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INTRODUCING ACTIONS TO IMPLEMENT PHARMACEUTICAL CARE IN BRAZIL DIVALDO LYRA JR.,PhD, MSc Fabíola S. VIEIRA, Manoel R.C. SANTOS
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INTRODUCING ACTIONS TO IMPLEMENT PHARMACEUTICAL … · introducing actions to implement pharmaceutical care in brazil divaldo lyra jr.,phd, msc fabíola s. vieira, manoel r.c. santos

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Page 1: INTRODUCING ACTIONS TO IMPLEMENT PHARMACEUTICAL … · introducing actions to implement pharmaceutical care in brazil divaldo lyra jr.,phd, msc fabíola s. vieira, manoel r.c. santos

INTRODUCING ACTIONS TO IMPLEMENT PHARMACEUTICAL CARE IN BRAZIL

DIVALDO LYRA JR.,PhD, MSc

Fabíola S. VIEIRA, Manoel R.C. SANTOS

Page 2: INTRODUCING ACTIONS TO IMPLEMENT PHARMACEUTICAL … · introducing actions to implement pharmaceutical care in brazil divaldo lyra jr.,phd, msc fabíola s. vieira, manoel r.c. santos

BACKGROUND

Area: 8,5 million Km2

Population: 180 million

Page 3: INTRODUCING ACTIONS TO IMPLEMENT PHARMACEUTICAL … · introducing actions to implement pharmaceutical care in brazil divaldo lyra jr.,phd, msc fabíola s. vieira, manoel r.c. santos

Attend 72 % of Brazilians

7,500 Hospitals, 64,000 primary health care units and 20,000 family health care teams

BRAZILIAN PUBLIC HEALTH CARE SYSTEM (SUS)

5,8

7,2

9,510,1

11,2

0,00

2,00

4,00

6,00

8,00

10,00

12,00

2002 2003 2004 2005

2006

Evaluation of Brazilian Health Ministrybudget with Medications (2002-2006)

Pharmaceutical Assistance is essential service in SUS and a right of all Brazilians

INTRODUCTION

Page 4: INTRODUCING ACTIONS TO IMPLEMENT PHARMACEUTICAL … · introducing actions to implement pharmaceutical care in brazil divaldo lyra jr.,phd, msc fabíola s. vieira, manoel r.c. santos

INTRODUCTION

Population aging => ⇑ of chronic health conditions and the medication use

The elderly consist in 50% of polypharmacy users

MillionMillion

MillionMillion

MillionMillion

MillionMillion

BARRIERS IN SUS

Great demand assisted by SUS

Insufficient number of pharmacists and assistants

Page 5: INTRODUCING ACTIONS TO IMPLEMENT PHARMACEUTICAL … · introducing actions to implement pharmaceutical care in brazil divaldo lyra jr.,phd, msc fabíola s. vieira, manoel r.c. santos

Pharmacies: 57,000

PHARMACEUTICAL PROFESSION IN BRAZIL

INTRODUCTION

Pharmacists: 100,000 Faculties of Pharmacy: 300

Page 6: INTRODUCING ACTIONS TO IMPLEMENT PHARMACEUTICAL … · introducing actions to implement pharmaceutical care in brazil divaldo lyra jr.,phd, msc fabíola s. vieira, manoel r.c. santos

PHARMACEUTICAL CARE (PhC) IN BRAZIL

INTRODUCTION

(2001-2002)

(2001)(2003)

(2002)

(www.opas.org.br/medicamentos)

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PhC IN BRAZIL

INTRODUCTION

Lyra Jr., DP. The impact of a Pharmaceutical Care program on the clinical and humanistic outcomes of a group of elderly outpatients assisted by the Primary Health Care Unit (PHCU) Dr. Ítalo Baruffi in Ribeirão Preto (SP) [Tesis]. Ribeirão Preto

(Brazil): University of São Paulo, 2005. available: www.teses.usp.br/

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To introduce actions to implement PhC in public

health care system (SUS)

GOAL

Page 9: INTRODUCING ACTIONS TO IMPLEMENT PHARMACEUTICAL … · introducing actions to implement pharmaceutical care in brazil divaldo lyra jr.,phd, msc fabíola s. vieira, manoel r.c. santos

METHODOLOGY

In August 2005, Pharmaceutical Assistance Department (DAF) of

Brazilian Health Ministry introduced National action plan to implement

and develop Pharmaceutical Care in SUS

Formation

to practice

PhC

Actions

Plan

Policy

Research

Page 10: INTRODUCING ACTIONS TO IMPLEMENT PHARMACEUTICAL … · introducing actions to implement pharmaceutical care in brazil divaldo lyra jr.,phd, msc fabíola s. vieira, manoel r.c. santos

Task Force debating about theinsertion of pharmacists in

primary health care

Portaria 698/06

ACTIONS TO PhC POLICY

RESULTS AND DISCUSSION

Page 11: INTRODUCING ACTIONS TO IMPLEMENT PHARMACEUTICAL … · introducing actions to implement pharmaceutical care in brazil divaldo lyra jr.,phd, msc fabíola s. vieira, manoel r.c. santos

ACTIONS TO ESTIMULATE PhC RESEARCH

RESULTS AND DISCUSSION

Edital 054/ 2005 –DAF/MS - CNPq

Financial funding to support research in SUS, including PhC

Page 12: INTRODUCING ACTIONS TO IMPLEMENT PHARMACEUTICAL … · introducing actions to implement pharmaceutical care in brazil divaldo lyra jr.,phd, msc fabíola s. vieira, manoel r.c. santos

RESULTS AND DISCUSSION

Four events were organized and financed by DAF to promote interchange between Brazilian and foreigner researchers

ACTIONS TO QUALIFY PhC IN SUS

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RESULTS AND DISCUSSION

21 21 andand 22 22 FebruaryFebruary 20062006

ACTIONS TO QUALIFY PhC RESEARCH

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RESULTS AND DISCUSSION

ACTIONS TO QUALIFY PhC PRACTICE

Page 15: INTRODUCING ACTIONS TO IMPLEMENT PHARMACEUTICAL … · introducing actions to implement pharmaceutical care in brazil divaldo lyra jr.,phd, msc fabíola s. vieira, manoel r.c. santos

RESULTS AND DISCUSSION

ACTIONS TO QUALIFY PhC RESEARCH AND PRACTICE

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RESULTS AND DISCUSSION

ACTIONS TO QUALIFY PhC PRACTICE

Page 17: INTRODUCING ACTIONS TO IMPLEMENT PHARMACEUTICAL … · introducing actions to implement pharmaceutical care in brazil divaldo lyra jr.,phd, msc fabíola s. vieira, manoel r.c. santos

September 2006-January 2007: Formation of a Task Force to elaborate the first NationalDispensing and PhC Training Programme

CONCLUSION

November-December 2006: implementation ofPortaria 2084 => PhC as an indicator of quality in Pharmaceutical Assistance

Nowadays, DAF is creating a net of researchers to monitor and interchange the outcomes obtained in projects supported by DAF

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THANK YOU!!!

DEPARTAMENTO DE ASSISTÊNCIA FARMACÊUTICA/ MSEsplanada dos Ministérios Bloco G - Ed. Sede 8º andar

ZIP CODE: 70058-900 – Brasília,DF, BrasilFone: +055 2161 3315 2409

[email protected]@saude.gov.br

VIEIRA, F.SSANTOS, M.R.CLYRA JR., DP