A dispensação de medicamentos influencia o conhecimento e a adesão do paciente sobre sua farmacoterapia? Uma revisão sistemática e metanálise

• Ano de defesa: 2024
• Autor(a) principal: Santana, Elizabete Priscila Costa
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso embargado
• Idioma: por
• Instituição de defesa: Universidade Federal do Espírito Santo; BR; Mestrado em Ciências Farmacêuticas; Centro de Ciências da Saúde; UFES; Programa de Pós-Graduação em Ciências Farmacêuticas
• Palavras-chave em Português: Dispensação de medicamentos; Adesão à medicação; Farmacêutico; Farmácia
• Link de acesso: http://repositorio.ufes.br/handle/10/18264

Background: Patient's inadequate medication knowledge and non-medication adherence are considered an issue in healthcare, as they can lead to negative outcomes, such as therapeutic failures and hospitalization. Even though drug dispensing is a service traditionally performed by pharmacists, there is still no evidence about the influence of this service in these health outcomes. Objective. To evaluate the influence of drug dispensing on the patient's medication knowledge and medication adherence. Methods: A systematic review was conducted in which search was performed in PubMed/Medline, Biblioteca Virtual da Saúde, Web of Science, Embase, Open Thesis and Google Scholar databases. Two reviewers read the titles, abstracts and complete texts according to the eligibility criteria and extracted the data from the included articles. The methodological quality was assessed through the tools provided by JBI Institute. The data was analyzed through qualitative synthesis and meta-analysis was conducted for randomized controlled trials that used the outcome of medication adherence using RStudio software version 4.3.3. Results: A total of 7.590 studies were identified on the initial search, from which 11 articles met the eligibility criteria and were included in this systematic review. The studies were published in Africa, Latin America, Asia, Europe and Australia. Most of the studies were interventional (n=7). Five of the studies evaluated the influence of drug dispensing on the patient’s medication knowledge, from which four showed that knowledge increased after dispensing. Eight studies evaluated the influence of dispensing on medication adherence and the meta-analysis showed that patients who received the dispensing were 1.19 times more likely to adhere to medications compared to those who did not receive the service. Six studies met more than 70% of the quality assessment criteria. Conclusion: This systematic review showed that dispensing increases patient’s medication knowledge and patients are more likely to adhere to their medications when they receive this service.