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Previous issue date: 2013-03-27 / This is a study about working process of Family Health Program (PSF ? Programa Sa?de da Fam?lia) focusing pharmaceutical services. The objectives were to understand workers meanings about pharmaceutical services of PSF, to analyze health working process focusing actions about pharmaceutical services. Else, to discuss how workers do technical assistance and technical management actions to production of care, and to identify difficulties, facilities, limits, advances and perspectives found in the pharmaceutical services. This is a qualitative research. Eleven health units of a district in the state of Bahia, Brasil. The subjects were organized in three groups: key informant (four subjects), health workers (fourteen subjects) and users (eight subjects). The technical data production was systematic observation, semi structured interview and documental analysis. The analysis method was content analysis. This study was approved by The Research and Ethics Committee of State University of Feira de Santana under the registration number 59/2012. The empiric data shows, about senses and meanings of pharmaceutical services, that subjects understand it as a health politics or government program. The agents mainly use hard and soft hard technologies. There is a predominance of management technical activities. The objects of working process were managing of medicines and disease or risk. The goals were to manage the pharmaceutical services, to educate the family health team and users, moreover taking care of them. Among the difficulties reported by subjects stood out insufficient financial resources and precarious forms of work. Furthermore, an insufficient support of pharmacists, which work on Family Health Support Core (NASF-N?cleo de Apoio ? Sa?de da Fam?lia), and in pharmaceutical services sector to the health units. Other difficulties were the absence of protocols and standardization of procedures about pharmaceutical services in PSF, improper disposal and steal of medicines, and inadequate structure of pharmacies. The limits were few pharmacist and many activities of workers team. Interpersonal relations and appropriate organization of medicines in the pharmacies were the facilities on the working process. The restructuring of Drug Supply Center, inclusion of medicines in Municipal List of Essential Medicines and creation of Pharmacy and Therapeutics Committee of Legal were the advances. The perspectives refer to the creation of a center of dispensing medicines and pilot project pharmacy. The working process shows disjointed between the agents, making it difficult the organization of pharmaceutical services in PSF. Moreover, noncompliance of health and professional law and difficulties in production of care on health. / Estudo sobre o processo de trabalho no Programa Sa?de da Fam?lia (PSF) com enfoque na assist?ncia farmac?utica. Os objetivos foram compreender o(s) sentido(s) e significado(s) dado(s) pelos trabalhadores de sa?de sobre assist?ncia farmac?utica no PSF; analisar o processo de trabalho em sa?de, no que concerne ?s a??es relacionadas ? assist?ncia farmac?utica; discutir como s?o realizadas as a??es assistenciais e gerenciais da assist?ncia farmac?utica para a produ??o do cuidado; identificar as dificuldades, limites, facilidades, avan?os e perspectivas. Trata-se de uma pesquisa qualitativa, tendo como campo de investiga??o 11 Unidades de Sa?de da Fam?lia, em um munic?pio do estado da Bahia, Brasil. Os sujeitos foram divididos em: Grupo I, informantes-chave (quatro); Grupo II, trabalhadores de sa?de (quatorze); e Grupo III, usu?rios (oito). As t?cnicas de coleta de dados foram observa??o sistem?tica, entrevista semi-estruturada e an?lise de documentos. O m?todo de an?lise foi a an?lise de conte?do. A pesquisa foi aprovada pelo Comit? de ?tica em Pesquisa da Universidade Estadual de Feira de Santana, sob protocolo no59/2012. Quanto aos sentidos e significados atribu?dos ? assist?ncia farmac?utica os sujeitos a compreendem como uma pol?tica de sa?de ou programa de governo. Os agentes utilizam principalmente as tecnologias duras e leve-duras, com predom?nio das atividades gerenciais, sendo os objetos do processo de trabalho o medicamento, a doen?a ou o risco. As finalidades foram gerir a assist?ncia farmac?utica, educar a equipe de sa?de e os usu?rios, al?m de cuidar dos indiv?duos para que tenham qualidade de vida. Dentre as dificuldades destacam-se recursos financeiros insuficientes, precariza??o de v?nculos, apoio incipiente de farmac?uticos no PSF, aus?ncia de protocolos e de padroniza??o da assist?ncia farmac?utica, descarte inadequado, estrutura inadequada das farm?cias e desinteresse dos usu?rios pelas atividades educativas. Os limites encontrados foram o n?mero reduzido de farmac?uticos e a sobrecarga de atividades dos trabalhadores. As rela??es interpessoais e a organiza??o dos medicamentos foram facilidades no processo de trabalho. A reestrutura??o da Central de Abastecimento Farmac?utico, as inclus?es de medicamentos na Rela??o Municipal e a cria??o da Comiss?o de Farm?cia e Terap?utica Jur?dica foram avan?os identificados. As perspectivas referem-se ? cria??o de um centro de dispensa??o especializado e implementa??o de projeto-piloto de farm?cia. O processo de trabalho revela-se desarticulado entre os agentes, refletindo em desestrutura??o da assist?ncia farmac?utica no PSF, descumprimento de determina??es sanit?rias e profissionais e dificuldades para produzir o cuidado em sa?de.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.uefs.br:8080:tede/179 |
| Date | 27 March 2013 |
| Creators | Alencar, Bruno Rodrigues |
| Contributors | Nascimento, Maria Angela Alves do |
| Publisher | Universidade Estadual de Feira de Santana, Mestrado Acad?mico em Sa?de Coletiva, UEFS, Brasil, DEPARTAMENTO DE SA?DE |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da UEFS, instname:Universidade Estadual de Feira de Santana, instacron:UEFS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | -121975901865722803, 600, 600, 600, 8549511740116106200, -6173167103754495199 |
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