An Analytical Framework for Assessing Drug and Therapeutics Committee Structure and Work Processes in Tertiary Brazilian Hospitals
An Analytical Framework for Assessing Drug and Therapeutics Committee Structure and Work Processes in Tertiary Brazilian Hospitals
Data
2014
Autores
Lima-Dellamora, Elisangela da Costa
Caetano, Rosângela
Gustafsson, Lars L.
Godman, Brian B.
Patterson, Ken
Osorio-de-Castro, Claudia Garcia Serpa
Journal Title
Journal ISSN
Volume Title
Publisher
Basic & Clinical Pharmacology & Toxicology
Resumo
University teaching hospitals usually provide tertiary care and are subject to early adoption of new technologies, which
may compromise healthcare systems when uncritically adopted. Knowledge on the decision-making process – drug selection by
drug selection committees or DTCs – is crucial to improve the quality of care. There are no models for studying the selection of
drugs in Brazilian healthcare services. This study aims to discuss DTC structure and the processes regarding adoption of medi-
cines in tertiary university hospitals in Brazil and to propose an analytical structure for providing direction for the future. State
of the art content regarding drug selection processes and DTC procedures was reviewed in three databases. Information on the
medicine selection process in a Brazilian gold standard teaching hospital was collected through observations and a review of
existing procedures. A structured discussion on medicine selection and DTC procedures in tertiary hospitals ensued. This discus-
sion resulted in findings that were organized in three dimensions, composing an analytical framework for the application in ter-
tiary Brazilian hospitals (i) motivations for the adoption of drugs; (ii) necessary structural and organizational aspects for
decision-making; and (iii) criteria and methods employed by the decision-making process. We believe that the suggested frame-
work is compatible with tertiary Brazilian hospitals, because a gold standard in the country was able to conduct all its procedures
in the light of WHO and international recommendations. We hope to contribute in producing knowledge which may hopefully
be adopted in tertiary hospitals across Brazil.
Description
Palavras-chave
Brazil, Databases, Factual, Drug Evaluation / methods*, Hospitals, Teaching / legislation & jurisprudence, Hospitals, Teaching / organization & administration*, Pharmacy and Therapeutics Committee / legislation & jurisprudence, Pharmacy and Therapeutics Committee / organization & administration*
Citação
Lima-Dellamora Eda C, Caetano R, Gustafsson LL, Godman BB, Patterson K, Osorio-de-Castro CG. An analytical framework for assessing drug and therapeutics committee structure and work processes in tertiary Brazilian hospitals. Basic Clin Pharmacol Toxicol. 2014 Sep;115(3):268-76. doi: 10.1111/bcpt.12215.