初级卫生保健规定的持续使用药物的概况和基本药物清单中的存在情况

Paula Lorenzoni Nunes, Vanessa Adelina Casali Bandeira, Vanessa Boeira Flores, Andressa Oss-Emer Soares Bottega, K. Kleibert, C. Colet
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引用次数: 0

摘要

目的:评估圣罗莎/ RS初级卫生保健(PHC)规定的持续使用药物的概况,并确定在官方基本药物清单中的存在。方法:采用横断面、分析和定量研究方法,对圣罗莎市初级卫生保健用户的数字处方进行分析。研究没有性别限制,患者至少使用一种慢性药物。数据是通过用户的打印报告收集的。结果:研究纳入642名参与者,平均年龄60.40±14.48岁,女性64.3%,采用综合用药的47.4%。共鉴定出3.009种药物,平均(4.69±2.82)种/处方。心血管系统(46.9%)、神经系统(16.8%)、消化道和代谢系统(14.8%)的发病率较高。最常用的药物是氢氯噻嗪、氟西汀和奥美拉唑。在官方药物清单中,90.9%的药物在RENAME中,90.8%的药物在REMUME中,80%的用户获得了完全获得药物的途径。处方中抗生素占0.3%,注射类药物占1.3%,所有药物均采用通用名和计算机化方式开具。结论:我市药物治疗概况与全国实际情况基本一致,大部分指标符合世界卫生组织推荐标准,说明我市PA组织有序,为用户获取基本药物提供了便利。然而,每张处方的药物数量很高,并且存在多种药房,这证明了获取这些药物以及促进这些药物合理使用的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Profile of continuous use drugs prescribed in primary health care and presence in list of essential drugs
Objectives: To evaluate the profile of the drugs for continuous use prescribed in Primary Health Care (PHC) in Santa Rosa / RS and to identify presence in the official lists of essential drugs. Methods: Cross-sectional, analytical and quantitative study, with analysis of the digital prescriptions of users of primary health care in Santa Rosa. There was no gender restriction and patients who used at least one chronic drug were included. Data were collected through a printed report from users. Results: The study included 642 participants, with a mean age of 60.40±14.48, 64.3% were female and 47.4%, using polypharmacy. A total of 3.009 drugs were identified, with an average of 4.69±2.82 medications/prescription. There was a higher frequency of the cardiovascular system (46.9%), nervous system (16.8%) and digestive tract and metabolism (14.8%). The most commonly used drugs were hydrochlorothiazide, fluoxetine and omeprazole. Regarding the presence of drugs in the official lists, 90.9% are in RENAME and 90.8% in REMUME, and 80% of users have obtained full access to medicines. In the prescriptions, 0.3% contained antibiotics, 1.3% injectable drugs and all drugs were prescribed by the generic name and in a computerized way. Conclusions: The pharmacotherapeutic profile is similar to the national reality and most indicators are as recommended by the WHO, demonstrating the organization of the PA of the city, which facilitates the access of users to essential medicines. However, there was a high number of drugs per prescription and presence of polypharmacy, evidencing the importance of access to it as well as the promotion of the rational use of these drugs.
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