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Distribuição de proximidade de medicamentos de uso hospitalar em Portugal
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No contexto da Pandemia COVID-19, e a fim de limitar deslocações e contactos sociais, os Serviços Farmacêuticos Hospitalares ficaram habilitados a, para além da dispensa presencial, realizar a dispensa de medicamentos hospitalares de ambulatório, de acordo com 3 modalidades: modelos pré-existentes de acesso de proximidade, Dispensa em Proximidade (DP) na Farmácia Comunitária (FC) ou no domicílio do doente. Após o Estado de Emergência, foi decidido que estes medicamentos podiam, a pedido do utente, continuar a ser dispensados nas FC, ou no seu domicílio, enquanto a situação epidemiológica o justificasse.
Tendo sido verificados os benefícios da aplicação deste Serviço em Portugal, é agora importante analisar a experiência vivida por parte das FC aderentes, de forma a considerar e valorizar expetativas, e também necessidades concretas, para que se possam tomar decisões políticas com base na evidência. Uma das dimensões a estudar será a avaliação do conceito “willingness to be paid” por parte das FC, se submetidas a este conceito de DP.
Foi realizado um estudo transversal em que foram contactadas 300 Farmácias que constituem a rede de Farmácias Elo Farma, tendo sido obtida uma taxa de resposta de 35,7%. O estudo teve início em outubro de 2021, tendo sido obtidas respostas entre dia 11 de outubro de 2021 e 7 de março de 2022.
Foi manifestada a necessidade de melhorar este Serviço, no que toca, por exemplo, à simplificação de aspetos burocráticos e a articulação entre entidades. Finalmente foi colocada a questão em relação à quantia, em Euros (€), que a FC deveria receber do Governo ao assegurar este serviço de entrega/seguimento de um doente/mês. O valor mais escolhido foi de 10€ (28,3%) seguido do valor de 5€ (25,8%), tendo sido obtida uma média de 12,6€ e uma mediana de 10€.
A alteração do modo de dispensa de medicação para a FC poderá promover o melhor acesso ao medicamento e maior comodidade ao próprio utente. Para 2023, está previsto no Orçamento de Estado (OE) o investimento na implementação de sistemas de acesso de proximidade, pelo que é necessário avaliar o pagamento deste Serviço ao Farmacêutico Comunitário.
In the context of the COVID-19 Pandemic, and in order to limit travel and social contacts, the Hospital Pharmaceutical Services were empowered to, in addition to dispensing in person, to dispensing outpatient hospital medicines, according to 3 modalities: pre-existing dispensing models of proximity access, proximity dispensing at the Community Pharmacy (CP) or at the patient's home. After the State of Emergency, it was decided that these medicines could, as a request of the patient, continue to being dispensed in the CP, or at their home, as long as the epidemiological situation would justified it. Having verified the benefits of applying this Service in Portugal, it is now important to analyze the experience lived by the participating CPs, in order to consider and value expectations, as well as concrete needs, so that political decisions can be made based on evidence. One of the dimensions to be studied will be the evaluation of the “willingness to be paid” concept by CPs, if submitted to this Proximity Dispensing (PD) concept. A cross-sectional study was carried out in which 300 Pharmacies that make up the Elo Farma Pharmacies network were contacted, obtaining a response rate of 35.7%. The Study began in October 2021, and responses were obtained between October 11, 2021 and March 7, 2022. The need to improve this Service was expressed, regarding, for example, the simplification of bureaucratic aspects and the articulation between entities. Finally, the question regarding the amount, in Euros (€), that the CP should receive from the Government when ensuring this delivery/follow-up service of a patient/month was made. The most chosen amount was €10 (28.3%) followed by €5 (25.8%), with an average of €12.6 and a median of €10. Changing the way CPs medication is dispensed could promote better access to medication and greater convenience for the user. For 2023, the State Budget (OE) foresees investment in the implementation of proximity access systems, so it is necessary to evaluate the payment of this Service to the Community Pharmacist.
In the context of the COVID-19 Pandemic, and in order to limit travel and social contacts, the Hospital Pharmaceutical Services were empowered to, in addition to dispensing in person, to dispensing outpatient hospital medicines, according to 3 modalities: pre-existing dispensing models of proximity access, proximity dispensing at the Community Pharmacy (CP) or at the patient's home. After the State of Emergency, it was decided that these medicines could, as a request of the patient, continue to being dispensed in the CP, or at their home, as long as the epidemiological situation would justified it. Having verified the benefits of applying this Service in Portugal, it is now important to analyze the experience lived by the participating CPs, in order to consider and value expectations, as well as concrete needs, so that political decisions can be made based on evidence. One of the dimensions to be studied will be the evaluation of the “willingness to be paid” concept by CPs, if submitted to this Proximity Dispensing (PD) concept. A cross-sectional study was carried out in which 300 Pharmacies that make up the Elo Farma Pharmacies network were contacted, obtaining a response rate of 35.7%. The Study began in October 2021, and responses were obtained between October 11, 2021 and March 7, 2022. The need to improve this Service was expressed, regarding, for example, the simplification of bureaucratic aspects and the articulation between entities. Finally, the question regarding the amount, in Euros (€), that the CP should receive from the Government when ensuring this delivery/follow-up service of a patient/month was made. The most chosen amount was €10 (28.3%) followed by €5 (25.8%), with an average of €12.6 and a median of €10. Changing the way CPs medication is dispensed could promote better access to medication and greater convenience for the user. For 2023, the State Budget (OE) foresees investment in the implementation of proximity access systems, so it is necessary to evaluate the payment of this Service to the Community Pharmacist.
Descrição
Trabalho Final de Mestrado Integrado, Ciências Farmacêuticas, 2023, Universidade de Lisboa, Faculdade de Farmácia.
Palavras-chave
Proximidade Farmácia comunitária Medicamentos Willingness to be paid Mestrado Integrado - 2023