Almária Mariz Batista

Avaliação da propaganda de medicamentos veiculada em emissoras de rádio

O objetivo deste estudo foi avaliar propagandas de medicamentos veiculadas em emissoras de radio em Natal (RN), Brasil, nos periodos de abril a setembro de 2008 e abril a setembro de 2010. As propagandas foram captadas, gravadas e transcritas para se efetuar uma analise legal e uma de conteudo baseada nos preceitos de Laurence Bardin. Tanto as captadas no primeiro periodo (sob egide da RDC 102/00), quanto as do segundo (sob egide da RDC 96/08), apresentaram algum tipo de infracao legal. A analise de conteudo detectou, em ambos os periodos, praticamente os mesmos vicios como ausencia de informacoes negativas sobre o medicamento, apelo ao consumo, exaltacao da eficiencia/eficacia e exploracao abusiva de enfermidades. Apesar da mudanca para uma legislacao mais moderna e mais restritiva, as propagandas de medicamentos, no radio, continuam a infringir frontalmente a legislacao, cometendo abusos e desrespeitando o direito a saude da populacao. O estudo aponta para a necessidade do tema propaganda de medicamentos ser tratado em um contexto mais amplo, ou seja, discutido como questao de saude publica, considerando-se o cenario historico-social em que se desenvolveu, uma vez que so a legislacao nao e suficiente para coibir abusos praticados em detrimento da saude publica.

Development and validation of indicators for best patient safety practices: the ISEP-Brazil Project

Um monitoramento eficaz da seguranca do paciente precisa focar a implantacao de praticas baseadas em evidencias que evitem danos desnecessarios ligados a assistencia a saude. O objetivo do Projeto ISEP-Brasil foi desenvolver e validar indicadores de boas praticas de seguranca do paciente para o contexto brasileiro. Tomou por base a traducao e adaptacao dos indicadores validados no Projeto ISEP-Espanha, alem do documento Safe Practices for Better Healthcare do National Quality Forum dos Estados Unidos, que possui 34 recomendacoes de boas praticas. Realizou-se validacao por um painel de 25 especialistas e analise da confiabilidade e viabilidade em um estudo-piloto realizado em tres hospitais com diferentes tipos de gestao (estadual, federal e privada). Aprovaram-se 75 indicadores de boas praticas (39 de estrutura; 36 de processo) para 31 das 34 recomendacoes. Os indicadores foram considerados validos, confiaveis e uteis para o monitoramento da seguranca do paciente em hospitais brasileiros.Efficacious patient safety monitoring should focus on the implementation of evidence-based practices that avoid unnecessary harm related to healthcare. The ISEP-Brazil project aimed to develop and validate indicators for best patient safety practices in Brazil. The basis was the translation and adaptation of the indicators validated in the ISEP-Spain project and the document Safe Practices for Better Healthcare (U.S. National Quality Forum), recommending 34 best practices. A 25-member expert panel validated the indicators. Reliability and feasibility were based on a pilot study in three hospitals with different management formats (state, federal, and private). Seventy-five best practice indicators were approved (39 structure; 36 process) for 31 of the 34 recommendations. The indicators were considered valid, reliable, and useful for monitoring patient safety in Brazilian hospitals.

Desarrollo y validación de indicadores de buenas prácticas de seguridad del paciente: Proyecto ISEP-Brasil

Um monitoramento eficaz da seguranca do paciente precisa focar a implantacao de praticas baseadas em evidencias que evitem danos desnecessarios ligados a assistencia a saude. O objetivo do Projeto ISEP-Brasil foi desenvolver e validar indicadores de boas praticas de seguranca do paciente para o contexto brasileiro. Tomou por base a traducao e adaptacao dos indicadores validados no Projeto ISEP-Espanha, alem do documento Safe Practices for Better Healthcare do National Quality Forum dos Estados Unidos, que possui 34 recomendacoes de boas praticas. Realizou-se validacao por um painel de 25 especialistas e analise da confiabilidade e viabilidade em um estudo-piloto realizado em tres hospitais com diferentes tipos de gestao (estadual, federal e privada). Aprovaram-se 75 indicadores de boas praticas (39 de estrutura; 36 de processo) para 31 das 34 recomendacoes. Os indicadores foram considerados validos, confiaveis e uteis para o monitoramento da seguranca do paciente em hospitais brasileiros.Efficacious patient safety monitoring should focus on the implementation of evidence-based practices that avoid unnecessary harm related to healthcare. The ISEP-Brazil project aimed to develop and validate indicators for best patient safety practices in Brazil. The basis was the translation and adaptation of the indicators validated in the ISEP-Spain project and the document Safe Practices for Better Healthcare (U.S. National Quality Forum), recommending 34 best practices. A 25-member expert panel validated the indicators. Reliability and feasibility were based on a pilot study in three hospitals with different management formats (state, federal, and private). Seventy-five best practice indicators were approved (39 structure; 36 process) for 31 of the 34 recommendations. The indicators were considered valid, reliable, and useful for monitoring patient safety in Brazilian hospitals.

Desenvolvimento e validação de indicadores de boas práticas de segurança do paciente: Projeto ISEP-Brasil

Um monitoramento eficaz da seguranca do paciente precisa focar a implantacao de praticas baseadas em evidencias que evitem danos desnecessarios ligados a assistencia a saude. O objetivo do Projeto ISEP-Brasil foi desenvolver e validar indicadores de boas praticas de seguranca do paciente para o contexto brasileiro. Tomou por base a traducao e adaptacao dos indicadores validados no Projeto ISEP-Espanha, alem do documento Safe Practices for Better Healthcare do National Quality Forum dos Estados Unidos, que possui 34 recomendacoes de boas praticas. Realizou-se validacao por um painel de 25 especialistas e analise da confiabilidade e viabilidade em um estudo-piloto realizado em tres hospitais com diferentes tipos de gestao (estadual, federal e privada). Aprovaram-se 75 indicadores de boas praticas (39 de estrutura; 36 de processo) para 31 das 34 recomendacoes. Os indicadores foram considerados validos, confiaveis e uteis para o monitoramento da seguranca do paciente em hospitais brasileiros.Efficacious patient safety monitoring should focus on the implementation of evidence-based practices that avoid unnecessary harm related to healthcare. The ISEP-Brazil project aimed to develop and validate indicators for best patient safety practices in Brazil. The basis was the translation and adaptation of the indicators validated in the ISEP-Spain project and the document Safe Practices for Better Healthcare (U.S. National Quality Forum), recommending 34 best practices. A 25-member expert panel validated the indicators. Reliability and feasibility were based on a pilot study in three hospitals with different management formats (state, federal, and private). Seventy-five best practice indicators were approved (39 structure; 36 process) for 31 of the 34 recommendations. The indicators were considered valid, reliable, and useful for monitoring patient safety in Brazilian hospitals.

Evaluation of medication advertising broadcast on radio stations

The scope of this paper was to evaluate advertising for medication broadcast on radio stations in Natal, State of Rio Grande do Norte, Brazil, from April to September 2008 and from April to September 2010. The advertising was recorded and transcribed in order to conduct legal analysis and content analysis based on the precepts of Laurence Bardin. Both the advertising recorded during the first stage (regulated by RDC 102/00) and the second stage (regulated by RDC 96/08) contained some form of legal violation. Content analysis detected practically the same violations in both stages, namely the lack of information regarding adverse effects of the medication, appeal to consumption, exaggeration of efficiency/effectiveness and abusive exploitation of illness. Despite the inclusion of more modern and restrictive legislation, radio advertising continues to violate the law blatantly, committing abuse and disrespecting the populations entitlement to good health. The study reveals the need for medication advertising to be dealt with in a broader context, in other words to be treated as a public health concern. It must take into consideration the socio-historical scenario in which it evolved, since the legislation alone is insufficient to combat abuse committed to the detriment of public health.

Analysis of advertisements of infant food commercialized in the city of Natal, Rio Grande do Norte, Brazil

The advertising about maternal milk substitutes has been pointed as one of the factors responsible for the breastfeeding low rates. In this way, legal support was created to assure that the use of such products would not interfere on the healthy breastfeeding habit of the population. This study, developed between June 2006 and May 2008 in the city of Natal, state of Rio Grande do Norte, analyzed the food advertisements divulged under the validity of Law # 11.265/2006, which controls in Brazil the food commercialization and the publicity addressed to parents or keepers of nursling and children in the first childhood. 220 advertisements, being 141 of technical-scientific nature, and 79 for strictly commercial promotion, were collected and evaluated according to legal requirements. The results from this analysis showed that 100% of the advertisements of technical-scientific nature overstepped the clause V; 18.4% the clause IV and 14.2% the clauses I, II and III of article 19th of Law # 11265/2006. In 42% of the advertisements strictly for commercial promotion, the mandatory information mentioned at clauses I and II of the article 5th were not shown. In 8.7% of the advertisements containing such information, it was placed in an area that embarrassed its identification and reading, due to used fonts size and/or color; similarly as occurred with the information required by article 19th, in the advertisements of technical-scientific nature.