Integration of clinical pharmacy services into the Brazilian health system using Problematization with Maguerez Arc

Clinical pharmacy services (CPS) have been evolving worldwide. However, it is estimated that CPS are not yet integrated into the Brazilian healthcare system. Thus, the objective of this study is to identify factors that influence the integration of CPS into the healthcare system and propose strategi...

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Veröffentlicht in:Research in social and administrative pharmacy 2019-02, Vol.15 (2), p.173-181
Hauptverfasser: Santos Júnior, Genival Araujo dos, Onozato, Thelma, Rocha, Kérilin Stancine Santos, Ramos, Sheila Feitosa, Pereira, André Mascarenhas, Cruz, Carla Francisca dos Santos, Brito, Giselle Carvalho, Lyra-Jr, Divaldo Pereira de
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container_end_page 181
container_issue 2
container_start_page 173
container_title Research in social and administrative pharmacy
container_volume 15
creator Santos Júnior, Genival Araujo dos
Onozato, Thelma
Rocha, Kérilin Stancine Santos
Ramos, Sheila Feitosa
Pereira, André Mascarenhas
Cruz, Carla Francisca dos Santos
Brito, Giselle Carvalho
Lyra-Jr, Divaldo Pereira de
description Clinical pharmacy services (CPS) have been evolving worldwide. However, it is estimated that CPS are not yet integrated into the Brazilian healthcare system. Thus, the objective of this study is to identify factors that influence the integration of CPS into the healthcare system and propose strategies for this integration. A methodological development study was conducted from August 2016 to September 2017. Thus, interviews were conducted with key informants to identify barriers, facilitators, and strategies for CPS integration. Then these collected data were organized and confronted with the literature. Finally, a nominal group defined strategies for the integration of CPS into the Brazilian healthcare system. Interviews were conducted with five managers and seven decision-makers who listed 19 barriers and 20 facilitators. From these results, the nominal group proposed 41 integration strategies and prioritized five: formalize CPS; agree on care flows and referral protocols; evaluate and publicize CPS results/benefits; plan and define CPS; sensitize the health managers This study identified factors that influence the integration of CPS into the Brazilian health system and proposed strategies to achieve this integration. These results may contribute to future health decision-making processes.
doi_str_mv 10.1016/j.sapharm.2018.04.009
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source Elsevier ScienceDirect Journals
subjects Barriers
Clinical pharmacy services
Facilitators
Health system
Healthcare networks
Integrated care
Strategies
title Integration of clinical pharmacy services into the Brazilian health system using Problematization with Maguerez Arc
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