119 research outputs found

    Pharmacotherapy review: a proposal to improve medication adherence among hypertensive patients

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    Abstract Pharmacotherapy review is a structured assessment of medicines, which aims to obtain a partnership with patients to achieve drug treatment goals and agreement about drug dosage, as well as when and how the drugs should be administered. The objective was to analyze the influence of pharmacotherapy review, by scheduling drug administration to improve medication adherence among antihypertensive patients. This study was an uncontrolled intervention developed in three distinct stages. The first stage included data collection on the profile of patients and their medications, and a preliminary assessment of medication adherence. In the second stage, the review report was delivered to patients. In the third stage, the results of blood pressure and medication adherence were assessed. The influence of the revision was measured through statistical tests (p<0.05). The study included 40 patients with a mean age of 58.0 (SD:11.3) years; 72.5% were women. Thirty-three (82.5 %) patients required some intervention, after when there was a significant increase in the number of daily doses (p=0.039) and drug intakes (p=0.025). There was a significant increase in the adherence rate, according to both the Morisky-Green test (p<0.001) and self-reported assessment (p=0.004). There was also an improvement in the levels of systolic (p<0.001) and diastolic (p=0.002) blood pressure and in the number of patients with controlled hypertension (p=0.006). The pharmaceutical service enhanced medication adherence and control of systemic blood pressure; however, it increased the complexity of treatment

    O PAEG e o plano trienal: uma análise comparativa de suas políticas de estabilização de curto prazo

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    O presente artigo tem por objetivo analisar as políticas de estabilização de curto prazo propostas pelo Plano Trienal (1962) e pelo Plano de Ação Econômica do Governo (1964) através da comparação das principais medidas implementadas e dos resultados alcançados pelos dois planos. No caso, pretende-se mostrar que os planos tinham semelhanças, sendo a política salarial do PAEG o principal ponto de distinção. Nesse contexto, as grandes diferenças de desempenho foram devidas à incapacidade do Trienal - em função dos turbulentos contextos interno e externo - de equacionar os problemas do conflito distributivo e do estrangulamento externo. O PAEG, por sua vez, equacionou os dois problemas, mas resolveu o conflito distributivo através de uma solução regressiva e, no caso do estrangulamento externo, obteve uma ajuda norte-americana com a qual o Plano Trienal não pôde contar
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