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Regulamentação associada à preparação individualizada da medicação em Farmácia Comunitária
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 8.75 MB | Adobe PDF |
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Abstract(s)
Define-se o serviço de Preparação Individualizada da Medicação como o serviço a partir do qual o farmacêutico organiza as formas farmacêuticas sólidas, para uso oral, de acordo com a posologia prescrita, por exemplo, em um dispositivo de múltiplos compartimentos (ou em fita organizada por toma em alvéolos), tendo por objetivo auxiliar o utente na correta administração dos medicamentos e promover uma melhor adesão à terapêutica (OF, 2018). No caso de doentes crónicos e polimedicados em ambulatório a adesão à terapêutica é muito importante e extremamente difícil de conseguir, levando esta falha, segundo a International Pharmaceutical Federation, a um custo anual aproximado de 269 mil milhões de dólares, cerca de 4,6% do gasto mundial em saúde (FIP, 2018) mas, pior que isso, a um custo na saúde do doente. Em 2018, passou a existir regulamentação, a Portaria nº 97/2018, a incluir a PIM como um serviço passível de ser prestado em farmácia comunitária (DR, 2018) e foi criada, pela Ordem dos Farmacêuticos, a “Norma Geral Preparação Individualizada da Medicação (PIM)”, para que seja um processo minimamente coeso e regulado (OF, 2018) não havendo, no entanto, regulamentação por parte do INFARMED, como ocorreu para a dose unitária. Esta dissertação pretende rever a regulamentação atual e o processo da Preparação individualizada da Medicação e analisar a sua evolução.
The service of Personalized Medication Preparation is defined as the service through which the pharmacist organizes solid pharmaceutical forms for oral use according to the prescribed dosage, for instance, in a multi-compartment device (or in a strip organized by dose in blisters), with the aim of assisting the patient in the correct administration of the medications and promoting better adherence to therapy.(OF, 2018). For chronic and polymedicated outpatient patients, adherence to therapy is crucial and extremely difficult to achieve. According to the International Pharmaceutical Federation, this failure leads to an annual cost of approximately 269 billion dollars, about 4.6% of global healthcare expenditure (FIP, 2018), and more importantly, it impacts the patient's health. In 2018, regulation was introduced through Ordinance No. 97/2018, which included Individualized Medication Preparation as a service that could be offered in community pharmacies (DR, 2018). Additionally, the Portuguese Pharmaceutical Society created a guide, the "General Standard for Individualized Medication Preparation (IMP)," to ensure the process is somewhat cohesive and regulated (OF, 2018). However, unlike unit dose preparation, there is no specific regulation from INFARMED for IMP.
The service of Personalized Medication Preparation is defined as the service through which the pharmacist organizes solid pharmaceutical forms for oral use according to the prescribed dosage, for instance, in a multi-compartment device (or in a strip organized by dose in blisters), with the aim of assisting the patient in the correct administration of the medications and promoting better adherence to therapy.(OF, 2018). For chronic and polymedicated outpatient patients, adherence to therapy is crucial and extremely difficult to achieve. According to the International Pharmaceutical Federation, this failure leads to an annual cost of approximately 269 billion dollars, about 4.6% of global healthcare expenditure (FIP, 2018), and more importantly, it impacts the patient's health. In 2018, regulation was introduced through Ordinance No. 97/2018, which included Individualized Medication Preparation as a service that could be offered in community pharmacies (DR, 2018). Additionally, the Portuguese Pharmaceutical Society created a guide, the "General Standard for Individualized Medication Preparation (IMP)," to ensure the process is somewhat cohesive and regulated (OF, 2018). However, unlike unit dose preparation, there is no specific regulation from INFARMED for IMP.
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Keywords
Regulamentação Preparação Individualizada da Medicação Desperdício em Saúde Adesão à terapêutica