PROPOSAL TO INCREASE THE DRUG ADHERENCE IN A BRAZILIAN HEALTH UNIT AbstractThe aim of this work was to use a Strategic Planning tool to check for problems and propose strategic activities that increases the drug treatment adherence in a UBS of Minas Gerais. This study was developed from May to October 2015 using Strategic Planning divided in four stages: explanatory, normative, strategic and tactical situational. Resulting actions were defined in order to increase the drug treatment adherence and reduce unnecessary spending. Thus, the importance of the method was perceived, been able to meet the views of participants need and direct discussions to achieve the proposed goals. In conclusion, the method evidenced the awareness of the participants and the shared responsibility for patients as well as the planning official. It is expected following the implementation of the proposed actions, achieving success in relation to the drug treatment adherence. Keywords : Strategic Planning. Medication Adherence. Pharmaceutical Care. PROPUESTA PARA AUMENTAR EL CUMPLIMIENTO DEL TRATAMIENTO EN UNA UNIDAD DE SALUD DE BRASIL ResumenEl objetivo fue evaluar los problemas y proponer actividades estratégicas que aumentan el número de miembros de los usuarios al tratamiento farmacológico en una UBS de Minas Gerais. El estudio se realizó de mayo a octubre 2015 usando la Planificación Estratégica Situacional dividido en cuatro pasos, llamados fases: explicativos, normativos, estratégicos y tácticos de la situación. Acciones resultantes han sido definidas con el fin de aumentar el número de miembros de los usuarios al tratamiento farmacológico y reducir los gastos innecesarios. Por lo tanto, nos dimos cuenta de la importancia del método capaz de cumplir con las opiniones de los participantes y discusiones directas para lograr los objetivos. Por último, estaba la conciencia de los participantes y la responsabilidad compartida de la guía del usuario, así como la generación de documentos oficiados en esta planificación. Se espera que tras la aplicación de las medidas propuestas, la realización de éxito en relación con la composición de los usuarios al tratamiento.Palavras clave: Planificación Estrategica. Cumplimiento de la Medicación. Servicios Farmacéuticos.
Background:The irrational medicine use is a public health problem and, in this context, the pharmacist assists in improving the use of drugs, reducing the risks of morbidity and mortality and the costs of pharmacotherapy. Data referring to the pharmacy service highlight the importance and the emerging need of insertion of this professional in the health teams. Objective: To describe the process of implementation of the Pharmacotherapeutical follow-up Service in a Multidisciplinary University Outpatient Unit (UOU) and the variables related to the evaluation of the structure and the process. Methods: It is an experience report with all the steps of an implantion process. The data were collected through our own forms through the Integrated Health System (SIS -"SistemaIntegrado de Saúde", in Portuguese Language) and the pharmacy follow-up records registered between November 2015 and November 2016. Results: In the 12 months of the implementation, 312 consultations were carried out, with the majority of the patients (67%) arriving at the service by referrals from the doctors who work in the UOU, followed by referrals for primary care (22%). Conclusions: The service was implemented with an adequate structure to the pharmaceutical follow-up process, and the teaching-service integration was important for its operation. Difficulties of recognition of the service by the population and by other health units of the municipality cause the referral flow to be below than the capacity of service attendance.
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