Access to drug therapy after discharge under the perspective of patients and health professionals
DOI:
https://doi.org/10.33448/rsd-v11i8.30841Keywords:
Health Services Accessibility; Drug Utilization; Continuity of patient care.Abstract
Aim: To understand the perspectives from users regarding access to medications post-discharge. Method: Case study with qualitative approach based on comprehensive sociology. Nine patients at a general teaching hospital and seven companions were the subjects. Data was collected through interviews based on a semi-structured script. After that, the data was submitted to content analysis. Results: Two categories were identified: 1. (Des) continuity of drug therapy; 2. Inconsistent information as a barrier to medication access. The perspectives reported by the users demonstrate the existence of a complex post-discharge process, which is permeated by the prescription of drugs not available in the health care net and the occurrence of other needs in the care process competes with the search for the drug. The failure in identifying the users and their needs as the central object in the information supply process, as well as the provision of incomplete and inappropriate information, also is pointed out in the reports. Conclusion: Despite the existence of a universal health system in Brazil, the findings point out, in the place under study, that these factors weaken the access to medications, making the transition of the patient into the care network a delicate process.
References
Allen, J., Hutchinson, A. M., Brown, R. & Livingston P. M. (2020) Communication and Coordination Processes Supporting Integrated Transitional Care: Australian Healthcare Practitioners' Perspectives. Int J Integr Care, 20(2):1.
Álvares, J., Guerra, A. A., Araújo, V. E., Almeida, A. M., Dias, C. Z., Ascef BdO, et al. (2017). Access to medicines by patients of the primary health care in the Brazilian Unified Health System. Rev Saude Publica, 51(suppl 2):20s.
Bardin, L. (2008). Análise de conteúdo. (4a ed.), Edições 70.
Bissell, K., Ellwood, P., Ellwood, E., Chiang, C.-Y., Marks, G. B., El Sony, A., et al.(2019). Essential Medicines at the National Level: The Global Asthma Network's Essential Asthma Medicines Survey 2014. Int J Environ Res Public Health,16(4).
Botazzo, C. (2010). Sistema Único de Saúde: ética, desigualdades, desafios no contexto do estado democrático de direito. In: Caponi SV, Marta, Brzozowski FS, Hellmann F, editors. Medicalização da Vida- Etica, Saúde Pública e Indústria Farmacêutica. Santa Catarina: Editora UNISUL, 390-9.
Brasil. (2004). Resolução 388/2004 - Aprova a Política Nacional de Assistência Farmacêutica. Saúde MdS-CNd, editor. Ministério da Saúde ed. Brasília - DF: Poder Executivo.
Castro, R. & Elias, F. T. S. (2018). Envolvimento dos usuários de sistemas de saúde na Avaliação de Tecnologias em Saúde (ATS): uma revisão narrativa de estratégias internacionais. Interface (Botucatu), 22:[97-108 pp.]. http://dx.doi.org/10.1590/1807-57622016.0549.
Costa, J. M. & Silva, K. L. (2021). Contrarreferenciamento farmacoterapêutico: experiências vivenciadas por profissionais de saúde em um hospital de ensino. Revista de Enfermagem do Centro Oeste Mineiro, 11/3942. https://doi.org/10.19175/recom.v11i0.3942.
Donabedian, A. Los espacios de la salud : Aspectos fundamentales de la organización de la atención médica. (1988). México: Biblioteca de La Salud, 772p p.
Greysen, S.R., Harrison, J.D., Kripalani, S., Vasilevskis, E., Robinson, E., Metlay, J., et al. (2017). Understanding patient-centred readmission factors: a multi-site, mixed-methods study. BMJ Qual Saf, 26(1):33-41.
Guerra Jr A. A, Acúrcio F. A, Gomes C. A. P, Miralles M, Girardi S. N, Werneck G. A. F, et al. (2004). Availability of essential drugs in two regions of Minas Gerais, Brazil. Rev Panam Salud Publica, 15(3):168-75.
Harl, F. N. R., Saucke, M. C., Greenberg, C. C. & Ingraham, A. M. (2017). Assessing written communication during interhospital transfers of emergency general surgery patients. J Surg Res, 214:86-92.
Lima, M. A. D. S., Magalhães, A. M. M., Oelke, N. D., Marques, G. Q., Lorenzini, E., Weber, L. A. F. & Fan, I. (2018). Estratégias de transição de cuidados nos países latino-americanos: uma revisão integrativa. Revista Gaúcha de Enfermagem, 39. https://doi.org/10.1590/1983-1447.2018.20180119.
Maffesoli, M. (1988). O conhecimento comum: introdução à sociologia compreensiva. Maffesoli M, editor. Editora Sulina.
Nascimento R. C. R. M.d, Álvares .J, Guerra A. A., Gomes I. C., Silveira M. R., Costa E. A., et al. (2017) Polypharmacy: a challenge for the primary health care of the Brazilian Unified Health System. Rev Saude Publica, 51(suppl 2):19s.
OPAS OPdlS. (2009). El acceso a los medicamentos de alto costo en las Ampericas: contexto, desafíos y perspectivas. Washington, DC.
Oku, A., Oyo-Ita, A., Glenton, C., Fretheim, A., Eteng, G., Ames, H., et al. (2017) Factors affecting the implementation of childhood vaccination communication strategies in Nigeria: a qualitative study. BMC Public Health,17(1):200.
Paniz, V. M. V., Cechin, I. C. C. F., Fassa, A. G., Piccini, R. X., Tomasi, E., Thumé, E., et al. (2016). [Access to medicines prescribed for acute health conditions in adults in South and Northeast Brazil]. Cad Saude Publica, 32(4):e00009915.
Quimelli, G. A. d. S. (2009) Considerações sobre o Estudo de Caso na pesquisa qualitativa. In: Bourguignon JA, editor. Pesquisa social : reflexões teóricas e metodológicas. Ponta Grossa - PR: Toda Palavra, 63-84.
Seixas, C. T., Baduy, R. S., Cruz, K. T. d., Bortoletto, M. S. S., Junior, H. S. & Merhy, E. E. (2019). O vínculo como potência para a produção do cuidado em saúde: o que usuários-guia nos ensina. Interface - Comunicação, Saúde, Educação, 23. https://doi.org/10.1590/interface.170627.
Synnot, A. J., Tong, A., Bragge, P., Lowe, D., Nunn, J. S., O'Sullivan, M., et al. (2019) Selecting, refining and identifying priority Cochrane Reviews in health communication and participation in partnership with consumers and other stakeholders. Health Res Policy Syst, 17(1):45.
Thorakkattil, S. A., Nemr, H. S., Al-Ghamdi, F. H., Jabbour, R. J. & Al-Qaaneh, A. M. (2021, jan.)Structural and operational redesigning of patient-centered ambulatory care pharmacy services and its effectiveness during the COVID-19 pandemic. Res Social Adm Pharm, 17(1): 1838-1844. 10.1016/j.sapharm.2020.06.017.
WHO. (1998). Glossário de promoção da saúde. Geneva. http://www.who.int/healthpromotion/about/HPR%20Glossary%201998.pdf.
WHO (2013). The world health report: research for universal health coverage. Who.
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Copyright (c) 2022 Josiane Moreira da Costa; Camila Rafaela dos Santos; Cássia Rodrigues Lima Ferreira; Leandro Pinheiro Cintra; Izabella Fernanda Bastos Siqueira; Renata Aline de Andrade; Kênia Lara Silva
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