Loading...
Publication
Potencial integração da revisão da medicação no serviço de preparação individualizada da medicação prestado a lares
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.17 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: As Farmácias Comunitárias desempenham um papel vital, oferecendo serviços diferenciadores, como a Preparação Individualizada da Medicação (PIM) e a Revisão da Medicação (RM) com o objetivo de otimizar a terapêutica dos utentes. Contudo, ainda são escassos os dados relativos à caracterização de ambos os serviços.
Objetivos: Os principais objetivos deste trabalho foram: a) caracterizar o serviço de PIM e de RM, desde a sua implementação até à forma como são prestados; e b) avaliar as principais barreiras à integração do serviço de RM na PIM.
Métodos: Realizou-se um estudo transversal (Abril - Julho 2023), onde se aplicou um e-questionário, a uma amostra de farmácias (amostra estimada de 202 farmácias). Este questionário foi difundido via mailmarketing e através de social media, pretendendo caracterizar as farmácias participantes, avaliar o grau de implementação de ambos os serviços e avaliar a forma como são prestados atualmente. A análise de dados foi realizada com recurso a estatística uni- e bivariada e a regressão logística, considerando um intervalo de confiança de 95% para cada teste (IBM SPSS Statistic v.29.0). Resultados: Obteve-se uma amostra de 229 farmácias, sendo que a maioria das farmácias participantes (71,6%; n=164) prestava o serviço de PIM e, destas, 70,7% (n=116) prestavam-no para lares. Verificou-se que 68% (n=111) das farmácias realizavam o serviço de PIM simultaneamente com a RM. Contudo, quando avaliado de forma isolada, apenas 21,4% (n=49) realizavam o serviço de RM. A falta de valorização e visibilidade do serviço e a falta de colaboração de outros profissionais foram as principais barreiras identificadas na prestação dos serviços. Conclusão: Verificou-se que a maioria das farmácias já presta o serviço de PIM, incluindo para lares, mas apenas uma pequena parte realiza o serviço de RM de forma isolada. Contudo, há uma porção considerável da amostra que já presta ambos os serviços em simultâneo.
Introduction: Community Pharmacies play an important role by offering distinctive pharmaceutical services, such as Individualized Medication Preparation (IMP) and Medication Review (MR) with the aim of optimizing patients’ pharmacotherapy. However, there is still a scarcity of data regarding the implementation of both services and how they are delivered in daily practice. Aims: The main goals of this work were to characterize the IMP and MR services, from their implementation to how they are provided, and to assess the potential barriers to integrating the MR service into IMP. Methods: A cross-sectional study was conducted (April-July 2023), where an e-questionnaire was administered to a sample of pharmacies (estimated sample of 202 pharmacies). This questionnaire was disseminated via mailmarketing and social media, aiming to characterize the participating pharmacies, assess the degree of implementation of both services, and evaluate how they are currently provided. Data analysis was performed using uni- and bivariate statistics, as well as logistic regressions, with a 95% confidence interval (IBM SPSS Statistics v.29.0). Results: A sample of 229 pharmacies was obtained, with the majority of them (71.6%; n=164) providing the IMP service, and, of these, 70.7% (n=116) provided it to nursing homes. It was found that 68% (n=111) of pharmacies offered the IMP service simultaneously with MR. However, when evaluated independently, only 21.4% (n=49) provided the MR service. The main barriers identified were the lack of recognition and visibility of the service and the lack of collaboration from other professionals. Conclusion: It was found that the majority of pharmacies already offer the IMP service, including for nursing homes, but only a small portion provides the MR service independently. Additionally, a significant portion of the sample already delivers both services simultaneously.
Introduction: Community Pharmacies play an important role by offering distinctive pharmaceutical services, such as Individualized Medication Preparation (IMP) and Medication Review (MR) with the aim of optimizing patients’ pharmacotherapy. However, there is still a scarcity of data regarding the implementation of both services and how they are delivered in daily practice. Aims: The main goals of this work were to characterize the IMP and MR services, from their implementation to how they are provided, and to assess the potential barriers to integrating the MR service into IMP. Methods: A cross-sectional study was conducted (April-July 2023), where an e-questionnaire was administered to a sample of pharmacies (estimated sample of 202 pharmacies). This questionnaire was disseminated via mailmarketing and social media, aiming to characterize the participating pharmacies, assess the degree of implementation of both services, and evaluate how they are currently provided. Data analysis was performed using uni- and bivariate statistics, as well as logistic regressions, with a 95% confidence interval (IBM SPSS Statistics v.29.0). Results: A sample of 229 pharmacies was obtained, with the majority of them (71.6%; n=164) providing the IMP service, and, of these, 70.7% (n=116) provided it to nursing homes. It was found that 68% (n=111) of pharmacies offered the IMP service simultaneously with MR. However, when evaluated independently, only 21.4% (n=49) provided the MR service. The main barriers identified were the lack of recognition and visibility of the service and the lack of collaboration from other professionals. Conclusion: It was found that the majority of pharmacies already offer the IMP service, including for nursing homes, but only a small portion provides the MR service independently. Additionally, a significant portion of the sample already delivers both services simultaneously.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Farmácias comunitárias Idosos Lares Preparação individualizada da medicação Revisão da medicação