Avaliação da capacidade de gestão da assistência farmacêutica na atenção primária do município de sobral: aplicação de um protocolo de indicadores

Abstract

Pharmaceutical Assistance is defined as a group of drug-related activities whose objective is to support health actions in a community. Creating planning, evaluation and control instruments that lead the processes involving Pharmaceutical Assistance are part of the management of pharmaceutical services and create a cycle that will result in greater efficiency and effectiveness, thus, evaluating the management capacity of Pharmaceutical Assistance is a point of reference. starting point for deciding processes and policies in the sector. In order to have a continuous evaluation process of the Pharmaceutical Assistance service, it is essential to apply indicators that will serve as a reference to evaluate its two basic axes, the availability of essential medicines in the basic health networks, as well as the promotion of the rational use of medicines by the population. The objective of this dissertation was to evaluate and analyze the management capacity of pharmaceutical assistance in primary care in the municipality of Sobral through the application of a validated protocol of indicators called “Protocol for the Evaluation of the Capacity of Management of PA in PHC” (PAGAF). Exploratory-descriptive research with a quantitative approach. Data collection was performed using google forms sent to CSF managers, prescribers and the pharmaceutical care manager. The cycle of pharmaceutical care within the Pharmaceutical Supply Center was observed so that we could describe the flows and work processes until the medicine reaches the user.The survey results showed that in the organizational dimension, the municipality has adequate PS management capacity, as the 57 points obtained represent 77% of the indicator's maximum score. The operational dimension of management in the municipality demands care in the work processes of professionals responsible for treating users within the UBS, the sum of 46.25 represents 73% of the maximum score for the indicator. In the sustainability dimension, a sum of 36.5 points was obtained, representing 67% of the maximum score of the indicator, identifying weaknesses in the processes of communication and continuing education of PS professionals. However, the municipality of Sobral has an organized Pharmaceutical Assistance that has evolved in the quality of management and provision of the service with structural and procedural changes so that access to medicines can be guaranteed. Thus, in order to maintain quality and effectiveness in health care, political and administrative discussion of the following points is necessary:establishing a dispensing protocol and training dispensing professionals and pharmacists regarding this protocol; qualify the planning and programming of medicines to be purchased by the municipality; carry out technical studies in an intersectoral manner that support the bidding processes; promote continuing education of professionals in the pharmaceutical care sectors to understand that continued health care in PHC depends on regular access to medicines and their responsible use.