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4 results

  • A broad view of pharmaceutical services in multidisciplinary teams of public Primary Healthcare Centers: a mixed methods study in a large city in Brazil

  • Samara Jamile Mendes, Myllena Farisco, Silvana Nair Leite, Sílvia Storpirtis
  • Journal:
    Primary Health Care Research & Development / Volume 23 / 2022
    Published online by Cambridge University Press:
    20 May 2022, e31
    • Article
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  • Aim:

    This study aims to describe how the pharmaceutical services are performed in Primary Healthcare Centers of the Brazilian Public Health System in a large city. Background: There is extensive international discussion about the role of pharmacists in health care teams, particularly in Primary Health Care (PHC). However, in Brazil, there is still no consensus on what services the pharmacist should perform in multidisciplinary teams in PHC.

    Methods:

    This study used mixed methods research, and it was conducted with 200 pharmacists who work in PHC Centers of the public health system in São Paulo. The study was conducted using a focus group and an online survey, and qualitative and quantitative data were obtained.

    Findings:

    The analysis of the data from the focus group showed two central themes: (i) pharmaceutical services go beyond medicines and (ii) the contributions of the pharmacist to a multidisciplinary team work in PHC. The survey explored 29 services provided by pharmacists, 7 of which were provided daily. It is important to emphasize that pharmacists do not differentiate the relevance attributed to services considered clinical from those that are managerial or more related to access to medicines. This is an opportunity to develop their teamwork skills. Hence, it is necessary to consolidate the professional identity of the pharmacist and to organize their work processes in a multidisciplinary team. PHC is a space that allows a wide development of pharmaceutical services.

  • Chapter 11 - Auxiliary Medical Services in a Field Hospital

  • from Section 3 - Operational Considerations
  • Edited by Elhanan Bar-On, Kobi Peleg, Yitshak Kreiss
  • Book:
    Field Hospitals
    Published online:
    09 January 2020
    Print publication:
    09 January 2020, pp 88-100

  • Summary

    Field hospitals are a vital element in providing as many medical services as possible to a stricken population in times of disaster. Setting up a field hospital with advanced auxiliary medical services is possible as long as there is comprehensive and careful planning, training, and preparation done ahead of time. The main objective of the AMS department is to organize and assist in establishing the field hospital, ensure its smooth and efficient operation throughout the stay, and, at the close of a mission to disassemble the equipment for its return journey and then ensure it is in optimum working order for the next call up. The department is responsible for maintaining all medical devices in perfect working order with the focus being on safety compliance and patient welfare. The four core services provided by the department cover medical engineering, medical equipment and pharmacy, diagnostic imaging, and the clinical laboratory. All these services operate according to a predetermined workflow and clear working guidelines. In keeping with the goals of the humanitarian mission, the medical engineering service will handle the acquisition and maintenance of equipment capable of functioning in an electricity free environment. They will verify that all devices are robust and capable of operating under extreme weather conditions and comply with any specifications mandated by the different countries. The pharmacy service plays a vital role in ensuring medicine and its accompanying information is handled efficiently and safely. Data is accrued over the span of a mission to assist with ever more accurate future planning. The diagnostic imaging service must be able to provide both investigative and diagnostic examinations. This service is agile and can be provided in an imaging department tent, a dedicated container unit or bedside for patients who are not to be moved. The clinical laboratory service performs a full array of tests that facilitate in diagnosis and treatment of the patient. The services provided by the laboratory include biochemistry, hematology, and microbiology. The laboratory diagnoses the pathogens in infectious diseases and identifies the type of bacteria and its susceptibility to various antibiotics.

  • Preparedness of Pharmaceutical Services in Military Organizations: Learning from an Assessment in Brazil

  • Tatiana Holanda Pereira de Souza, Elaine Silva Miranda
  • Journal:
    Prehospital and Disaster Medicine / Volume 35 / Issue 1 / February 2020
    Published online by Cambridge University Press:
    06 December 2019, pp. 24-31
    Print publication:
    February 2020
  • Introduction:

    The participation of armed forces in humanitarian operations and in disaster response is common in many countries. In Brazil, the armed forces have had history in providing health support to victims in emergencies, which also includes the provision of pharmaceutical services (PS).

    Problem:

    Even though being essential for the provision of health care in disaster response, the preparedness of PS is not well-addressed in the literature. The use of a comprehensive approach to evaluate preparedness of PS in military institutions may subsidize preparedness measures. The goals of this work were to analyze the preparedness of PS for disaster response and humanitarian aid in military units of a Brazilian armed force institution, and to propose a framework to improve the preparedness of PS in operational medicine.

    Methods:

    An investigation of a cross-sectional design was performed. A logic model and indicators to evaluate preparedness of PS were applied. Data were obtained from official documents, interviews with key stakeholders, and observation of good storage practices (GSP).

    Results:

    Identified were: lack of specific budget for medicine procurement in case of disaster, absence of emergency stockpile, proper means for medicine transportation, and records of trained health professionals. An emergency plan, a list of selected medicines, adaptable mobile health care units, and a system for mobilization of health professionals were some of the positive aspects recognized. Different aspects for improvement were acknowledged and recommendations to favor the efficiency and the quality of PS in emergencies were proposed.

    Conclusions:

    The investigation provided valuable results for the planning and execution of responses to disasters and humanitarian aid. The findings and proposed recommendations may be useful for other military organizations similar to those in Brazil.

  • Compliance with the World Organisation for Animal Health guidelines for poultry production in Grenada

  • L. GLASGOW, M. FORDE, S. FLETCHER, E. KEKU
  • Journal:
    World's Poultry Science Journal / Volume 73 / Issue 3 / September 2017
    Published online by Cambridge University Press:
    13 June 2017, pp. 515-526
    Print publication:
    September 2017

  • The tri-island state of Grenada, Carriacou, and Petit Martinique's legislative and institutional compliance with the World Organisation for Animal Health's (OIE) guidelines on antimicrobial utilisation in poultry production is reviewed in this paper. This includes legislative and other institutional documents, coupled with interviews with veterinary officers, health officers and managers of the veterinary drug distribution centres were conducted to evaluate the extent of Grenada's compliance with the OIE's Terrestrial Animal Health Code in the use of antimicrobials in poultry production. Five thematic areas were evaluated: 1) legislative and institutional arrangements; 2) surveillance and reporting; 3) risks associated with the importation of poultry meat products; 4) ante- and post-mortem inspection; and 5) procurement and use of antimicrobials. The information revealed that the current legislative framework in Grenada does not adequately address poultry food safety and that there is a need to strengthen the synergies between the agricultural and health sectors to enable a more thorough monitoring of antimicrobials use in poultry production. There is a need to strengthen epidemiology of zoonotic diseases, provisioning of education and information for key stakeholders about the use of antibiotics and the development of a system to monitor antibiotic procurement, distribution and use in Grenada. These findings have implications for other small island states in the Caribbean that have similar limitations in institutional capacity and knowledge deficits in the prudent use of antibiotics.