0277/2025 - Critérios utilizados em Protocolos Clínicos e Diretrizes Terapêuticas para gestão da Assistência Farmacêutica Criteria Used in Clinical Practice Guidelines for the Management of Pharmaceutical Services
Pouco se sabe sobre a percepção dos profissionais de saúde que atuam na gestão do Componente Especializado da Assistência Farmacêutica (CEAF) quanto à clareza dos critérios dos Protocolos Clínicos e Diretrizes Terapêuticas (PCDT) relativos à inclusão e à exclusão de pacientes e à interrupção de medicamentos. Assim, este estudo adotou método misto, com etapa quantitativa para avaliar a objetividade dos critérios estabelecidos nos PCDT publicados de 2012 a 2022, e etapa qualitativa, por meio de grupo focal com profissionais de saúde atuantes na gestão do CEAF. Os 36 PCDT analisados abrangeram 1.972 critérios, dos quais 57,1% eram objetivos. A partir da análise temática dos discursos dos participantes do grupo focal foi apontado que os critérios, por ambiguidade e falta de clareza, têm interpretações diferentes, o que gera desigualdade de acesso e compromete os princípios do SUS, em especial a equidade. Foram sugeridas melhorias como versões resumidas dos PCDT, versão para a Gestão da Assistência Farmacêutica, documento adicional expondo os critérios de forma clara e objetiva, exames e informações necessárias para a comprovação dos critérios.
Palavras-chave:
Medicamentos do Componente Especializado da Assistência Farmacêutica; Guias de Prática Clínica; Pesquisa Qualitativa.
Abstract:
Little is known about the perception of healthcare professionals working in the management of the Specialized Component of Pharmaceutical Services (CEAF) regarding the clearness of the Clinical Practice Guidelines (PCDT) related to inclusion and exclusion of patients and discontinuation of medications. Thus, the present study used a mixed-methods approach, with a quantitative phase to assess the objectivity of the criteria established in the PCDT published from 2012 to 2022, and a qualitative phase through a focus group with healthcare professionals working in CEAF management. The 36 PCDT analyzed covered 1,972 criteria, of which 57.1% were objective. The thematic analysis of the focus group discourse indicated that the criteria, due to ambiguity and lack of clearness, have different interpretations, leading to inequality of access and compromising the principles of the SUS, especially equity. Improvements were suggested, such as summarized versions of PCDT, a version for Pharmaceutical Services Management, an additional document presenting the criteria clearly and objectively, tests and information to verify the criteria.
Keywords:
Drugs from the Specialized Component of Pharmaceutical Care; Practice Guideline; Qualitative Research.
Criteria Used in Clinical Practice Guidelines for the Management of Pharmaceutical Services
Resumo (abstract):
Little is known about the perception of healthcare professionals working in the management of the Specialized Component of Pharmaceutical Services (CEAF) regarding the clearness of the Clinical Practice Guidelines (PCDT) related to inclusion and exclusion of patients and discontinuation of medications. Thus, the present study used a mixed-methods approach, with a quantitative phase to assess the objectivity of the criteria established in the PCDT published from 2012 to 2022, and a qualitative phase through a focus group with healthcare professionals working in CEAF management. The 36 PCDT analyzed covered 1,972 criteria, of which 57.1% were objective. The thematic analysis of the focus group discourse indicated that the criteria, due to ambiguity and lack of clearness, have different interpretations, leading to inequality of access and compromising the principles of the SUS, especially equity. Improvements were suggested, such as summarized versions of PCDT, a version for Pharmaceutical Services Management, an additional document presenting the criteria clearly and objectively, tests and information to verify the criteria.
Palavras-chave (keywords):
Drugs from the Specialized Component of Pharmaceutical Care; Practice Guideline; Qualitative Research.
Gomes, MR, Rossignoli, P, Fernandez-Llimos, F, Borba, HHL. Critérios utilizados em Protocolos Clínicos e Diretrizes Terapêuticas para gestão da Assistência Farmacêutica. Cien Saude Colet [periódico na internet] (2025/ago). [Citado em 27/01/2026].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/criterios-utilizados-em-protocolos-clinicos-e-diretrizes-terapeuticas-para-gestao-da-assistencia-farmaceutica/19753?id=19753&id=19753
