OBJECTIVE:To discuss the provision of pharmaceutical services and pharmaceutical care in Brazil. FINDINGS:Professional training and pharmaceutical services are undergoing a period of restructuring in Brazil, including the adoption of incentives for pharmaceutical care. Some important national measures include the rational use of medications, evidence-based medicine, and pharmacovigilance. A new and more generalist pharmacy curriculum is being implemented and tailored for the Brazilian Public Health System; recently, the Brazilian government has provided resources for pharmaceutical care research. DISCUSSION:A proposal for national consensus in Brazilian pharmaceutical care was published in 2002. The components of this proposal include drug dispensing, counseling, health education, symptoms advice, and pharmacotherapy follow-up. Pharmacy practice is currently focused on drug dispensing and logistic aspects of drug distribution. Professionals are satisfied with patients' confidence in being counseled by pharmacists and reveal interest in extending their role in patient care. Most pharmacy customers were originally unaware of the term "pharmaceutical care"; however, following an explanation, they showed an interest in this service. Furthermore, over 50% stated that they would pay for this service. Despite these initiatives, numerous barriers to the development of pharmaceutical care remain, the main ones being the commercial objective of most pharmacies that sell medications and the insufficient training of professionals. Although government-owned pharmacies also distribute medications, they do not meet all of the needs of the population and lack sufficient pharmacists. CONCLUSIONS:Several actions are required to stimulate the implementation and development of pharmaceutical care and services in Brazil. Recent research incentives in pharmaceutical care and reorientation of pharmacy education will contribute to this development.

译文

目的:讨论巴西的药品服务和药品护理服务。
结果:在巴西,专业培训和制药服务正在进行重组,其中包括采用药品护理激励措施。一些重要的国家措施包括合理使用药物,循证医学和药物警戒。正在针对巴西公共卫生系统实施和量身定制的新的,更具通才的药学课程;最近,巴西政府已经为药物护理研究提供了资源。
讨论:2002年发布了一项关于在巴西进行药物治疗的全国共识的提案。该提案的组成部分包括药物分配,咨询,健康教育,症状建议以及药物治疗的随访。药学实践目前集中在药物分配和药物分配的后勤方面。专业人士对患者对获得药剂师辅导的信心感到满意,并表示有兴趣扩大其在患者护理中的作用。大多数药房客户最初都不知道“药房护理”一词。然而,经过解释,他们对这项服务表现出了兴趣。此外,超过50%的人表示愿意为此服务付费。尽管采取了这些举措,但仍然存在许多阻碍药物治疗发展的障碍,主要的障碍是大多数出售药物的药房的商业目标以及对专业人员的培训不足。尽管政府拥有的药房也分发药品,但它们不能满足人群的所有需求,并且缺乏足够的药剂师。
结论:需要采取一些行动来刺激巴西医药保健和服务的实施和发展。近期在药物护理和药物教育方向调整方面的研究激励措施将为这一发展做出贡献。

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