Author(s): Pereira, Rossana Mafalda Agostinho Mendes
Date: 2011
Persistent ID: http://hdl.handle.net/10400.6/1000
Origin: uBibliorum
Subject(s): Pensionistas - Comparticipação de medicamentos; Pensionistas - Medicamentos genéricos - Prescrição; Pensionistas - Medicamentos de marca - Prescrição
O objectivo deste estudo consistiu na análise às prescrições de pensionistas abrangidos pelo regime especial de comparticipação de medicamentos numa farmácia comunitária rural e numa farmácia urbana de Portugal. Este estudo teve como finalidade conhecer o perfil das prescrições, verificar se ocorreu dispensa de medicamentos genéricos e comparar os custos entre os medicamentos de marca com os seus respectivos genéricos. Com o presente estudo também se pretendeu determinar quais as classes farmacoterapêuticas mais prescritas de forma a verificar-se quais as características de consumo de medicamentos nesta população. Através do estudo observacional transversal foram analisadas 200 prescrições da farmácia urbana e 200 prescrições da farmácia rural, das quais 37 correspondiam a prescrições oriundas do lar sendo, por isso, retiradas da amostra uma vez que podiam provocar vieses nos resultados, devido ao facto da população do lar possuir características particulares. Em ambas as farmácias verificou-se que havia uma maior prevalência das prescrições pertencerem a utentes do sexo feminino, de o próprio utente ser a pessoa que mais vezes vai comprar a medicação assim como as prescrições serem emitidas por médicos com especialidade em medicina geral e familiar. A maioria das prescrições era electrónica. Por sua vez encontraram-se diferenças substanciais entre as duas farmácias quando quem ia buscar a medicação era um familiar ou outra pessoa, quando a especialidade do médico era outra que não medicina geral e familiar e psiquiatria e quando o médico não referia a especialidade. No que respeitou à prescrição manual, à quantidade de medicamentos prescritos por prescrição assim como nas prescrições que estavam incorrectamente preenchidas para a autorização de genéricos, também se confirmaram divergências de valores na análise das duas farmácias. As diferenças também se destacaram quanto à dispensa de genéricos nas duas farmácias e nas prescrições que não se encontravam prescritas por denominação comum internacional (DCI). Verificou-se que nas duas farmácias o número de medicamentos não dispensados era semelhante. O custo das prescrições reduzia em 56,5% na farmácia rural e 61,4% na farmácia urbana quando se substituíam os medicamentos de marca por genéricos. Os 5 grupos farmacoterapêuticos mais prescritos foram iguais nas duas farmácias: Sistema Nervoso Central (26,1% na farmácia rural e 30,0% na farmácia urbana); Aparelho Cardiovascular (31,3% na farmácia rural e 26,9% na farmácia urbana); Aparelho Locomotor (7,7% na farmácia rural e 10,3% na farmácia urbana); Aparelho Digestivo (8,4% na farmácia rural e 7,0% na farmácia urbana) e Sangue (6,3% na farmácia rural e 5,1% na farmácia urbana). Através dos resultados obtidos tornou-se possível obter um conhecimento mais profundo desta população, perceber a influência do meio envolvente nas prescrições emitidas para este segmento da população, identificando e caracterizando as principais diferenças entre as farmácias do meio rural e do meio urbano.
The aim of this study was to review the prescriptions of pensioners covered by the special repayment of drugs in a rural community pharmacy and in an urban community pharmacy in Portugal. This study aimed at understanding the profile of prescriptions, checking whether there has been dispensing of generic drugs and to compare costs between branded drugs and their respective generic. The present study also sought to determine which are the most prescribed pharmacotherapeutic classes to determine the characteristics of drug used in this population. Through the transversal observational study, 200 urban pharmacy prescriptions have been analyzed and 200 rural pharmacy prescriptions, from which 37 corresponded to prescriptions arising from households and therefore removed from the sample since it could lead to bias in the results, due to the fact that a household population has special characteristics. In both pharmacies it was found that there was a higher prevalence of prescriptions belonging to female users, the user being the person who most often would buy the medication and prescriptions were issued by doctors with expertise in general and familiar medicine. Most prescriptions were electronically issued. Substantial differences were found between the two pharmacies when those who would get the medication was a relative or another person, when the specialty of the doctor was other than general and familiar medicine and psychiatry, and when the doctor did not report a specialty. Regarding the manual prescription, the quantity of prescribed drugs per prescription as well as the prescriptions that were filled incorrectly for approval of generic drugs also confirmed divergent values on the analysis of the two pharmacies. The differences are also emphasized on the dismissal of generics on the two pharmacies and on the prescriptions that were not prescribed by DCI. It was found that on those two pharmacies the number of not dispensed drugs was similar. The costs of prescriptions would lower 56,5% at the rural pharmacy and 61,4% at the urban pharmacy when replacing generics by branded drugs. The five most commonly prescribed pharmacotherapeutic groups were similar in the two pharmacies: Central Nervous System (26,1% in the rural pharmacy and 30,0% in the urban pharmacy); Cardiovascular System (31,3% in the rural pharmacy and 26,9% in the urban pharmacy); Locomotor System (7,7% in the rural pharmacy and 10,3% in the urban pharmacy); Digestive System (8,4% in the rural pharmacy and 7,0% in the urban pharmacy) and Blood (6,3% in the rural pharmacy and 5,1% in the urban pharmacy). The results obtained made it possible to achieve a deeper understanding of this population, see the influence of the surrounding environment on the prescriptions issued for The aim of this study was to review the prescriptions of pensioners covered by the special repayment of drugs in a rural community pharmacy and in an urban community pharmacy in Portugal. This study aimed at understanding the profile of prescriptions, checking whether there has been dispensing of generic drugs and to compare costs between branded drugs and their respective generic. The present study also sought to determine which are the most prescribed pharmacotherapeutic classes to determine the characteristics of drug used in this population. Through the transversal observational study, 200 urban pharmacy prescriptions have been analyzed and 200 rural pharmacy prescriptions, from which 37 corresponded to prescriptions arising from households and therefore removed from the sample since it could lead to bias in the results, due to the fact that a household population has special characteristics. In both pharmacies it was found that there was a higher prevalence of prescriptions belonging to female users, the user being the person who most often would buy the medication and prescriptions were issued by doctors with expertise in general and familiar medicine. Most prescriptions were electronically issued. Substantial differences were found between the two pharmacies when those who would get the medication was a relative or another person, when the specialty of the doctor was other than general and familiar medicine and psychiatry, and when the doctor did not report a specialty. Regarding the manual prescription, the quantity of prescribed drugs per prescription as well as the prescriptions that were filled incorrectly for approval of generic drugs also confirmed divergent values on the analysis of the two pharmacies. The differences are also emphasized on the dismissal of generics on the two pharmacies and on the prescriptions that were not prescribed by DCI. It was found that on those two pharmacies the number of not dispensed drugs was similar. The costs of prescriptions would lower 56,5% at the rural pharmacy and 61,4% at the urban pharmacy when replacing generics by branded drugs. The five most commonly prescribed pharmacotherapeutic groups were similar in the two pharmacies: Central Nervous System (26,1% in the rural pharmacy and 30,0% in the urban pharmacy); Cardiovascular System (31,3% in the rural pharmacy and 26,9% in the urban pharmacy); Locomotor System (7,7% in the rural pharmacy and 10,3% in the urban pharmacy); Digestive System (8,4% in the rural pharmacy and 7,0% in the urban pharmacy) and Blood (6,3% in the rural pharmacy and 5,1% in the urban pharmacy). The results obtained made it possible to achieve a deeper understanding of this population, see the influence of the surrounding environment on the prescriptions issued for this segment of the population, identifying and characterizing the main differences between pharmacies in rural and urban areas.
