）药学服务超越了药品范畴；（ii）药剂师对 PHC 多学科团队工作的贡献。调查探讨了药剂师提供的 29 项服务，其中 7 项是每天提供的。值得强调的是，药剂师并没有区分他们认为具有临床相关性的服务与管理或更与药物获取相关的服务之间的差异。这是发展他们团队合作技能的机会。因此，有必要巩固药剂师的专业身份，并在多学科团队中组织他们的工作流程。PHC 是一个可以广泛开展药学服务的场所。
