The pharmacist in public health services: the experience of the municipality of Ribeirão Preto (SP) Brazil / O farmacêutico no serviço público de saúde: a experiência do Município de Ribeirão Preto - SP

AUTOR(ES)
DATA DE PUBLICAÇÃO

2003

RESUMO

This work was based on the qualitative study of the documental analysis over the period of 1988 to 2001, about the implement of Pharmaceutical Assistance in the Health Municipal Secretary – Ribeirão Preto. The purpose of this study was to evaluate the pharmaceutical work development factors in this Secretary as well as the impact of the decentralization process of the Pharmaceutical Assistance and the correlation among health services, medications and the pharmacist in the organization and development of the SUS (Unified Health Service). The results show that significant changes have occurred after the hiring of the pharmacists that altered the practice of medications selection, acquisition, distribution, dispensing and control, assuring efficiency in the public financial resources applications. It was verified that the expenses with medications were in average 3,75% of the total expenses with health and the per capita/year has raised from R$ 4,64 in 1996 to R$ 8,22 in 2001, while keeping the unit costs unchanged (R$ 0,092). So, it was demonstrated the achievement of the main strategy: to propitiate the access of the population to the medicines. The dispensing of medications negligible in 1988, has increased from 5.8 millions units in 1991 to 50.1 millions units in 2001. It was verified the municipal district of Ribeirão Preto was one of the pioneers in the decentralization of health actions, amplifying activities in a proposal of model change, including pharmaceutical assistance as one of the pillar of this development. The hiring of the first pharmacy professional in 1988 was a mark for the onset of the discussion on an effective medications police in the municipal limits. The effectiveness is also demonstrated in the organization and systematization of the control of medicines coming from different sources. Although the whole improvement registered to this moment, the numbers of pharmacists represents only 2% of the university-degree health professionals in the SMS-RP. Those numbers are not sufficient for the expansion of new projects that prioritize the direct relationship pharmacist/patient, in the implementation of pharmaceutical care, that could take to a better use of this powerful instrument, the medicine, that is already organized and managed, but with a long way to travel in relation to the clientele care, favoring the rational use of medications.

ASSUNTO(S)

consumo de medicamentos assistência farmacêutica farmácia em atenção básica medicine consumption pharmacy in the basic attention pharmaceutical assistance

ACESSO AO ARTIGO

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