Laboratory of Evidence and Pharmaceutical Studies (LEFAR), Department of Pharmacy. Health Sciences Faculty, University of Brasília. Federal District, Brasília, Brazil.
Research Group on Interdisciplinary Studies in Pharmaceutical Care (GEICF), Federal University of Juiz de Fora, Governador Valadares Campus (UFJF GV), Governador Valadares, Brazil.
BMC Health Serv Res. 2024 Nov 6;24(1):1354. doi: 10.1186/s12913-024-11816-0.
Drug dispensing is a service provided by pharmacists to ensure the supply of medications and other health-related products. However, despite the importance of dispensing services, Public Community Pharmacies (PCP) in Brazil still focus on the control and distribution of medicines and supplies. Thus, this paper aims to evaluate how the pharmacists in charge conduct and the challenges they encounter in dispensing services in PCP.
This is a mixed methods study, with a representative sample of 26 municipalities (whose populations vary between 37,784 and 409,341 inhabitants) in the state of Minas Gerais, Brazil. Data collection took place between April and October 2019 and included interviews and documentary research. Quantitative data analysis was carried out using descriptive statistics and qualitative data was subjected to thematic content analysis.
24 dispensing services were analyzed. The PCP had, on average, two active pharmacists and operated full-time (40 h per week). In relation to dispensing services, the most frequently mentioned steps were checking the adequacy of the prescription received, followed by providing counseling to the user about the medicines, mainly regarding administration, storage and disposal. The results highlighted a need for improvements in terms of infrastructure, workforce and the pharmacist's work process.
It is necessary to invest and to design improvement strategies in dispensing services, especially regarding physical infrastructure, human resources and work processes.
配药是药剂师提供的一项服务，旨在确保药物和其他与健康相关产品的供应。然而，尽管配药服务很重要，但巴西的公共社区药房（PCP）仍侧重于药品和供应的控制和分发。因此，本文旨在评估负责配药服务的药剂师如何开展工作以及他们在工作中遇到的挑战。
这是一项混合方法研究，对巴西米纳斯吉拉斯州的 26 个城市（人口在 37784 至 409341 之间）进行了代表性抽样。数据收集于 2019 年 4 月至 10 月进行，包括访谈和文献研究。定量数据分析采用描述性统计，定性数据分析采用主题内容分析。
共分析了 24 个配药服务。每个 PCP 平均有两名在职药剂师，每周工作 40 小时。在配药服务方面，最常提到的步骤是检查收到的处方是否合适，其次是向用户提供有关药物的咨询，主要是关于管理、储存和处置。结果突出了基础设施、劳动力和药剂师工作流程方面需要改进的地方。
有必要投资并设计配药服务的改进策略，特别是在物理基础设施、人力资源和工作流程方面。
