Diabetes policies and pharmacy-based diabetes interventions in Portugal: a comprehensive review

Southern Med Review

article

Suzete Costa¹  Maria Rute Horta²  Rita Santos³  Zilda Mendes⁴  Isabel Jacinto²  Jos Guerreiro⁴  Maria Cary⁴  Ana Miranda⁵  Dennis K. Helling⁶  Ana Paula Martins⁷ 

[1] USFarmácia® Collaborative Care Project, Associação Nacional das Farmácias, Lisboa, Portugal;Department of Pharmacy Services, Associação Nacional das Farmácias, Lisboa, Portugal;Post-Graduate School of Health & Management (EPGSG), Associação Nacional das Farmácias, Lisboa, Portugal;Centre for Health Evaluation & Research (CEFAR), Associação Nacional das Farmácias, Lisboa, Portugal;Registo Oncológico Nacional, IPO Lisboa, Lisboa, Portugal;University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Denver, USA;Research Institute for Medicines (iMed.ULisboa), Faculty of Pharmacy, Universidade de Lisboa, Lisboa, Portugal

关键词: Review;    Community pharmacy;    Diabetes;    Policies;    Interventions;    Pharmacy services;    Public health;    Portugal;   

DOI  :  10.1186/s40545-019-0166-1

学科分类：药理学

来源: BioMed Central

【 摘 要 】

Pharmacy-based interventions are complex public health endeavors which include, but are not restricted to, the conventional medication supply role. In diabetes, such interventions may improve patients’ outcomes. The aim of this study was to review relevant policies and research developed in Portugal directed at pharmacy-based diabetes interventions, and to inform future policies, practice and research in collaborative practice with primary care. An exploratory review of diabetes legislation and policy papers, as well as a comprehensive review in Embase, MEDLINE (via Ovid and PubMed), Google Scholar, and grey literature until November 2017 was performed. Sixteen policy papers and 10 studies were included in the analysis. Positive evidence from pharmacy interventions was retrieved concerning screening individuals at risk, screening uncontrolled patients, managing diabetes, and supporting self-monitoring. Some consistency in favorable findings, but also room for improvements in health policies, intervention design and research methods, were observed.

【 授权许可】

Unknown