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Patients participation in pharmaceutical care consultations in Brazil

Abstract

Background The effectiveness of pharmaceutical care has already been evidenced in several studies and scenarios; the lack of patient’s consultation has been little explored in the literature. Unprovided care is a missed opportunity to offer care to another individual who needs attention to their health. The need for investigation of missed consultations in a Brazilian pharmaceutical care service arises. Objective To evaluate the participation and characteristics of patients in pharmaceutical care consultations in a university outpatient unit in the Brazilian city of Divinópolis. Methods A descriptive study was carried out from a secondary source of information. The socio-demographic profile of the patients who were absent from the pharmacy consultations from January to December 2017 was outlined. Results Of the 832 scheduled appointments from January to December 2017, 501 were not attended by patients, revealing 60.2% missed consultations. The female gender was predominant, corresponding to 67.8% of the patients. A total of 63.8% of the absentees were over 60 years of age. Most of the patients had two comorbidities (32.5%) and came from an active identification by the Outpatient unit pharmacists (86.60%). Furthermore, the patients who were more absent from the consultations had their primary health care units farther away from the outpatient unit, and this could be one of the causes of the high number of absent patients from the pharmaceutical consultations. Conclusion The lack of participation in patient’s consultations is high. It is necessary to articulate new strategies aimed at reducing absences from consultations, since this is a source of waste of financial resources and opportunities to improve the patients’ health and quality of life.

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References

  1. Hepler CD, Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm. 1990;47:533–43.

    CAS  PubMed  Google Scholar 

  2. Brasil. Conselho federal de farmácia [federal pharmacy council]. Resolution no. 499, of December 17, 2008. Provides on the provision of pharmaceutical services, in pharmacies and drugstores, and other measures. Brasília- DF, 2008.

  3. Baldoni AO, Obreli-Neto PR, Guidoni CM, Pereira LRL. Perspectives for clinical pharmacy in Brazil. JAPHAC. 2016;2(3):45–6.

    Google Scholar 

  4. Cavalcanti RP, Cavalcanti JCM, Serrano RMSM, Santana PR. Absenteeism of specialized consultations in the public health system: relationship between causes and the work process of family health teams. João Pessoa PB, Brasil. Rev Tempus Actas Saúde Col. 2013;7:63–84.

    Google Scholar 

  5. Bittar OJ, Nogueira V, Magalhães A, Martines CM, Felizola NBG, Falcão LHB. Absenteeism in ambulatory care of specialties in the state of São Paulo. BEPA. 2016;13(152):19–32.

    Google Scholar 

  6. Lyra Junior DP, Marcellini OS, Pela IR. Effect of pharmaceutical care intervention on blood pressure of elderly outpatients with hypertension. Rev Bras Cienc Farm. 2008;44(3):451–7.

    Article  Google Scholar 

  7. George A, Rubin G. Non-attendance in general practice: a systematic review and its implications for access to primary health care. Farm Pract. 2003;20:178–84.

    Article  Google Scholar 

  8. Oleskovicz M, Oliva FL, Grisi CCH, Lima AC, Custódio I. Technique of overbooking in outpatient public care in a unit of the Unified Health System. Public health Noteb. 2014;30(5):1009–17.

    Google Scholar 

  9. Dewulf NLS, Santos V, Pereira LRL. The invisible pharmacist. Am J Pharm Educ. 2009;73(4):4.

    Google Scholar 

  10. Travassos C, Oliveira EXG, Viacava F. Geographical and social inequalities in access to health services in Brazil:1998 e 2003. Ciênc Saúde Coletiva. 2006;11(4):975–86.

    Article  Google Scholar 

  11. Obreli-Neto PR, Marusic S, Guidoni CM, Baldoni AO, Renovato RD, Pilger D, Cuman RKN, Pereira LRL. Economic evaluation of a pharmaceutical care program for elderly diabetic and hypertensive patients in primary health care: a 36-month randomized controlled clinical trial. J Manag Care Pharm. 2015;21(1):66–75.

    Google Scholar 

  12. Bender AS, Molina LR, Mello ALSF. Absenteeism in secondary care and its implications in primary care. Espaç saúde (Online). 2010;11(2):56–65.

    Google Scholar 

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Funding

This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brazil (CAPES) and the Federal University of São João del Rei (UFSJ)—Finance Code 001.

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The authors declare that they have no conflict of interest.

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Correspondence to Mariana Linhares Pereira.

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Chaves, P.R.D., Mendonça, T.S., de Oliveira Baldoni, A. et al. Patients participation in pharmaceutical care consultations in Brazil. Int J Clin Pharm 41, 677–681 (2019). https://doi.org/10.1007/s11096-019-00823-5

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  • DOI: https://doi.org/10.1007/s11096-019-00823-5

Keywords

  • Brazil
  • Clinical pharmacy
  • Patients participation
  • Pharmaceutical appointments
  • Pharmaceutical care