Percorrer por autor "Guerreiro, Mara P."
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- Assisting consumers in self-medication: reflections on the role of support staff in community pharmacyPublication . Veiga, Paulo; Lapão, Luís V.; Cavaco, Afonso M.; Guerreiro, Mara P.
- Clinical profile and treatment discontinuation in a tuberculosis control state programme in Brazil: preliminary results from SINAN databasePublication . Bezerra, Simone S.; Guerreiro, Mara P.; Pessoa, N.; Athayde, M. P.; Auad, Rodrigo; Gomes, João F.; Sobrinho, J. L. Soares
- Cure and discontinuation of treatment in a tuberculosis control state programme in Brazil: insights from dispensing dataPublication . Bezerra, Simone S.; Guerreiro, Mara P.; Gomes, João F.; Pessoa, N.; Auad, Rodrigo; Sobrinho, J. L. Soares
- Feeding back pharmacy staff on their OTC dispensing performance: an exploratory studyPublication . Veiga, Paulo; Lapão, Luís V.; Cavaco, Afonso M.; Guerreiro, Mara P.
- Primary health care policy and vision for community pharmacy and pharmacists in PortugalPublication . Ribeiro, Nadine; Mota-Filipe, Helder; Guerreiro, Mara P.; Costa, Filipa. A.The central role of the Portuguese National Health Service (P-NHS) guarantees virtually free universal coverage. Key policy papers, such as the National Health Plan and the National Plan for Patient Safety have implications for pharmacists, including an engagement in medicines reconciliation. These primary health care reform, while not explicitly contemplating a role for pharmacists, offer opportunities for the involvement of primary care pharmacists in medicines management. Primary care pharmacists, who as employees of the P-NHS work closely with an interdisciplinary team, have launched a pilot service to manage polypharmacy in people living with multimorbidities, involving potential referral to community pharmacy. Full integration of community pharmacy into primary health care is challenging due to their nature as private providers, which implies the need for the recognition that public and private health sectors are mutually complementary and may maximize universal health coverage. The scope of practice of community pharmacies has been shifting to service provision, currently supported by law and in some cases, including the needle and syringe exchange program and generic substitution, remunerated. Key changes envisaged for the future of pharmacists and their integration in primary care comprise the development and establishment of clinical pharmacy as a specialization area, peer clinician recognition and better integration in primary care teams, including full access to clinical records. These key changes would enable pharmacists to apply their competence in medicines optimization for improved patient outcomes.
- Reporting pharmacy staff communication for OTC medicines encounters with simulated patientsPublication . Veiga, Paulo; Lapão, Luís V.; Cavaco, Afonso M.; Guerreiro, Mara P.
- Self-medication consultations in community pharmacy : an exploratory study on teams’ performance, client-reported outcomes and satisfactionPublication . Veiga, Paulo; Cavaco, Afonso M.; Lapão, Luís V.; Guerreiro, Mara P.Background: Community pharmacy teams (CPTs) have an established role in assisting self-medication, contributing to the safe and effective use of non-prescription medicines. Objective: The study aimed to describe CPTs’ performance in self-medication consultation, client-reported outcomes, and satisfaction. A secondary purpose was to develop an explanatory model for better understanding clients’ satisfaction with this service. Methods: Descriptive, cross-sectional exploratory study. Data were collected in a purposive sample of pharmacy clients recruited in six community pharmacies in Portugal. CPTs adopted a structured approach to self-medication consultations, encompassing 11 quality criteria (five for case evaluation and six for counselling). An evaluation score, a counselling score and an overall quality score were estimated. Client-reported outcomes and satisfaction were ascertained via a follow-up telephone interview. Besides descriptive statistics, the association with several independent variables on the clients’ overall satisfaction was explored, using linear regression. Results: Product-based dispensing was more frequent for lower educated clients. Reported compliance with the criteria by CPTs was overall high (93.95% of maximum compliance), mostly missing the ‘other medication’ questioning. Most clients (93%) reported improvement after the consultation. Clients’ satisfaction score was 4.70 out of 5. The variables that seem to better explain clients’ overall satisfaction are pharmacy loyalty, the evaluation score, and the female gender. Conclusions: Clients’ reported outcomes were favourable, as well as satisfaction with the service. Clients’ satisfaction appears to be determined by consultation quality (evaluation score), suggesting the advancement of the pharmacists’ clinical role. A larger study is warranted to confirm these findings.
- Tackling the quality of non-prescription medicines dispensing in pharmacies by combining a Balanced Score Card with change management: interim findingsPublication . Veiga, Paulo; Lapão, Luís V.; Cavaco, Afonso M.; Guerreiro, Mara P.
