Rational drug use in elderly patients in a primary care center

2021 ◽  
pp. 1-10
Author(s):  
Bahadir Yazicioglu ◽  
Elif Dikmetas Yardan
Keyword(s):  
Primary Care ◽  
Drug Use ◽  
Primary Care Physicians ◽  
Care Center ◽  
Family Health ◽  
Drug Misuse ◽  
Primary Care Center ◽  
Drug Usage ◽  
Elder Patients ◽  
Rational Drug

Abstract Objective: The objective of the research was to examine and evaluate rational drug uses of patients over 65 years of age referring to Primary Care Center. Methods: A questionnaire on the drug usage habits of elder patients prepared by making literature scanning and taking expert view was applied in the study to the participants accepting to join the study among patients over 65 years of age applying to Family Health Center. Results: A total of 291 patients including 127 males (43.6%) and 164 females (56.4%) over 65 years of age were included in the study. Mean age of the participants was found 72.76. Leftover drug keeping ratio of the participants at home was found as 53.3% (n=155). When unprescribed drug usage conditions of the participants were questioned, 60.8% (n=177) stated that they didn't use unprescribed drugs. Conclusions: Polypharmacy is an important health problem for elder individuals with the lengthening of average duration of life and increase in the prevalence of chronic diseases. Drug use for a wrong time and dose may cause conditions such as the lack of the effect which should be provided by the drugs, or occur more than expected or unexpected drug-nutrient interactions. Primary care physicians have an important role in disease and health phases of elder patients. Keywords: Aging, Drug therapy, Drug misuse, Continuous...

Evaluating current practices and policies in the use of injectable medicines for treating myalgia in a primary care center in Pamekasan, Indonesia

2020 ◽  
Vol 30 (6) ◽  
Author(s):  
Eko Prasetio ◽  
Wahyu Utami ◽  
Zulhabri Othman ◽  
Ari Wardani ◽  
Abdul Rahem ◽  
...  
Keyword(s):  
Primary Care ◽  
Drug Use ◽  
Average Rate ◽  
Care Center ◽  
World Health ◽  
Primary Care Center ◽  
Medicine Use ◽  
Rational Drug Use ◽  
Rational Drug ◽  
Recommended Level

AbstractBackgroundMyalgia in patients can be associated with a large array of conditions, including injuries, infections and inflammations. Treatment for myalgia may include the use of oral, topical and injectable medicines (IM). However, the use of IM has been restricted by the World Health Organization due to the common hazards associated with inappropriate medicine use, risks of disease transmission and more expensive spending for using IM. Accordingly, the Ministry of Health of Indonesia (MoH) has limited the use at the level of ≤1% in every primary care center (Puskesmas) across the nation. The aim of this study was to report and evaluate rational drug use injection in myalgia in a Puskesmas in Pamekasan, Indonesia.MethodsThis study reviewed official documents, such as rational drug use report, medicine use databases and drug request report. The documents were obtained from the district health office or public domain from 2014 to 2018. Data were then collated, extracted and presented as frequencies.ResultsThe average rate of use of IM for myalgia in Pamekasan was 36.15%. All 20 Puskesmas in Pamekasan conducted injection practice above the recommended level, thus reflecting a major gap between practice and policy implementation. This study implies that a substantial effort is needed to enforce the policy.ConclusionsThe use of IM for myalgia treatment in Pamekasan from 2014 to 2018 was significantly higher than the recommended level, thus reflecting a major problem in the practice. This is an alarming call for the local healthcare stakeholders to improve such a situation.

Evaluation of rational drug use based on World Health Organization prescribing indicators in a primary care center in Pamekasan East Java, Indonesia

2020 ◽  
Vol 30 (6) ◽  
Author(s):  
Eko Prasetio ◽  
Wahyu Utami ◽  
Zulhabri Othman ◽  
Ari Wardani ◽  
Abdul Rahem ◽  
...  
Keyword(s):  
Primary Care ◽  
Drug Use ◽  
World Health Organization ◽  
Care Center ◽  
World Health ◽  
Primary Care Center ◽  
Prescribing Indicators ◽  
Rational Drug Use ◽  
Rational Drug ◽  
Health Organization

AbstractBackgroundThe Government of Indonesia has put in place many interventions for rationalizing drug use at all levels of the health services including in primary care centers (puskesmas). One of the programs for the rational use of drugs at the puskesmas is the monitoring and evaluation of drug use conducted by pharmacists. The purpose of this research was to evaluate the rationality of drug use in Pamekasan puskesmas that use World Health Organization (WHO) prescribing indicators and to find the difference in the percentage of rationality of drug use between puskesmas in Pamekasan.MethodsThis study reviewed official documents considering reporting of rational drug use. The documents were obtained from the district health office or from the public domain from 2014 to 2018. Data were then collated, extracted, and presented as frequencies.ResultsThe percentage prescribed for antibiotics for acute respiratory infection (ARI) non-pneumonia was 47.27% and percentage prescribing antibiotic drugs in a non-specific diarrhea was 59.85%. The percentage prescribed for injection was 36.15%. The average number of drugs prescribed per treatment was 2.61.ConclusionsThe majority of WHO guidelines stated that prescribing indicators were not met by the puskesmas in Pamekasan, except for the parameters for the average number of drugs prescribed per consultation. This shows an alarming clarion call for the local healthcare stakeholders to improve such situations.

scholarly journals Activities of speech-language-hearing therapists in the Extended Family Health and Primary Care Center from the perspective of team cooperation

Revista CEFAC ◽  
2021 ◽  
Vol 23 (2) ◽  
Author(s):  
Yuri Patrick Oliveira de Medeiros ◽  
Fabiana de Oliveira Silva Sousa ◽  
Maria Luiza Lopes Timóteo de Lima ◽  
Cynthia Maria Barboza do Nascimento
Keyword(s):  
Primary Care ◽  
Professional Education ◽  
Professional Training ◽  
Extended Family ◽  
Care Center ◽  
Family Health ◽  
Primary Care Center ◽  
Work Process ◽  
Team Cooperation ◽  
Adequate Understanding

ABSTRACT Purpose: to describe the activities of speech-language-hearing therapists in the Extended Family Health and Primary Care Center from the perspective of team cooperation. Methods: an exploratory study with a quantitative and qualitative approach. The participants in the research were 4 speech-language-hearing therapists and 3 speech-language-hearing residents who were developing their practices in the Extended Family Health and Primary Care Center of Vitória de Santo Antão, PE, Brazil. The data were collected at two moments: The first one involved the analysis of the instrument where the activities of the speech-language-hearing therapists in the Extended Family Health and Primary Care Center were registered; in the second one, these professionals were interviewed to understand their work process in PHC, in relation to team cooperation. Results: the speech-language-hearing therapists presented an adequate understanding of the concept of team cooperation and the broad range of activities carried out, predominantly individual attention (27%) and shared group activities (18%). The need to strengthen their professional training to work with primary care and the little knowledge of the teams and population about the work of the speech-language-hearing therapists are the main challenges reported by the interviewees. To improve the work of the teams, they suggested more continuing education opportunities and more participation of the administrators in interpersonal conflict mediation. Conclusion: despite the difficulties related to professional education and the work process, the speech-language-hearing therapists in the Extended Family Health and Primary Care Center have been performing activities from the perspective of team cooperation, collaborating to the comprehensiveness and solvability of care.

scholarly journals Perspectiva e desafios de nutricionistas vinculados ao núcleo ampliado de saúde da família e atenção básica (nasf-ab) / Perspective and challenges of nutritionists linked to the extended family health and primary care center (nasf-ab)

2021 ◽  
Vol 4 (5) ◽  
pp. 20528-20535
Author(s):  
Juliana Lícia Rabelo Cavalcante ◽  
Nara Lizandra Moreno De Melo ◽  
Maria Natalia Pontes Lourenço ◽  
Alice Araújo Moreira ◽  
Marcus Vinicius Rocha Silva ◽  
...  
Keyword(s):  
Primary Care ◽  
Extended Family ◽  
Care Center ◽  
Family Health ◽  
Primary Care Center

scholarly journals Mobile web application for use in the Extended Family Health and Primary Care Center: content and usability validation

Revista CEFAC ◽  
2020 ◽  
Vol 22 (3) ◽  
Author(s):  
Maria Salete Bessa Jorge ◽  
Lourdes Suelen Pontes Costa ◽  
Maria Raquel Rodrigues Carvalho ◽  
Roberta Sampaio de Brito Mamede ◽  
Jamine Borges de Morais ◽  
...  
Keyword(s):  
Primary Care ◽  
Web Application ◽  
Extended Family ◽  
Care Center ◽  
Family Health ◽  
Primary Care Center ◽  
Mobile Web ◽  
Suitability Assessment ◽  
Fields Of Study ◽  
System Usability Scale

ABSTRACT Purpose: to validate the content and usability of the “Network NASF” application, intended for the teams of the Extended Family Health and Primary Care Center (NASF-AB). Methods: eighteen specialists, researchers, and professionals from different fields of study participated to validate the content and usability of the application, carried out in four stages: adjustment of the instrument; administration of the Suitability Assessment of Materials (SAM); validation of the content by calculating the content validity index (CVI); and usability evaluation through the System Usability Scale (SUS), in this order. Results: the participants classified the material as valid regarding both its content and usability. The index achieved in the SAM was 83.5%, as four, out of the six topics in the instrument, had values over 0.78. Hence, these four were considered excellent, while the other two were considered good. The recommendations given by the specialized judges were accepted and the usability index (5.5%) was considered relevant. Conclusion: the application developed for NASF-AB professionals was considered valid regarding its content and usability.

scholarly journals Integrality and comprehensiveness of service provision in Primary Health Care in Brazil (2012-2018)

2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Allan Nuno Alves de Sousa ◽  
Helena Eri Shimizu
Keyword(s):  
Primary Care ◽  
Service Provision ◽  
Extended Family ◽  
Care Center ◽  
Family Health ◽  
Primary Care Center ◽  
Primary Health ◽  
Primary Health Services ◽  
Access And Quality ◽  
Using Data

ABSTRACT Objectives: to analyze comprehensiveness elements in Primary Care in Brazil, between 2012 and 2018, considering preventive and assistance aspects, pointing out advances and obstacles to its improvement in different contexts. Methods: a retrospective longitudinal study using data from the Brazilian National Program for Improving Access and Quality in Primary Care. 15,378 teams were selected that participated in both 1st and 3rd cycles of the program. Results: improvements were found in the prevalence of teams that ensure preventive and assistance care for priority groups, who develop promotion actions, offer essential procedures, including oral health, carry out home visits, receive support from Extended Family Health and Primary Care Center, offer integrative and complementary practices and develop intersectoral actions. Conclusions: there has been an improvement in comprehensiveness in Primary Health services, but problems remain that still need to be faced for their improvement.

A Retrospective Cohort Study of SARS-CoV-2 Infection in Hypertenses Patients in a Primary Care Center

2020 ◽  
Author(s):  
Esther Hernandez Castilla ◽  
Lucia Vallejo Serrano ◽  
Monica Saenz Ausejo ◽  
Beatriz Pax Sanchez ◽  
Katharina Ramrath ◽  
...  
Keyword(s):  
Primary Care ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Care Center ◽  
Primary Care Center

KNOWLEDGE, ATTITUDE, AND PRACTICE OF PHARMACISTS ABOUT PHARMACEUTICAL CARE FOR DIABETES MELLITUS PATIENTS IN A PRIMARY CARE CENTER IN SAUDI ARABIA

2020 ◽  
Vol 76 (3) ◽  
Author(s):  
Maha Aldraimly ◽  
Sayed Azhar Suliman ◽  
Ahmed Ibrahim Nouri ◽  
Manahel Mohammed Alshaer ◽  
Norah Mohammed Almaghrabi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Primary Care ◽  
Saudi Arabia ◽  
Pharmaceutical Care ◽  
Care Center ◽  
Primary Care Center ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

scholarly journals SARS-COV-2 INFECTION IN PRIMARY CARE: A SINGLE-CENTERED, RETROSPECTIVE, OBSERVATIONAL STUDY

2021 ◽  
Author(s):  
Pilar Galicia ◽  
Juan Jose Gutierrez Cuevas ◽  
Fang Fang Chen Chen ◽  
Laura Santos Larregola ◽  
Alberto Manzanares Briega ◽  
...  
Keyword(s):  
Primary Care ◽  
Arterial Hypertension ◽  
Clinical Characteristics ◽  
Care Center ◽  
Case Definition ◽  
Living Conditions ◽  
Primary Care Center ◽  
Predictive Role ◽  
Definition Of

Purpose: to describe the clinical characteristics of patients with confirmed SARS-CoV-2 infection in primary care and to analyze the predictive role of different risk factors on prognosis, especially living conditions. Methods: Retrospective longitudinal observational retrospective study by reviewing medical records from a primary care center since March 1 to April 30, 2020. Case definition of confirmed SARS-CoV-2 infection, sociodemographic data, clinical characteristics, comorbidity and living conditions were collected. The statistical analysis consisted in description of the sample, comparison of prognosis groups and analysis of prognostic factors. Results. A sample of 70 patients with confirmed SARS-CoV-2 infection was obtained, with comorbidity mainly related to arterial hypertension, overweight/obesity, hypercholesterolemia, diabetes and chronic pulmonary pathology. Pneumonia was present in 66%. Exitus occurred in 14% of the sample. Factors associated with mortality were advanced age (84 vs 55; p<0.0001), arterial hypertension (78% vs 41%; p=0.040), asthma-COPD (56% vs 13%; p=0.008) and atrial fibrillation (56% vs 5%; p=0.001). Conclusions. The study reflects the clinical practice of a primary care center. This kind of studies are essential to strengthen and reorganize the Health System and to try to anticipate the medium- to long-term consequences of COVID-19 on global health.

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