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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
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
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
Pharmacies: 57,000
PHARMACEUTICAL PROFESSION IN BRAZIL
INTRODUCTION
Pharmacists: 100,000 Faculties of Pharmacy: 300
PHARMACEUTICAL CARE (PhC) IN BRAZIL
INTRODUCTION
(2001-2002)
(2001)(2003)
(2002)
(www.opas.org.br/medicamentos)
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/
To introduce actions to implement PhC in public
health care system (SUS)
GOAL
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
Task Force debating about theinsertion of pharmacists in
primary health care
Portaria 698/06
ACTIONS TO PhC POLICY
RESULTS AND DISCUSSION
ACTIONS TO ESTIMULATE PhC RESEARCH
RESULTS AND DISCUSSION
Edital 054/ 2005 –DAF/MS - CNPq
Financial funding to support research in SUS, including PhC
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
RESULTS AND DISCUSSION
21 21 andand 22 22 FebruaryFebruary 20062006
ACTIONS TO QUALIFY PhC RESEARCH
RESULTS AND DISCUSSION
ACTIONS TO QUALIFY PhC PRACTICE
RESULTS AND DISCUSSION
ACTIONS TO QUALIFY PhC RESEARCH AND PRACTICE
RESULTS AND DISCUSSION
ACTIONS TO QUALIFY PhC PRACTICE
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
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