An analytical framework for assessing drug and therapeutics committee structure and work processes in tertiary Brazilian hospitals

Elisangela da Costa Lima-Dellamora, Rosângela Caetano, Lars L. Gustafsson, Brian B. Godman, Ken Patterson, Claudia Garcia Serpa Osorio-de-Castro

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

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 medicines 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 discussion resulted in findings that were organized in three dimensions, composing an analytical framework for the application in tertiary 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 framework 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. © 2014 Nordic Association for the Publication of BCPT (former Nordic Pharmacological Society).
LanguageEnglish
Pages268-276
Number of pages9
JournalBasic and Clinical Pharmacology and Toxicology
Volume115
Issue number3
Early online date14 Mar 2014
DOIs
Publication statusPublished - Sep 2014

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Pharmacy and Therapeutics Committee
Tertiary Care Centers
Pharmaceutical Preparations
Medicine
Teaching Hospitals
Brazil
Organizational Decision Making
Decision Making
Decision making
Delivery of Health Care
Teaching
Quality of Health Care
Tertiary Healthcare
Publications
Motivation
Databases
Pharmacology
Technology

Keywords

  • Brazil
  • tertiary Brazilian hospitals
  • tertiary care
  • drug selection

Cite this

da Costa Lima-Dellamora, Elisangela ; Caetano, Rosângela ; Gustafsson, Lars L. ; Godman, Brian B. ; Patterson, Ken ; Osorio-de-Castro, Claudia Garcia Serpa. / An analytical framework for assessing drug and therapeutics committee structure and work processes in tertiary Brazilian hospitals. In: Basic and Clinical Pharmacology and Toxicology . 2014 ; Vol. 115, No. 3. pp. 268-276.
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An analytical framework for assessing drug and therapeutics committee structure and work processes in tertiary Brazilian hospitals. / da Costa Lima-Dellamora, Elisangela; Caetano, Rosângela; Gustafsson, Lars L.; Godman, Brian B.; Patterson, Ken; Osorio-de-Castro, Claudia Garcia Serpa.

In: Basic and Clinical Pharmacology and Toxicology , Vol. 115, No. 3, 09.2014, p. 268-276.

Research output: Contribution to journalArticle

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