A assistência farmacêutica e o seu processo de reorientação no município de Vitória/ES : avanços e desafios
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Data
2013-03-26
Autores
Simões, Fabiane Lima
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Universidade Federal do Espírito Santo
Resumo
Vitória, Capital of Espírito Santo State, is a reference to other municipalities regarding the process of reorientation of Pharmaceutical Assistance. It is concerning this object - the Pharmaceutical Assistance and its local reorientation – that this study was conducted with municipal administrators and Pharmaceutical Assistance managers between 1998 and 2012. Thus, the aim of this study, which included the participation of three administrators and three managers, was to analyze on a Socio-Historical perspective, the institutionalization of Pharmaceutical Assistance in the county and its subsequent reorientation process. As devices of material production it was used documental observation, interviews and research diary. During field work, the starting point was the documentary observation and the empirical study was conducted through semi-structured interviews followed by notes in the research diary. The survey analysis was made in light of Institutional Analysis in the perspective of Savoye and the report was of cartographic inspiration. The study showed that the city of Vitoria is avant-garde in the process of organizing the Pharmaceutical Assistance in Brazil, complying with the minimum guidelines of that process, keeping updated its List of Essential Medicines and, while in most Brazilian cities, the pharmacist is a professional of municipal and even regional reference, in our context this professional is present in almost all services - primary health care, referral centers, emergency rooms, health surveillance – which involve all the municipal healthcare system. As a challenge, the study pointed out that, despite the level of excellence in attending the guidelines of National Drug Policy, the physical structure of pharmacies that compose the services and continuing education, compromise the full implementation of pharmaceutical care to the users of the Unified Health System. For the administrators and managers interviewed, except for the political changes during the study period, a convergence of favorable factors - organizational restructuring of the Municipal Health Office in Vitória, local standards in Pharmaceutical Assistance, computerization of services and the acquisition of new pharmaceuticals through contests over the perio - made possible the anticipation of the national model of reorientation of Pharmaceutical Assistance so that when the Implementation of the National Drug Policy in 1998 came up, the municipality had already complied four o the eight guidelines contained in that policy. Therefore, the process of institutionalization of Pharmaceutical Care in Vitoria was ruled by a collective effort of the involved ones - administrators and managers – who have incorporated in their daily work, a wish to turn it a reality.
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Palavras-chave
Pharmaceutical assistance , Health management , Historical aspects , Gestão em saúde , Aspectos históricos