Long-acting insulin in a public health system: analysis of compliance with clinical protocol in public pharmacies

Ciencia e Saude Coletiva

article

Andrade, Tadeu Uggere de¹  Moreira, Fabrício Soares¹  Cassaro, Karla Oliveira dos Santos¹  Cruz, Manuela Martins¹  Brasil, Girlandia Alexandre¹  Lima, Ewelyne Miranda de¹  Lenz, Dominik¹  Endringer, Denise Coutinho¹ 

[1] Universidade Vila Velha

关键词: Insulin long-acting;    Diabetes mellitus;    Clinical protocols;   

DOI  :  10.1590/1413-81232021266.06592019

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

Diabetes mellitus (DM) is a chronic disease marked by elevated blood glucose levels. Controlling DM involves adequate diet, physical exercises, medicines and monitoring the blood glucose and glycated hemoglobin (HbA1c) levels. This was a retrospective study of the process of dispensing long-acting insulin analogues to users with diabetes (types 1 and 2) who were registered at high-cost public pharmacies in public health system in a southeast state of Brazil, that sought to evaluate the fulfillment of the criteria of all the clinical protocol to provide these analogs. Of the 987 users registered in the health service, 315 met the inclusion criteria for the study. The evaluation of the dispensing processes of the long-acting insulin analogues revealed that the inclusion, exclusion, and suspension criteria of the protocol related with these insulin analogues were in some extend only partially fulfilled. Additionally, there was no difference between the initial and final fasting glycemic and HbA1c levels. It is concluded that the established criteria for dispensing long-acting insulin analogues were partly fulfilled by pharmacies, compromising the rational use of these analogues. It can directly impact the cost of maintaining the public health service and users’ health.

【 授权许可】

CC BY