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Authors
Abstract(s)
Esta dissertação foi elaborada com vista à obtenção de grau de Mestre em Ciências
Farmacêuticas, integrando-se na Unidade Curricular de Estágio. Está dividida em três
capítulos: o Capítulo I diz respeito à componente de Investigação, o Capítulo II, relativo
ao relatório estágio em Farmácia Hospitalar; e o Capítulo III, referente ao relatório de
estágio em Farmácia Comunitária.
O capítulo I corresponde à componente de Investigação e centrou-se na identificação e
caracterização das intervenções e serviços farmacêuticos disponíveis nas farmácias
comunitárias portuguesas, no âmbito das Doenças Respiratórias Crónicas (DRC),
nomeadamente asma e DPOC. Com a crescente prevalência dessas doenças e o papel
cada vez mais relevante das farmácias comunitárias na prestação de cuidados de saúde,
torna-se essencial analisar as práticas atuais e as barreiras à sua implementação.
O estudo foi conduzido através de um questionário online dirigido a farmácias
comunitárias recolhendo dados sociodemográficos, informações sobre as intervenções
farmacêuticas disponibilizadas e os principais desafios à sua implementação.
Antes de dar início ao estudo, foi elaborado o respetivo projeto e desenvolvido o
questionário a aplicar, ambos submetidos à Comissão de Ética da UBI, tendo obtido
parecer favorável (processo n.º CE-UBI-Pj-2023-065-ID1996).
A amostra foi constituída por 367 farmácias, distribuídas por todo o território nacional,
das quais apenas 26 ofereciam consultas farmacêuticas específicas para a asma e/ou
DPOC. A maioria destas farmácias localizava-se em áreas predominantemente urbanas.
As principais intervenções farmacêuticas identificadas foram a verificação da técnica
inalatória (95,6%) e o encaminhamento a outros profissionais de saúde (95,1%). Por
outro lado, intervenções mais complexas, como a triagem de exacerbações (5,2%) e o
controlo de sintomas através de questionários validados (7,9%), foram pouco frequentes.
Entre as principais barreiras à implementação de consultas farmacêuticas, destacaramse as restrições de tempo e o financiamento inadequado.
Os resultados mostram que, embora as farmácias comunitárias desempenhem um papel
fundamental na gestão das DRC, há ainda margem para melhorar a prestação de
cuidados. A superação das barreiras identificadas e a expansão das intervenções farmacêuticas podem contribuir significativamente para a otimização do tratamento da
asma e da DPOC, com impacto positivo na qualidade de vida dos doentes. Assim, é
essencial promover a capacitação contínua dos farmacêuticos, a criação de protocolos de
colaboração com outros profissionais de saúde e a implementação de incentivos
financeiros para apoiar a evolução dos serviços prestados.
O capítulo II descreve a minha experiência em Farmácia Hospitalar, decorrente do
estágio curricular efetuado no Hospital Amato Lusitano, em Castelo Branco, entre os dias
5 de fevereiro e 29 de março de 2024, sob a orientação da Drª Sandra Queimado. Ao
longo do estágio tive a oportunidade de participar e conhecer diversas áreas dos Serviços
Farmacêuticos Hospitalares (SFH), assim como a atuação do farmacêutico em cada uma
delas.
O capítulo III consiste no relatório de estágio na vertente de Farmácia Comunitária,
realizado na Farmácia Silva Domingos, em Vila de Rei, Castelo Branco, entre 1 de abril e
21 de junho de 2024, sob a supervisão da Drª Maria Lourdes Silva, Diretora Técnica. Este
capítulo aborda, sobretudo, o funcionamento da farmácia e as atividades nas quais o
farmacêutico está envolvido no contexto da Farmácia Comunitária.
This dissertation was prepared as part of the requirements for the Master’s degree in Pharmaceutical Sciences, integrated into the Internship Curricular Unit. It is divided into three chapters: Chapter I concerns the Research component; Chapter II relates to the Hospital Pharmacy internship report; and Chapter III refers to the Community Pharmacy internship report. Chapter I corresponds to the Research component and focused on the identification and characterisation of pharmaceutical interventions and services available in Portuguese community pharmacies, specifically in the context of Chronic Respiratory Diseases (CRD), namely asthma and COPD. Given the growing prevalence of these diseases and the increasingly important role of community pharmacies in providing healthcare, it is essential to analyse current practices and the barriers to their implementation. The study was conducted through an online questionnaire directed to community pharmacies, collecting sociodemographic data, information on the pharmaceutical interventions provided, and the main challenges to their implementation. Prior to starting the study, the project was drafted, and the questionnaire was developed, both of which were submitted to the Ethics Committee of UBI, receiving approval (process no. CE-UBI-Pj-2023-065-ID1996). The sample consisted of 367 pharmacies across the country, of which only 26 offered specific pharmaceutical consultations for asthma and/or COPD. Most of these pharmacies were in predominantly urban areas. The main pharmaceutical interventions identified were the verification of the inhalation technique (95.6%) and referrals to other healthcare professionals (95.1%). On the other hand, more complex interventions, such as the screening of exacerbations (5.2%) and symptom monitoring through validated questionnaires (7.9%), were less frequent. The main barriers to implementing pharmaceutical consultations were time constraints and inadequate funding. The results show that, although community pharmacies play a crucial role in the management of CRDs, there is still room for improving the delivery of care. Overcoming the identified barriers and expanding pharmaceutical interventions could significantly contribute to optimising the treatment of asthma and COPD, with a positive impact on patients' quality of life. Therefore, it is essential to promote the continuous training of pharmacists, create protocols for collaboration with other healthcare professionals, and implement financial incentives to support the development of the services provided. Chapter II describes my experience in Hospital Pharmacy, resulting from the internship carried out at Hospital Amato Lusitano, in Castelo Branco, from February 5th to March 29th, 2024, under the supervision of Dr. Sandra Queimado. Throughout the internship, I had the opportunity to participate in and learn about various areas of the Hospital Pharmaceutical Services (HPS), as well as the pharmacist’s role in each of them. Chapter III consists of the report on the Community Pharmacy internship, conducted at Farmácia Silva Domingos, in Vila de Rei, Castelo Branco, from April 1st to June 21st, 2024, under the supervision of Dr. Maria Lourdes Silva, Technical Director. This chapter focuses mainly on the operation of the pharmacy and the activities in which the pharmacist is involved within the context of Community Pharmacy.
This dissertation was prepared as part of the requirements for the Master’s degree in Pharmaceutical Sciences, integrated into the Internship Curricular Unit. It is divided into three chapters: Chapter I concerns the Research component; Chapter II relates to the Hospital Pharmacy internship report; and Chapter III refers to the Community Pharmacy internship report. Chapter I corresponds to the Research component and focused on the identification and characterisation of pharmaceutical interventions and services available in Portuguese community pharmacies, specifically in the context of Chronic Respiratory Diseases (CRD), namely asthma and COPD. Given the growing prevalence of these diseases and the increasingly important role of community pharmacies in providing healthcare, it is essential to analyse current practices and the barriers to their implementation. The study was conducted through an online questionnaire directed to community pharmacies, collecting sociodemographic data, information on the pharmaceutical interventions provided, and the main challenges to their implementation. Prior to starting the study, the project was drafted, and the questionnaire was developed, both of which were submitted to the Ethics Committee of UBI, receiving approval (process no. CE-UBI-Pj-2023-065-ID1996). The sample consisted of 367 pharmacies across the country, of which only 26 offered specific pharmaceutical consultations for asthma and/or COPD. Most of these pharmacies were in predominantly urban areas. The main pharmaceutical interventions identified were the verification of the inhalation technique (95.6%) and referrals to other healthcare professionals (95.1%). On the other hand, more complex interventions, such as the screening of exacerbations (5.2%) and symptom monitoring through validated questionnaires (7.9%), were less frequent. The main barriers to implementing pharmaceutical consultations were time constraints and inadequate funding. The results show that, although community pharmacies play a crucial role in the management of CRDs, there is still room for improving the delivery of care. Overcoming the identified barriers and expanding pharmaceutical interventions could significantly contribute to optimising the treatment of asthma and COPD, with a positive impact on patients' quality of life. Therefore, it is essential to promote the continuous training of pharmacists, create protocols for collaboration with other healthcare professionals, and implement financial incentives to support the development of the services provided. Chapter II describes my experience in Hospital Pharmacy, resulting from the internship carried out at Hospital Amato Lusitano, in Castelo Branco, from February 5th to March 29th, 2024, under the supervision of Dr. Sandra Queimado. Throughout the internship, I had the opportunity to participate in and learn about various areas of the Hospital Pharmaceutical Services (HPS), as well as the pharmacist’s role in each of them. Chapter III consists of the report on the Community Pharmacy internship, conducted at Farmácia Silva Domingos, in Vila de Rei, Castelo Branco, from April 1st to June 21st, 2024, under the supervision of Dr. Maria Lourdes Silva, Technical Director. This chapter focuses mainly on the operation of the pharmacy and the activities in which the pharmacist is involved within the context of Community Pharmacy.
Description
Keywords
Asma Doença Pulmonar Obstrutiva Crónica Farmácia
Comunitária Farmácia Hospitalar Serviços Farmacêuticos