Melhoria da qualidade da assistência farmacêutica em um município do oeste potiguar, Brasil

Abstract

Advances made from the publication of the National Medicines Policy (PNM), the National Pharmaceutical Assistance Policy, the Health Pact and Decree 7.508 of 2011. However, studies point to weaknesses in the current model of Pharmaceutical Assistance, making service difficult to the principles proposed by the Unified Health System (SUS), through the Health Care Networks (RAS) and with the challenge of overcoming the fragmentation of services. The present study aimed to evaluate the improvement in the quality of Pharmaceutical Care in the city of Apodi/RN, Brazil, after implementing a cycle of quality improvement. It is an Action Research with a before and after evaluation study. The analysis of the criteria and indicators constructed was carried out in the Standards for Quality Improvement Reporting Excellence 2.0 (SQUIRE). Fourteen drug dispensing units were evaluated, being 12 Basic Health Units (UBS), 01 Psychosocial Care Center (CAPS) and 01 Supply Center. For each evaluation, a confidence interval (CI) of 95% was assigned. The research was approved by the Research Ethics Committee under the opinion number 5.077,998 (CAAE: 50990921.9.0000.5292). As a result, the elaboration and implementation of the Manual of Good Practices for Dispensing Medicines and Standard Operating Procedure (SOP) was obtained; implementation of the HORUS system; hiring another pharmacist for the implementation of Pharmaceutical Assistance actions. The study demonstrated the effectiveness of a plan to improve the quality of Pharmaceutical Care in the city of Apodi/RN, Brazil.