Pharmaceutical care for patients with diabetes mellitus: situational analysis with quality indicators
Abstract
Objective: To make a situational diagnosis of pharmaceutical care for patients with diabetes mellitus in Clinical Pharmacy, using indicators relating to structure, process, and results. Method: this was a descriptive, exploratory study with a approach in the 14 Polo Pharmacies of the Primary Health Care Units (PHCUs) located in Fortaleza, Ceará. Data were collected between November 2021 and April 2022 using an instrument developed by the researchers from the perspective of Donabedian's triad. The “structure” and “process” variables were presented as frequencies. For the “outcome” variables, different frequency distribution parameters were applied. Results: it was observed that the data relating to “structure” showed “excellent” results in terms of inputs and human resources; on the other hand, they were “precarious” in terms of the environment, furniture, and databases. The analytical variables related to “process” were considered 'insufficient' regarding pharmacovigilance, disposal of expired medicines, and health education. Conclusion: The findings reveal social inequality that affects “structure,” “process,” and “results” in the PHCUS. Most PHCUs were considered 'satisfactory,' but some were classified as 'precarious.' The analysis of this triad provided essential data for improving pharmaceutical care.
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