Drug prescription and dispensing from the patient's perspective: a community-based study in Fortaleza, Ceara State, Brazil

被引:34
作者
Dourado Arrais, Paulo Sdrgio [1 ,2 ]
Barreto, Mauricio Lima [2 ]
Luna Coelho, Helena Lutescia [1 ,2 ]
机构
[1] Univ Fed Ceara, Dept Farm, Grp Prevencao Uso Indevido Medicamentos, BR-60125070 Fortaleza, Ceara, Brazil
[2] Univ Fed Bahia, Inst Saude Coletiva, Salvador, BA, Brazil
来源
CADERNOS DE SAUDE PUBLICA | 2007年 / 23卷 / 04期
关键词
drug prescriptions; drug dispensatories; drug utilization; pharmacies;
D O I
10.1590/S0102-311X2007000400020
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The objective of this study was to analyze aspects of the physician-patient and pharmacist-patient relationship, based on patients' opinions. It consists of community-based research performed in Fortaleza, Ceara State, Brazil, where 957 persons were interviewed; 904 answered questions about the last visit to the physician and 831 about the last visit to the pharmacy. The data reflect several aspects of medical and pharmaceutical practice and patients' attitudes towards the questions posed and information provided to guide rational use of drugs. In the therapeutic choice, physicians failed to ask their patients about hypersensitivity to drugs (65%) and use of other medication (64.1%) and ignored recommendations concerning adverse drug reactions (73.3%) and drug interactions (58.2%). The situation was even worse in hospitals, where in most cases a pharmacist's assistant was responsible for dispensing to patients (57.1%). The study suggests poor quality in the medical and pharmaceutical roles and patient apathy towards proceedings involving the prescription and receipt of drugs in pharmacies, as well as in rational use.
引用
收藏
页码:927 / 937
页数:11
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