Construction of a counter-reference flow of patients for Pharmaceutical Care in the Primar

Abstract

The pharmacist's clinical performance was significantly reinforced at the Federal
District Health Department (SES/DF) in 2015, with the institutionalization of
Clinical Pharmacy Centers in hospitals and, in 2017, in the Primary Health Care
(APS), with the implementation of Pharmaceutical Care in the family health
strategy. However, there was a need to integrate the services provided at the
different levels of care. Thus, the objective of this article was to report the
development of a counter-referral flow of patients for pharmaceutical care in the
Primary Health Care of DF, in order to ensure the continuity and completeness
of health care. This is a descriptive study of the experience report type, which
presents the literature review process, development of the steps and tools of the
flow, as well as their validation. The process was developed in a participatory
manner, involving pharmaceutical professionals of different levels of care and
central management and resulted in the development of a user referral flow and
a computerized interprofessional communication tool. The constructed flow
proved to be of simple operationalization, therefore possible to be applied to
other professionals and scenarios and with great potential to generate benefits to
users of the Unified Health System.