Faculty of Pharmacy, Federal University of Minas Gerais, Avenida Presidente Antônio Carlos, 6627, Pampulha, Belo Horizonte 31270-901, MG, Brazil.
Department of Psychology, Faculty of Philosophy and Human Sciences, Federal University of Minas Gerais, Avenida Presidente Antônio Carlos, 6627, Pampulha, Belo Horizonte 31270-901, MG, Brazil.
Int J Environ Res Public Health. 2023 Mar 23;20(7):5233. doi: 10.3390/ijerph20075233.
Patient prioritization in comprehensive medication management services allows coordinating care and guiding patients according to their clinical profile and their medication use. The aim of the study is to identify and describe factors that indicate the need for comprehensive medication management services among primary care hypertension patients within a public health system from the perspective of patients, pharmacists, nurses and physicians. A qualitative study was carried out with interviews with nurses, pharmacists and physicians (n = 20), and two focus groups with hypertensive patients (n = 12) at primary health care facilities and a public outdoor fitness area between January and February 2019 in Brazil. All interviews were transcribed and analyzed using the Atlas.ti software. The data analysis revealed the following factors indicative of the need to refer hypertension patients to a pharmacist: lifestyle habits, comorbidities, health care utilization and medication use. The issues identified and the information obtained from the qualitative research and compared with literature studies reviewed allowed defining dimensions that should be considered as an aid in the selection of uncontrolled hypertensive patients for comprehensive medication management services.
患者在综合药物管理服务中的优先级划分，能够根据其临床特征和药物使用情况协调护理并指导患者。本研究的目的是从患者、药剂师、护士和医生的角度，确定并描述在公共卫生系统中，基层医疗高血压患者对综合药物管理服务的需求因素。本研究采用定性研究方法，于 2019 年 1 月至 2 月在巴西的基层医疗保健机构和公共户外健身区，对护士、药剂师和医生（n=20）进行了访谈，并对 12 名高血压患者进行了两次焦点小组讨论。对所有访谈进行了转录和使用 Atlas.ti 软件进行分析。数据分析显示，需要将高血压患者转介给药剂师的因素有：生活方式习惯、合并症、医疗保健利用情况和药物使用情况。通过定性研究确定的问题和与文献研究进行的比较，获得了可定义维度的信息，这些维度应被视为选择接受综合药物管理服务的未得到控制的高血压患者的辅助手段。
