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How much to invest in glycemic control of a patient with diabetes mellitus type 2? A constant dilemma for the Brazilian Public Health System (SUS) BJPS
Gonçalves,Ana Carolina de Oliveira; Cazarim,Maurilio de Souza; Sanches,Cristina; Pereira,Leonardo Régis Leira; Baldoni,André de Oliveira.
Diabetes mellitus type 2 (DM2) affects millions of people worldwide and causes several complications for the patient, consuming large sums of financial resources from the health services. This study aims to estimate the financial investment of DM2 treatment for glycemic control of the patient, from the point of view of the municipal Public Health System (SUS). The Delphi technique was used to validate the opinion of a team of judges, specialists in DM2, and health service managers, on the investment necessary for glycemic control of patients with DM2 through the application of questionnaires. In order for the patient to achieve glycated hemoglobin (A1c) < 7%, an investment of US$ 2,419.06 (value/patient/year) is necessary. As the value of A1c increases,...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Diabetes mellitus; Pharmacoeconomics; Health care cost.
Ano: 2019 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502019000100522
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Evaluation of the effectiveness of an Internet-based continuing education program on pharmacy-based minor ailment management: a randomized controlled clinical trial BJPS
Obreli-Neto,Paulo Roque; Guidoni,Camilo Molino; Baldoni,André de Oliveira; Marusic,Srecko; Castedalli,Gilson; Lahoud,Yesmin Marie; Soares,Christian Franco; Pereira,Leonardo Régis Leira.
ABSTRACT The aim of this work was to evaluate the effectiveness of an internet-based continuing education (CE) program on pharmacy-based minor ailment schemes (PMASs). A controlled randomized clinical trial was conducted in community pharmacies in Brazil. Community pharmacists (CPs) were enrolled in two groups: intervention (n = 61) and control (n = 60). CPs who were enrolled to the intervention group participated in an Internet-based CE program. CPs in the control group received no educational intervention. We evaluated participant perception, learning outcomes, and practice performance. Learner satisfaction with the CE program was high for every point evaluated (mean ± standard deviation = 4.2 ± 0.4). Posttest learner outcome scores and practice...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Continuing education; Internet-based continuing education; Drugs/nonprescription; Community pharmacy..
Ano: 2016 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502016000100003
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Pharmacoepidemiological profile and polypharmacy indicators in elderly outpatients BJPS
Baldoni,André de Oliveira; Ayres,Lorena Rocha; Martinez,Edson Zangiacomi; Dewulf,Nathalie de Lourdes Sousa; Santos,Vânia dos; Obreli-Neto,Paulo Roque; Pereira,Leonardo Régis Leira.
This cross-sectional study was carried out with 1000 elderly outpatients assisted by a Basic Health District Unit (UBDS) from the Brazilian Public Health System (SUS) in the municipality of Ribeirão Preto. We analyzed the clinical, socioeconomic and pharmacoepidemiological profile of the elderly patients in order to identify factors associated with polypharmacy amongst this population. We used a truncated negative binomial model to examine the association of polypharmacy with the independent variables of the study. The software SAS was used for the statistical analysis and the significance level adopted was 0.05. The most prevalent drugs were those for the cardiovascular system (83.4%). There was a mean use of seven drugs per patient and 47.9% of the...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Pharmacoepidemiology; Elderly/use of drugs; Polypharmacy; Drugs/rational use; Public Health System.
Ano: 2013 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502013000300006
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Elderly and drugs: risks and necessity of rational use BJPS
Baldoni,André de Oliveira; Chequer,Farah Maria Drumond; Ferraz,Elisa Raquel Anastácio; Oliveira,Danielle Palma de; Pereira,Leonardo Régis Leira; Dorta,Daniel Junqueira.
In recent decades, the world has undergone a demographic transformation with a rapid growth of the elderly population, resulting in an increased demand for funds to maintain their health and drug consumption. Pharmacokinetic and pharmacodynamic changes occurring in the elderly can interfere directly in the adverse effects of drugs and increase the risk of intoxication. In addition, there are external factors interfering with the pharmacotherapy of the elderly, such as inappropriate use and the lack of access to information. Many therapeutic classes of drugs should be used with caution or avoided in the elderly population, such as anti-inflammatory and some anti-hypertensive drugs, diuretics and digitalis. If not managed carefully, these medicines can...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Elderly/inappropriate medicines; Medicines/consumption; Medicines/adverse reaction; Medicines/intoxication; Medicine/rational use; Medicine/inappropriate prescribing.
Ano: 2010 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502010000400003
Registros recuperados: 4
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