Acesso a serviços farmacêuticos profissionais: motivações, preferências, barreiras, conhecimento e uso das TIC entre pacientes de Antioquia

Conteúdo do artigo principal

Raquel Agudelo Guisao
https://orcid.org/0009-0008-4768-6421
Jaime Andrés Pereañez
Elkyn Johan Granados Vega
Milena Ortiz Rendón
Javier Mauricio Ceballos

Resumo

Objetivo: identificar o conhecimento e as necessidades dos pacientes em relação aos serviços de atenção farmacêutica em farmácias-drogarias e serviços farmacêuticos ambulatoriais em Antioquia, Colômbia.
Métodos: foi realizado um estudo transversal descritivo com usuários de estabelecimentos e serviços farmacêuticos ambulatoriais, tendo sido elaborada uma entrevista semiestruturada, dividida em três partes: características sociodemográficas, conhecimento e necessidades percebidas e uso de tecnologias de informação e comunicação (TIC).
Resultados: das 30 pessoas entrevistadas, 53,3 % eram usuários de estabelecimentos farmacêuticos (drogarias, farmácias-drogarias) e 46,7 % de usuários de serviços farmacêuticos. Cem por cento dos usuários de estabelecimentos farmacêuticos ia comprar medicamentos e outros produtos, enquanto cem por cento dos usuários de serviços farmacêuticos ia apenas para retirar medicamentos. Em relação ao conhecimento sobre serviços de assistência farmacêutica, 10 % dos entrevistados definiram corretamente 
dispensação, enquanto 6,7 % definiram adequadamente educação em saúde. Em contrapartida, 26,7 % concordaram com a definição de farmacovigilância. Da mesma forma, em relação ao acesso a serviços de dispensação e educação em saúde, 30 % e 10 % dos entrevistados relataram acesso a esses serviços, respectivamente. Enquanto isso, 96,7 % dos entrevistados relataram não acessar serviços de farmacovigilância.
Conclusão: foram identificadas barreiras à prestação de informações e ao atendimento, como a disposição e o conhecimento da equipe, a falta de tempo e o foco em vendas. Essas constatações ressaltam a necessidade de aprimorar o treinamento da equipe e o atendimento aos pacientes.

Palavras-chave:
serviços de farmácia comunitária, Participação do paciente, Tecnologia da informação, Unidade de dispensação de medicamentos, Educação em saúde

Detalhes do artigo

Referências

1. Kıran B, Hızal ÖG, Karaca EG. Patient-centered communication in pharmacy practice. Acad Med J. 2022;4(2):30–4.

Ng YK, Mohamed Shah N, Loong LS, Pee LT, Chong WW. Barriers and facilitators to patient-centred care in pharmacy consultations: A qualitative study with Malaysian hospital pharmacists and patients. PLoS One. 2021;16(10):e0258249.

Baixauli Fernández V, García Sánchez F, Molinero Crespo A, Prats Más R, Plaza Zamora J, Gaztelurrutia Lavesa L, et al. La información al paciente sobre los servicios profesionales farmacéuticos asistenciales de farmacia comunitaria. Farmacéuticos comunitarios. 2019;11(3):23–4.

Lorig K, Ritter PL, Moreland C. Self-management education: History, definition, outcomes, and mechanisms. Ann Behav Med. 2019;53(1):1–7.

Hyvert S, Yailian AL, Haesebaert J, Vignot E, Chapurlat R, Dussart C, De Freminville H, Janoly-Dumenil A. Association between health literacy and medication adherence in chronic diseases: A recent systematic review. Int J Clin Pharm. 2023;45(1):38–51.

Zhang F, Or PPL, Chung JWY. How different health literacy dimensions influence health and well-being among men and women: The mediating role of health behaviours. Health Expect. 2021;24(2):617–27.

Jo A, Seo EJ, Son YJ. The roles of health literacy and social support in improving adherence to self-care behaviours among older adults with heart failure. Nurs Open. 2020;7(6):2039–46.

Salmerón Rubio J, García Delgado P, Iglésias Ferreira P, Mateus Santos H, Martínez Martínez

F. Medida del conocimiento del paciente sobre su medicamento en farmacia comunitaria en Portugal. Ciência & Saúde Coletiva. 2015;20(1) 219–29.

Arias Gómez J, Villasís Keever MÁ, Miranda Novales MG. The research protocol III. Study population. Rev Alerg Mex. 2016;63(2):201-6.

Fowler FJ Jr. Survey Research Methods. 5th ed. Thousand Oaks, CA: SAGE Publications; 2014. 184 p.

Creswell JW, Creswell JD. Research design: Qualitative, quantitative, and mixed methods approaches. 5th ed. Thousand Oaks, CA: SAGE Publications; 2022.

Yrak BA. A comparison of two data collecting methods: interviews and questionnaires. Hacettepe Üniversitesi Eğitim Fakültesi Dergisi. 2000;18:1-10.

Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: Implications for conducting a qualitative descriptive. Nursing and Health Sciences 2013;15,398-405.

Resolución 1403/2007 de 14 mayo, del Modelo de Gestión del Servicio Farmacéutico y se adopta el Manual de Condiciones Esenciales y Procedimientos. (1403, de 142007).

World Health Organization. Division of Health Promotion, Education, and Communication.(‎1998)‎. Promoción de la salud: glosario. Organización Mundial de la Salud. https://iris.who.int/handle/10665/67246

Hargis MB, Castel AD. Improving medication understanding and adherence using principles of memory and metacognition. Policy Insights Behav Brain Sci. 2018 Oct;5(2):147–54.

Lo Giudice I, Mocciaro E, Giardina C, Barbieri MA, Cicala G, Gioffrè-Florio M, et al. Characterization and preventability of adverse drug events as cause of emergency department visits: a prospective

year observational study. BMC Pharmacol Toxicol. 2019;20(1):21.

Nymoen LD, Björk M, Flatebø TE, Nilsen M, Godø A, Øie E, Viktil KK. Drug-related emergency department visits: prevalence and risk factors. Intern Emerg Med. 2022 Aug;17(5):1453–62.

Camacho EM, Penner LS, Taylor A, Guthrie B, Avery AJ, Ashcroft DM, et al. Estimating the economic effect of harm associated with high risk prescribing of oral non-steroidal anti-inflammatory drugs in England: population based cohort and economic modelling study. BMJ. 2024 Jul 24;386:e077880.

Chaves PRD, Mendonça TS, De Oliveira Baldoni A, Sanches C, Dos Santos TBE, Pereira ML. Patients participation in pharmaceutical care consultations in Brazil. Int J Clin Pharm. 2019;41(3):677–81.

Eades CE, Ferguson JS, O’Carroll RE. Public health in community pharmacy: a systematic review of pharmacist and consumer views. BMC Public Health. 2011;11:582.

Aburuz S, Al-Ghazawi M, Snyder A. Pharmaceutical care in a community-based practice setting in Jordan: where are we now with our attitudes and perceived barriers? Int J Pharm Pract. 2012;20(2):71–9.

El Hajj MS, AL-Saeed HS, Khaja M. Qatar pharmacists’ understanding, attitudes, practice and perceived barriers related to providing pharmaceutical care. Int J Clin Pharm. 2016;38(2):330–43.

Hughes CM, Hawwa AF, Scullin C, Anderson C, Bernsten CB, Björnsdóttir I, et al. Provision of pharmaceutical care by community pharmacists: a comparison across Europe. Pharm World Sci. 2010;32(4):472–87.

El Hajj MS, Mekkawi R, Elkaffash R, Saleh R, El Awaisi A, Wilbur K. Public attitudes towards community pharmacy in Arabic speaking Middle Eastern countries: a systematic review. Res Social Adm Pharm. 2021;17(8):1373–95.

Sabogal Carmona JS, Correa Ribon RL, Perez Vargas YC. Restricción de venta de medicamentos con fórmula médica en la localidad Chapinero Bogotá 2022. Cienc Tecnol En Innov En Salud. 2022;(7):14–25.

Nino Orrego MJ, Baracaldo Santamaría D, Ortiz CP, Zuluaga HP, Cruz Becerra SA, Soler F, et al. Prescription for COVID-19 by non-medical professionals during the pandemic in Colombia: a cross-sectional study. Therapeutic Advances in Drug Safety. 2022;13.

Abubakar U, Tangiisuran B. Knowledge and practices of community pharmacists towards non-prescription dispensing of antibiotics in Northern Nigeria. Int J Clin Pharm. 2020 Apr;42(2):756–64.

Servicios farmacéuticos basados en la atención primaria de salud. Documento de posición de la OPS/OMS. Washington, DC : OPS, 2013.

Rendrayani F, Alfian SD, Wahyudin W, Puspitasari IM. Pharmacists’ Knowledge, Attitude, and Practice of Medication Therapy Management: A Systematic Review. Healthcare (Basel). 2022;10(12):2513.

Thomson K, Hillier-Brown F, Walton N, Bilaj M, Bambra C, Todd A. The effects of community pharmacy-delivered public health interventions on population health and health inequalities: a review of reviews. Prev Med. 2019 Jul;124:98–109.

Sindhu S, Raja S, Veeraswamy T, Rajaraman S, Lessel Devaraj P. Assessment of Knowledge, Attitude and Practice of Community Pharmacist towards Pharmaceutical Care in India: A Questionnaire Study. Journal of Young Pharmacists. 2024;16(1):88–94.

Ababneh BF, Ong SC, Mahmoud F, Alsaloumi L, Hussain R. Attitudes, awareness, and perceptions of general public and pharmacists toward the extended community pharmacy services and drive-thru pharmacy services: a systematic review. J Pharm Policy Pract. 2023;16(1):37.

Kiflu M, Tsega SS, Alem HA, Gedif AA, Getachew M, Dagnew FN, et al. Barriers to pharmaceutical care provision in the community and hospital pharmacies of Motta town, Northwest Ethiopia: a cross-sectional study. BMC Health Serv Res. 2024 Sep 17;24(1):1082.

FIP, OMS. Buenas prácticas de farmacia. Directrices conjuntas FIP/OMS sobre Buenas Prácticas en Farmacia: Estándares para la calidad de los servicios farmacéuticos. [Internet]. [cited 2024 Oct 11]. https://www.fip.org/file/1479

Ceballos M, Giraldo J, Giraldo J, Marín V, Amariles P. Caracterización de aspectos relacionados con la utilización de los medicamentos fiscalizados en droguerías y farmacias-droguerías de Medellín y el área metropolitana. Rev Univ Ind Santander Salud. 2018;50(1):27-36.

Vacca CP, Niño CY, Reveiz L. Restriction of antibiotic sales in pharmacies in Bogotá, Colombia: a descriptive study. Rev Panam Salud Publica. 2011;30(6):586-91.

Helling DK, Johnson SG. Defining and advancing ambulatory care pharmacy practice: it is time to lengthen our stride. Am J Health Syst Pharm. 2014;71(16):1348-56.

OPS/OMS, Organización Panamericana de la Salud. Educación farmacéutica. [Internet]. 2024 [citado 2024 Oct 15]. https://www.paho.org/es/temas/educacion-farmaceutica.

Price-Haywood EG, Amering S, Luo Q, Lefante JJ. Clinical pharmacist team-based care in a safety net medical home: facilitators and barriers to chronic care management. Popul Health Manag. 2017 Apr;20(2):123–31.

De Barra M, Scott CL, Scott NW, Johnston M, de Bruin M, Nkansah N, et al. Pharmacist services for non-hospitalised patients. Cochrane Database Syst Rev. 2018;4;9(9):CD013102.

Roughead EE, Semple SJ, Vitry AI. Pharmaceutical care services: a systematic review of published studies, 1990 to 2003, examining effectiveness in improving patient outcomes. Int J Pharm Pract. 2010;13(1):53–70.

Ahmed A, Saqlain M, Tanveer M, Blebil AQ, Dujaili JA, Hasan SS. The impact of clinical pharmacist services on patient health outcomes in Pakistan: a systematic review. BMC Health Serv Res. 2021 Aug 23;21(1):859.

Wiedenmayer K, Summers R, Mackie C, Gous A, Everard M. Developing pharmacy practice A focus on patient care. Edition 1. Geneva, Switzerland: 2006.

Newman TV, San-Juan-Rodriguez A, Parekh N, Swart ECS, Klein-Fedyshin M, Shrank WH, Hernandez I. Impact of community pharmacist-led interventions in chronic disease management on clinical, utilization, and economic outcomes: an umbrella review. Res Social Adm Pharm. 2020 Sep;16(9):1155–65.

Kini V, Ho PM. Interventions to improve medication adherence: a review. JAMA. 2018 Dec 18;320(23):2461–73.

Randine P, Sharma A, Hartvigsen G, Johansen HD, Årsand E. Information and communication technology-based interventions for chronic diseases consultation: scoping review. Int J Med Inform. 2022 Jul;163:104784.

Carey M, Noble N, Mansfield E, Waller A, Henskens F, Sanson-Fisher R. The Role of eHealth in Optimizing Preventive Care in the Primary Care Setting. J Med Internet Res. 2015;17(5):e126.

Sebri V, Savioni L. An Introduction to Personalized eHealth. In: Pravettoni, G., Triberti, S. (eds) P5 eHealth: An Agenda for the Health Technologies of the Future. Springer, Cham. Springer International Publishing; 2020. p. 53–70.

Agudelo R, Pereañez JA, Muñoz SMC, Granados J, Ceballos M. e-Health applications for outpatient professional pharmaceutical care services: A scoping review. Exploratory Research in Clinical and Social Pharmacy, 2025;17:100567.

Madrigal Cadavid J, Amariles P, Pino-Marín D, Granados J, Giraldo N. Design and development of a mobile app of drug information for people with visual impairment. Res Soc Adm Pharm. 2020;16(1):62–7.