Medicine dispensing service in primary health care of SUS

Abstract

OBJECTIVE To characterize the medicine dispensing services in the primary health care network in Brazil and in its different regions, aiming to promote the access and rational use of medicines.METHODS This is a cross-sectional, quantitative study with data obtained from the Pesquisa Nacional sobre Acesso, Utilização e Uso Racional de Medicamentos (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), 2015. Observation visits were carried out in 1,175 dispensing units, and interviews were held with 1,139 professionals responsible for the dispensation of medicines in the dispensing units and 495 municipal coordinators of pharmaceutical services.RESULTS More than half (53%) of the units presented a space smaller than 10 m2 for dispensing of medicines; 23.8% had bars or barriers between users and dispenser; 41.7% had computerized system; and 23.7% had counters for individual care. Among those responsible for dispensation, 87.4% said they always or repeatedly inform users how to use the medicines, and 18.1% reported developing some type of clinical activity. Isolated pharmacies presented a more developed physical and personal structure than those belonging to health units, but we found no significant differences regarding the information provided and the development of clinical activities.CONCLUSIONS There are major differences in the organization models of dispensation between cities, with regional differences regarding the physical structure and professionals involved. The centralization of medicine dispensing in pharmacies separated from the health services is associated with better structural and professional conditions, as in the dispensing units of the South, Southeast, and Midwest regions. However, the development of dispensation as health service does not prevail in any pharmacy or region of the Country yet.

Implementation of pharmaceutical services in Brazilian primary health care: a cross-sectional study

“…The municipalities showed more capacity to deliver forecasting, storage and dispensing than other PharmSes components, and the improvement over the years can be identified in the literature. Recent studies presented better scenarios for inventory management [41] and dispensing [42] than studies [43,44] from the first decade of the 21st century. However, it seems to be a consensus that those components still present many significant issues, such as lack of access to inventory software, inadequate storage conditions or lack of pharmacist supervision.…”

Indicadores de produção assistencial do enfermeiro na Atenção Básica em Saúde

“…Em relação à atuação do farmacêutico, sua interação com o usuário durante a dispensação de medicamentos na realidade investigada é registrada como consulta, uma vez que é equivalente ao atendimento realizado pelos demais profissionais de nível superior. No contexto do SUS, o objetivo da dispensação de medicamentos vai além da abordagem limitada ao fornecimento do insumo, sendo um importante momento para o profissional se aproximar das necessidades do usuário e população (Leite et al, 2017) e facilitar a adesão ao tratamento proposto, ou mesmo realizar ajustes nesse, diante das possibilidades legais da profissão.…”

Pelayanan Kefarmasian dan Pemahaman Penggunaan Obat Rasional (POR) di Kota Ternate

“…Data penelitian menunjukkan pelayanan kefarmasian yang sangat baik adalah kelengkapan, kesiapan, dan kebersihan alat yang dipakai , apoteker berpakaian yang bersih dan rapi dan obat yang diberikan sesuai dengan yang diminta, tetapi hasil ini menunjukkan tidak terdapat perbedaan yang signifikan antara pelayanan kefarmasian dengan pemahaman POR di masyarakat. Hasil penelitian ini didukung oleh penelitian mengenai Apotek sebagai tempat pelayanan kefarmasian tidak memilik perbedaan signifikan mengenai informasi yang diberikan dan penggunaan obat (Leite, 2017). penelitian lain menunjukkan perbedaan, pelayanan kefarmasian memberikan hasil yang siginifikan dengan penggunaan obat oleh pasien (Blondal dan Almarsdottir, 2017).…”