Descrição e avaliação de um modelo de serviço de dispensação de uma Farmácia Universitária em Goiânia, Goiás, Brasil
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Data
2013-12-13
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Editor
Universidade Federal de Goiás
Resumo
Background: Although dispensing of medication has been addressed on
theoretical models, studies that confirm the impact of this service are still
needed.
Objective: to describe and evaluate a model of medicine dispensing
developed and implemented in a pharmacy in accordance with the
parameters of structure, process and outcome.
Methods: This was a descriptive, observational and quasi-experimental
study performed in a Campus Pharmacy, approved by the Ethics Committee
in Research of the Federal University of Goiás under protocol 222/2012. one
hundred and four patients attending the dispensing service of the campus
pharmacy between 21 January 2013 and 20 April 2013 were included in this
quasi-experimental study. The description and assessment of the service
was performed in terms of the three parameters: structure, process and
outcome, used by Donobedian to evaluate the quality of medical care and
adapted by Farris & Kirking to evaluate the quality of pharmaceutical care.
The description and assessment of each parameter was performed as
recommended by the Ministry of Health of Brazil, international agencies and
previous studies. Assessment of knowledge about medicine prescription and
adherence, before and after medicine dispensing, was performed by
McNemar’s test. Associations between variables were assessed by the Wald
test. A p-value <0.05 was considered to be statistically significant.
Results: Medicine dispensing improved patient’s knowledge about
medications (P<0.05), which was associated with pharmacotherapy
complexity (P<0.05). The main problems identified were related to lack of
patient’s knowledge regarding their medication (52.9%). Pharmaceutical
interventions were mostly performed directly to the patients (86.3%) by verbal
(95.4%) and written (68.2%) information, and most of the problems were
completely solved (62.7%). Pharmacy service was evaluated as “excellent”
or “very good” by more than 70% of patients, and a high level of satisfaction
was observed. Improvement of medication adherence, however, was not
observed.
Conclusion: the medicine dispensing model was able to identify and solve
drug-related problems and promote an improvement in patient’s knowledge
about medication.
Descrição
Palavras-chave
Farmácia Comunitária , Farmácia/estrutura de serviços , Farmácia/processos , Farmácia/indicadores de qualidade , Farmácia/ Avaliação de resultados , Aconselhamento ao paciente , Community pharmacy , Pharmacy/structure of services , Pharmacy/processes , Pharmacy/quality indicators , Pharmacy/evaluation of results, , Patient counseling
Citação
FERREIRA, Tatyana Xavier Almeida Matteucci. Descrição e avaliação de um modelo de serviço de dispensação de uma Farmácia Universitária em Goiânia, Goiás, Brasil. 2013. 117 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2013.