Strategic planning of a telepharmaceutical care service for patients with asthma: an implementation study
Objective: To describe the implementation process of the Tele-Pharmaceutical Care pilot program, as a tool to promote adherence to treatment for asthma. Methods: In planning, situational strategic planning theory and adapted design thinking were used to develop the intervention instrument. A questionnaire was designed to guide the Telepharmaceutical care, which included the asthma control score and the Brief Medication Questionnaire. The planning began in February 2020 and treatment took place from March to May 2020. The sample was non-probabilistic and included elderly with asthma registered at the Drug Pharmacy of Rio Grande do Sul, located in the city of Porto Alegre. The McNemar statistical test was used to compare asthma control results at time 0 (pre-intervention) and after the TelePharmaceutical Care intervention. Results: The description of the implementation process provided a mechanism that benefited people for the applicability of this type of service in other scenarios, highlighting the professional pharmacist acting as a teleconsultant, working in remote care for people with chronic respiratory diseases. In the pilot test, 20 patients were seen, who received a second consultation within a period of 3 months. Of the total sample, 70% were women and the general average age was 71 years (± 8 years). The average telephone call time in minutes in the first consultation was 22.4 (± 11.4) and in the second consultation was 17.9 (± 6.7). A statistical analysis by McNemar indicates an increase in the category of belonging to the “good control” category between time zero and after the Tele-Pharmaceutical Care intervention (p = 0.016). Conclusion: Through this action on a pilot scale, it was possible to start the implementation of Tele-Pharmaceutical Care in RS in a planned and coordinated manner, standardizing the work process and suggesting potential to improve the quality of life of patients.
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