The clinical pharmacist’s role in a high-cost medicine pharmacy
Patient-centered care
DOI:
https://doi.org/10.1590/s2175-97902022e20301Keywords:
Community pharmaceutical service, Specialized component of pharmaceutical assistance, BrazilAbstract
In Brazil, medicine dispensing is a pharmacy service provided within the national health system that allows the pharmacist to interact directly with the patient in order to prevent, detect and solve problems related to pharmacotherapy and health needs. However, it is known that most dispensing services provided in the country are still limited to supplying medications and, at their finest, offering advice on medication utilization. Attempts to change this scenario present new challenges the area of pharmacy, which involve the need for a patient-centered pharmaceutical service model. This paper describes the patient-centered pharmaceutical service of high-cost medicine dispensing performed at a pharmacy linked to the Brazilian Unified Health System. In the model described here, the medicine-dispensing activity is the pharmacist’s main field of practice, which consists of identifying patient needs related to health care itself and medication utilization. It also aims to introduce the instrument developed (a Pharmaceutical Care Protocol) that contributed to implementing this clinical service provided by the pharmacist. The protocols guide and qualify the service by providing information that helps in evaluating the effectiveness and safety of treatments and in the preparation of the care plan and can be used as a basis for other services that intend to adopt clinical pharmacy practices.
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References
Angonesi D. Dispensação farmacêutica: uma análise de diferentes conceitos e modelos. Cienc Saude Coletiva. 2008;13 Supl:629-40.
Araújo ALA, Freitas O. Concepções do profissional farmacêutico sobre a assistência farmacêutica na unidade básica de saúde: dificuldades e elementos para a mudança. Braz J Pharm Sci. 2006;42(1):137-146.
Araújo PS, Costa EA, Júnior AAG, Acurcio FA, Guibu IA, Álvares J. Pharmaceutical care in Brazil’s primary health care. Rev Saúde Pública. 2017;51(Supl 2):6s.
Bernardo NLM, Hoepfner L. Serviço de dispensação: Um serviço de saúde. In: Soares L, Farias MR, Leite SN, Campese M, Manzini F, editor. Atuação Clínica do Farmacêutico - (Assistência Farmacêutica no Brasil: Política, Gestão e Clínica). Florianópolis: Editora UFSC. 2016. p. 45-90.
Brasil. Ministério da Saúde (MS). Portaria no 2.981, de 26 de novembro de 2009. Aprova o Componente Especializado da Assistência Farmacêutica. Diário Oficial da União. 2009; 27 nov.
Cipolle RJ, Strand LM, Morley PC. Pharmaceutical care practice: the patient-centered approach to Medication Management Services. 3rd ed. New York: McGraw-Hill; 2012. 697 p.
Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet. 2010;376(9756):1923-1958.
Foppa AA, Gomes LO, Rover MMR, Santos RI, Farias MR, Contezini SNL. Teaching and Learning Pharmacy Services (TLPS): a teaching method for developing competencies for patient centered care through experiential learning in a real workplace. Pharmacy Practice. 2019;[doi 10.117/0897190019854573].
» https://doi.org/10.117/0897190019854573
Jones RM. Patient assessment and the pharmacist’s role in patient care. In: Jones MR, Respond RM, editor. Patient Assessment in Pharmacy Practice. 2nd ed. Baltimore: Lippincot Willians & Wilkins. 2009. p. 2-25.
Leite SN, Bernardo NLMC, Álvares J, Junior AAG, Costa EA, Acurcio FA, et al. Serviço de dispensação de medicamentos na atenção básica no SUS. Rev Saúde Pública . 2017;51(Supl 2):11s.
Lima-Dellamora EC, Caetano R, Osorio-de-Castro CGS. Dispensing specialized component medicines in areas on the State of Rio de Janeiro. Cienc Saude Colet. 2012;17(9):2387- 2396.
Oliveira AM, Luiza VL, Tavares NUL, Mengue SS, Arrais PSD, MR Farias, et al. Acesso a medicamentos para doenças crônicas no Brasil: uma abordagem multidimensional. Rev Saúde Pública . 2016;50(supl 2):6s.
Organização Pan-Americana de Saúde. Guía Servicios Farmacéuticos en la Atención Primaria de Salud. 4 ed. Washington: OPAS; 2011. 83 p.
Pereira LRL, Freitas O. A evolução da Atenção Farmacêutica e a perspectiva para o Brasil. Braz J Pharm Sci . 2008;44(4):601-612.
Soares L, Diehl EE, Leite SN, Farias MR. A model for drug dispensing service based on the care process in the Brazilian Health System. Braz J Pharm Sci . 2013;49(1):107-116.
Zierler-Brown S, Brown TR, Chen D, Blackburn RW. Clinical documentation for patient care: Models, concepts, and liability considerations for pharmacists. Am J Health Syst Pharm. 2007;64(17):1851-1858.
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