Abstract
This present observational, longitudinal, and non-concurrent study was developed with the purposes of evaluate the profile of patients attended by a pharmacotherapeutic follow-up service and describe the Drug-Related Problems (DRPs) found over there; determine the proportion of DRPs between the health problems presented by the studied population, classifying them and identifying the situations related with their appearance. The study was developed at the School Pharmacy of Newton Paiva University Center, Belo Horizonte, MG, during the period from 2001 November up to 2003 November. Ninety seven patients have been evaluated, the majority of female sex (66.0%), with up to 8 years of scholarship (45.4%), mean age of 56.7 ± 13.0 years; mean of 4 ± 2 diagnosed diseases; 7 ± 6 complaints and 4 ± 2 medications per patient. Nine hundred and twelve health problems have been identified: 56.5% uncontrolled. From the uncontrolled problems, 380 (73.6%) were DRPs and between these, 81 (21.3%) were risks for DRP. From the 97 followed-up patients, 89 (91.7%) have presented at least one DRP during the follow-up. The more frequent DRPs were related to effectiveness (53.2%), to necessity (25.2%) and to safety (21.6%). A great number of uncontrolled problems was observed, as well as the possibility to resolve them by means of pharmaceutical care, indicating so the resolutive potential of this practice.
Highlights
The pharmaceutical care (PC) is considered as a change in the profession conception and has arisen at theY
This work had as purposes to evaluate the profile of patients attended by a pharmacotherapeutic follow-up service, and describe the drug related problems found in this group of patients, and reported by the pharmacists developing the follow-up; to determine the proportion of drug related problems (DRPs) between the health problems presented by the studied population, classify the DRPs according to categories professed by the Second Consensus of Granada respecting Drug Related Problems (2002), and identify the situations leading to appearance of a DRP
A descriptive data analysis has been developed, in a procedure that has included the determination of proportion of drug related problems (DRP) between the health problems presented by the studied population, in a general way and according to professed categories
Summary
The pharmaceutical care (PC) is considered as a change in the profession conception and has arisen at the. As referred by Strand (1990), the main purpose for all healthcare professionals is to improve the patients’ quality of life, being that every professional contributes with his/her specific practice This way, pharmaceutical care can contribute to assure the outcome of pharmacological therapy, once it presupposes three main responsibilities in the clinical context: 1) to meet patients’ necessities respecting to pharmacotherapy, that is, to assure that patients requiring a medication utilize it, that the used pharmacotherapy is the most effective available one, the most safe possible one, and that it can be used as indicated; 2) to identify, resolve, or prevent any problem related to pharmacotherapy, which could interfere with the above described pharmacotherapeutic necessities; 3) to assure that treatment goals and optimal results are reached. This work had as purposes to evaluate the profile of patients attended by a pharmacotherapeutic follow-up service, and describe the drug related problems found in this group of patients, and reported by the pharmacists developing the follow-up; to determine the proportion of drug related problems (DRPs) between the health problems presented by the studied population, classify the DRPs according to categories professed by the Second Consensus of Granada respecting Drug Related Problems (2002), and identify the situations leading to appearance of a DRP
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