TELEPHARMACY - A Brazilian Experience - Med-e-Tel

TELEPHARMACY - A Brazilian Experience
R. Mondini1,3, F. N. S. Fachel1,3, C. Paludo1,3,R. B. Cardoso2,3,
T. Russomano2,3, M. A. Santos1,3
1Joan
Vernikos Aerospace Pharmacy Laboratory, 2 eHealth Laboratory, 3 Microgravity Centre, Pontifical Catholic University of Rio Grande do Sul, Brazil.
[email protected]
The Brazilian Health Reform
Brazilian Unified Public Health System
Series of strategies of organizational change
Strengthened Primary Health Care
The formation of a unified and integrated Primary Health Care
system in Brazil is a COMPLEX TASK for managers.
Great diversity of regional
Differences in economies and culture
Health-accessibility
Increase in prevalence of chronic noncommunicable diseases
Introduction
eHealth  TelePharmacy
eHealth falls within this context as a support tool for the
diagnosis and management of diseases. One of the areas of
activity that makes remote pharmaceutical assistance possible is
TELEPHARMACY
ASSISTANCE
ACTIVITIES
Optimising medication and
medicinal plant use through
actions governing the
prescription, dispensing and
consumption.
SOCIAL
ACTIVITIES
Providing pharmaceutical
assistance to all, with an
emphasis on remote and difficult
EDUCATIONAL
to access communities,
ACTIVITIES
intending to reduce disparities
and promote equity.
Through continuing health
education.
Introduction
Remote Pharmaceutical Assistance
Telepharmacy enables both
synchronous and asynchronous
remote interaction
Correct
dosage
Interactions
with other
medications
Conditions
of storage
It is possible through
pharmacotherapeutic interventions:
Formative second opinion and
Perform data collection
TELEPHARMACY
Interactions
with
medicinal
plants
Potential
adverse
effects
PHARMACOEPIDEMIOLOGICAL
STUDIES
Influence of
food
Introduction
TelePharmacy assistance projects
To present and discuss the projects developed in the area of Telepharmacy.
(2008)
Parque Indígena
do Xingu
State of
Mato Grosso
(2010-2012)
National
Programme of
Reorientation of
Vocational
Training in
Health
State of
Rio Grande do Sul
(2010)
City of Manaus
State of
Amazon in
northern
(2012)
City of
Palmares do Sul
State of
Rio Grande do Sul
Objectives & Methods
The results of the TelePharmacy
Alto Xingu-MT
Manaus-AM
Total: 111 patients
Total: 111 patients
No Using Medications
Using Medications
Pharmaceutical Interventions
79%
21%
15%
6%
No Using Medications
Using Medications
Pharmaceutical Interventions
40%
60%
29%
31%
Results
The results of the TelePharmacy
Compiling data from the
three assistance projects
Palmares do Sul – RS
Total: 49 patients
300
No Using Medications
Using Medications
Pharmaceutical Interventions
200
100
0
39%
39%
61%
22%
Patient Interview
Alto Xingu‐
Palmares do
Manaus‐AM
MT
Sul‐RS
111
111
49
Total
271
Using Medications
24
66
30
120
Pharmaceutical
Interventions
7
34
19
60
Results
The results of the TelePharmacy
National Programme of Reorientation of
Vocational Training in Health
Strategies of
the Federal
Government of
Brazil
Strengthen
Primary Health
Care
TelePharmacy
can be used as
Surpasses
the existent an educational
instrument
barriers
Project
between
was
conducted university
knowledge
in Basic
Health and and the
professional
Family
reality
Strategy
Units
Electronic
portal is
being develop
in order to
overcome
this
shortcoming
Results
The results of the TelePharmacy
As can be observed, interventions were necessary in 50% of
the patients that were taking medications.
 The number of patients taking medications in the project conducted
in the Alto-Xingu was very small in comparison to the results from
Manaus and Palmares do Sul.
{Region is very distant from any urban area}
 A limiting factor of the assistance projects of the Alto-Xingu and
Manaus was the inability to identify the medicinal plants.
{Vast variety of plant species}
 A high percentage of medication use was observed in the last two
projects.
{more urbanised areas that are following a national trend in
an increasing prevalence of chronic noncommunicable
diseases}

Results
These projects demonstrated
TELEPHARMACY
is an essential tool for the
advancement of pharmaceutical
care, especially in remote and
disadvantaged areas, by being an
important contributing factor in
pharmacotherapeutic guidance
and by assisting in the
construction of health knowledge.
Conclusion
TELEPHARMACY - A Brazilian Experience
THANK YOU!
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