Tatiane de Oliveira Silva Alencar

Descarte de medicamentos: uma análise da prática no Programa Saúde da Família

The scope of this article is to discuss the perception of health workers in relation to the disposal of drugs and analyze how this practice occurs in family health units in a city in the state of Bahia. It involved a qualitative and exploratory study together with nurses, nursing assistants, community health workers and pharmacists of Pharmaceutical Care and Health Surveillance. Semi-structured interviews were conducted with systematic observation and use of previously-drafted scripts and the content analysis method was used for data analysis. The results showed poor understanding regarding proper disposal among the workers, dissonant practices in the implementation of the regulations and a lack of communication between health surveillance and other health services. The creation of effective strategies must involve the whole process from management to the prescription and use of drugs and requires further political, economic and social participation.

Assistência Farmacêutica no Programa Saúde da Família: encontros e desencontros do processo de organização

The scope of this study was to discuss the organization of the pharmaceutical assistance service in the family healthcare program. Qualitative research from a critical/analytical perspective was conducted in family healthcare units in a municipality of the state of Bahia, Brazil. Data was collected on the basis of systematic observation, semi-structured interviews and documents analysis from a dialectic standpoint. The organization of Pharmaceutical Assistance consisted of selection, planning, acquisition, storage and dispensing activities. The process was studied in the implementation phase, which was occurring in a centralized and uncoordinated fashion, without the proposed team work. An excess of activity was observed among the healthcare workers and there was an absence of a continued education policy for the workers. For the transformation of this situation and to ensure the organization of pharmaceutical assistance with quality and in an integrated manner, a reworking of the manner of thinking and action of the players concerned (managers, health workers and users), who participate directly in the organization, is necessary. Furthermore, mechanical, bureaucratic and impersonal work practices need to be abandoned.

Promoção do uso racional de medicamentos: uma experiência na estratégia saúde da família

Objective: To describe experiences on rational use of drugs originated in the activities of a university extension program. Data Synthesis: The activities were conducted at a family health unit of a city in the state of Bahia, in the period from August 2010 to August 2013, involving the family health team, users (adults, elderly, and pregnant women), students and professors of a state university. Systematic observation, home visits, thematic workshops, waiting rooms, scientific events and research collaboration were held. The activities were developed in an articulate manner and had four objects: rational drug use by the elderly; rational dispensing of drugs in primary care; rational use of psychotropic drugs; and rational prescription of medications. Conclusion: The experiences revealed that the issue of drugs has not been inserted in the health team’s work process. The extension activities, however, may have contributed to reflections on practices as well as to the development of skills and potentialities of those involved, aiming at the improvement of prescription, dispensing and use of medicines in the community. doi:10.5020/18061230.2014.p575

Hermenêutica dialética: uma experiência enquanto método de análise na pesquisa sobre o acesso do usuário à assistência farmacêutica - doi: 10.5020/18061230.2012.p243

Objective: To describe the application of dialectical hermeneutics as a method of analysis in research on pharmaceutical services. Data Synthesis: This is the description of a qualitative approach method of analysis, used in a research having as its object of study the user access to the Pharmaceutical Services and its analysis based on understanding of the dimensions of access (geographical, economic, functional, availability and communicational) defined by various experts in the area. There is delimitation of subjects and criteria applied for their inclusion, techniques (systematic observation, semi-structured interviews and analysis of documents) and instruments for data collection, and the steps involved in organizing and analyzing data according to the methodological trajectory of dialectical hermeneutics. The form of constructing the analysis tables and the analytical categories emerged from data analysis is also demonstrated. Conclusion: Detailed description of using the method of data analysis on dialectical hermeneutics basis shows its application as a methodological alternative to studies on pharmaceutical services, revealing the possibility of overcoming the usual positivist approach that characterizes them, and the possibility of its reproduction for other objects of study in public health