| Revista: | Brazilian Journal of Pharmaceutical Sciences |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000452147 |
| ISSN: | 1984-8250 |
| Autores: | Soares, Letícia Santana da Silva1 Mata, José Antonio Iturri de La2 Santana, Rafael Santos3 Galato, Dayani1 |
| Instituciones: | 1Universidade de Brasilia, Programa de Pos-Graduacao em Ciencias e Tecnologias em Saude, Brasilia, Distrito Federal. Brasil 2Universidade de Brasilia, Faculdade de Ceilandia, Brasilia, Distrito Federal. Brasil 3Universidade de Brasilia, Faculdade de Ciencias da Saude, Brasilia, Distrito Federal. Brasil |
| Año: | 2022 |
| Volumen: | 58 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | The objective of this work is to reflect on the objects and approaches usually employed in the evaluation of pharmaceutical care and their potential applicability in primary care settings. We conducted the review of the literature, and, to exemplify the advantages of expanding these objects and approaches, a real-world problem situation was selected: morbidity and mortality related to lack of treatment adherence by hypertensive patients in Brazilian primary health care services. Our reflections highlight the need to evaluate the effects of interventions, understood within Donabedian’s normative model as ‘outcomes,’ which can be clinical, humanistic, or economic. Our findings show that most published studies, even those that set out to report outcomes, actually evaluate processes, such as number of visits, number of problems identified, types of problems, or acts of the practice performed by pharmacists. On the other hand, we also identify a need for study designs and indicators to enable ‘finer’ normative assessment. We also discuss the importance of shifting research toward an evaluative paradigm to allow strategic, logic, effects, production, efficiency, and implementation analyses. Finally, we suggest some possible indicators to evaluate pharmaceutical care interventions in the selected problem situation, through an extension of the objects and approaches proposed |
| Disciplinas: | Medicina |
| Palabras clave: | Farmacología, Salud pública, Atención primaria, Atención farmacéutica, Calidad de la atención, Adherencia al tratamiento, Hipertensión |
| Keyword: | Pharmacology, Public health, Primary care, Pharmaceutical care, Quality of care, Treatment adherence, Hypertension |
| Texto completo: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
