Conceptions on pharmaceutical services in Brazilian primary health care
ABSTRACT 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...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Universidade de São Paulo
2017-11-01
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| Series: | Revista de Saúde Pública |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000300308&lng=en&tlng=en |
| _version_ | 1831840939716378624 |
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| author | Ediná Alves Costa Patrícia Sodré Araújo Thais Rodrigues Penaforte Joslene Lacerda Barreto Augusto Afonso Guerra Junior Francisco de Assis Acurcio Ione Aquemi Guibu Juliana Alvares Karen Sarmento Costa Margô Gomes de Oliveira Karnikowski Orlando Mario Soeiro Silvana Nair Leite |
| author_facet | Ediná Alves Costa Patrícia Sodré Araújo Thais Rodrigues Penaforte Joslene Lacerda Barreto Augusto Afonso Guerra Junior Francisco de Assis Acurcio Ione Aquemi Guibu Juliana Alvares Karen Sarmento Costa Margô Gomes de Oliveira Karnikowski Orlando Mario Soeiro Silvana Nair Leite |
| author_sort | Ediná Alves Costa |
| collection | DOAJ |
| description | ABSTRACT 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. |
| first_indexed | 2024-12-23T06:20:00Z |
| format | Article |
| id | doaj.art-23b8cbdf42e544ceb838e0add7087628 |
| institution | Directory Open Access Journal |
| issn | 1518-8787 |
| language | English |
| last_indexed | 2024-12-23T06:20:00Z |
| publishDate | 2017-11-01 |
| publisher | Universidade de São Paulo |
| record_format | Article |
| series | Revista de Saúde Pública |
| spelling | doaj.art-23b8cbdf42e544ceb838e0add70876282022-12-21T17:57:13ZengUniversidade de São PauloRevista de Saúde Pública1518-87872017-11-0151suppl 210.11606/s1518-8787.2017051007107S0034-89102017000300308Conceptions on pharmaceutical services in Brazilian primary health careEdiná Alves CostaPatrícia Sodré AraújoThais Rodrigues PenaforteJoslene Lacerda BarretoAugusto Afonso Guerra JuniorFrancisco de Assis AcurcioIone Aquemi GuibuJuliana AlvaresKaren Sarmento CostaMargô Gomes de Oliveira KarnikowskiOrlando Mario SoeiroSilvana Nair LeiteABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000300308&lng=en&tlng=enPharmaceutical Services, Health Knowledge, Attitudes, PracticeHealth PersonnelComprehension |
| spellingShingle | Ediná Alves Costa Patrícia Sodré Araújo Thais Rodrigues Penaforte Joslene Lacerda Barreto Augusto Afonso Guerra Junior Francisco de Assis Acurcio Ione Aquemi Guibu Juliana Alvares Karen Sarmento Costa Margô Gomes de Oliveira Karnikowski Orlando Mario Soeiro Silvana Nair Leite Conceptions on pharmaceutical services in Brazilian primary health care Revista de Saúde Pública Pharmaceutical Services, Health Knowledge, Attitudes, Practice Health Personnel Comprehension |
| title | Conceptions on pharmaceutical services in Brazilian primary health care |
| title_full | Conceptions on pharmaceutical services in Brazilian primary health care |
| title_fullStr | Conceptions on pharmaceutical services in Brazilian primary health care |
| title_full_unstemmed | Conceptions on pharmaceutical services in Brazilian primary health care |
| title_short | Conceptions on pharmaceutical services in Brazilian primary health care |
| title_sort | conceptions on pharmaceutical services in brazilian primary health care |
| topic | Pharmaceutical Services, Health Knowledge, Attitudes, Practice Health Personnel Comprehension |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000300308&lng=en&tlng=en |
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