Conceptions on pharmaceutical services in Brazilian primary health care
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Universidade Federal de Minas Gerais
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Artigo de periódico
Título alternativo
Concepções de assistência farmacêutica na atenção primária à saúde, Brasil
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Membros da banca
Resumo
OBJECTIVE: To identify and discuss the conceptions of pharmaceutical services in Brazilian
Primary Health Care, according to different subjects.
METHODS: This study is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do
Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and
Promotion of Rational Use of Medicines – Services, 2015), which is composed of an information
survey in a representative sample of cities, stratified according to Brazilian regions, and a
subsample of primary health care services. Municipal secretaries of health, those responsible for
pharmaceutical services, and those responsible for medicine delivery in pharmacies/dispensing
units of the selected services were interviewed. The questionnaires included one question about
the understanding of the interviewee regarding pharmaceutical services. The content analysis
technique was used to apprehend, in the statements, the meanings attributed to pharmaceutical
services, which were subsequently classified into categories according to their main conceptions.
RESULTS: Among the wide diversity of conceptions on pharmaceutical services (PS), we highlight
the ones focused on 1) logistic control of medicines with activities concerning guidance or
information on their use and 2) guidance or information to users on the use of medicine. The
findings reveal a shifting tendency from a medicine-focused conception to one that considers
the users and their needs as the final recipient of these actions. However, the lack of references
to conceptions regarding care management and integrality point out the slowness of this change;
after all, this is a social and historical process that comprises the production of meanings that
transcend legal, logistic, and technical arrangements in pharmaceutical services.
CONCLUSIONS: The diversity of conceptions expresses the several meanings attributed to
pharmaceutical services; we also identified, in their reorientation process, a movement that
reflects a gradual shift in the technical paradigm, from the focus on medicine logistics to a
user-oriented approach of health services.
Abstract
Assunto
Serviços farmaceuticos, Atitudes, Pessoal da saude publica, Compreensão
Palavras-chave
Pharmaceutical Service, Health Knowledge, Attitudes, Practice, Health Personnel, Comprehension
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Endereço externo
https://www.revistas.usp.br/rsp/article/view/139745