Use este identificador para citar ou linkar para este item:
https://www.arca.fiocruz.br/handle/icict/51139
Tipo de documento
ArtigoDireito Autoral
Acesso restrito
Coleções
Metadata
Mostrar registro completo
CLINICAL IMPACT OF A COMPREHENSIVE MEDICATION MANAGEMENT SERVICE IN PRIMARY HEALTH CARE
pharmaceutical care
pharmaceutical services
primary health care
outcome assessment
Autor(es)
Santos, Bruna Damázio
Nascimento, Mariana Martins Gonzaga do
Oliveira, Grazielli Cristina Batista de
Nascimento, Yone de Almeida
Mambrini, Juliana Vaz de Melo
Cid, Annaline Stiegert
Piovesan, Taıza Graziele Costa
Fernandes, Laura Barbosa
Martins, Ursula Carolina de Morais
Neves, Carina de Morais
Silva, Danielle Fernandes da
Oliveira, Djenane Ramalho de
Nascimento, Mariana Martins Gonzaga do
Oliveira, Grazielli Cristina Batista de
Nascimento, Yone de Almeida
Mambrini, Juliana Vaz de Melo
Cid, Annaline Stiegert
Piovesan, Taıza Graziele Costa
Fernandes, Laura Barbosa
Martins, Ursula Carolina de Morais
Neves, Carina de Morais
Silva, Danielle Fernandes da
Oliveira, Djenane Ramalho de
Afiliação
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil /Department of Pharmaceutical Products. College of Pharmacy. Federal University of Minas Gerais. Belo Horizonte, MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brasil/Department of Pharmaceutical Products. College of Pharmacy. Federal University of Minas Gerais. Belo Horizonte, MG, Brazil/Municipal Government of Lagoa Santa. Lagoa Santa, MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil/Newton Paiva University Center. Belo Horizonte, MG, Brazil
Center for Studies on Aging and Public Health. Rene Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte,MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil/Pitagoras Faculty. Betim, MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil/Municipal Government of Belo Horizonte. Belo Horizonte,MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil /Department of Pharmaceutical Products. College of Pharmacy. Federal University of Minas Gerais. Belo Horizonte, MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brasil/Department of Pharmaceutical Products. College of Pharmacy. Federal University of Minas Gerais. Belo Horizonte, MG, Brazil/Municipal Government of Lagoa Santa. Lagoa Santa, MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil/Newton Paiva University Center. Belo Horizonte, MG, Brazil
Center for Studies on Aging and Public Health. Rene Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte,MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil/Pitagoras Faculty. Betim, MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil/Municipal Government of Belo Horizonte. Belo Horizonte,MG, Brazil
Center for Pharmaceutical Care Studies. College of Pharmacy. Federal University of Minas Gerais Belo Horizonte, MG, Brazil
Resumo em Inglês
Objective: To evaluate the clinical impact of a comprehensive medication management (CMM) service in a Brazilian primary health-care setting. Methods: A quasi-experimental study has been carried out between July 2014 and November 2016 with patients who received the service in the primary care setting of a Brazilian city (n ¼ 1057). Factors associated with drug therapy problems (DTP) detection in the initial assessment were evaluated by performing univariate and multivariate analyzes. To evaluate the impact of the CMM service, a linear regression model was constructed from the difference between the initial and final values of the clinical and laboratory parameters adjusted by multiple variables. Results: A total of 1642 DTPs was identified, the most prevalent one being “nonadherence” (31.9%) and the “need for additional drug therapy” (22.9%). The use of 5 or more medications and the presence of 3 or more diseases were positively associated with the identification of 3 or more DTPs during the initial assessment. Even after multiple adjustments, a statistically significant reduction has been observed in the values of glycated hemoglobin, systolic blood pressure, low-density cholesterol, and total cholesterol. Conclusion: The CMM service contributed to the resolution of DTP and showed positive clinical impact in primary health care in the studied setting.
Palavras-chave em inglês
medication therapy managementpharmaceutical care
pharmaceutical services
primary health care
outcome assessment
Compartilhar