IPE is the theme of a Brazilian event on pharmaceutical education and practice

The Brazilian Ministry of Health, through the Department of Pharmaceutical Assistance and Strategic Inputs (DAF) of the Secretariat of Science, Technology, Innovation and Strategic Inputs in Health, held on December 10 and 12, 2019, the VII Brazilian Congress on the Rational Use of Medicines (VII CBURM). The event, held in the city of Brasília, had as its central theme: "Challenges and perspectives for the rational use of medicines in interprofessional practice".

According to the event organizers, the Rational Use of Medicines (URM acronym in Portuguese) is a practice whose purpose is to reduce events resulting from the misuse of medicines, which include the use of higher or lower doses than those indicated for the situation, treatments longer than necessary, non-adherence to therapies, interruption and others. For that, interprofessionality is fundamental for the promotion of URM within the scope of a universal health system, such as the Brazilian Unified National Health System (SUS).

Among the activities of the event was the conference - Collaborative Education and Interprofessional Practice: Strategies for the Rational Use of Medicines.

Cláudia Brandão, member of the Executive Secretariat of the Regional Network for Interprofessional Education in the Americas (REIP) and representative of Brazil, started the session by pointing out that IPE should be valued for the formation of competencies for effective teamwork, proving to be potent for the exercise of collaboration as a differential aspect in health work. The representative also mentioned that there is a need for a new (re) design for the education of the health professions, in which the connections between education and health systems are considered and that IPE's commitment to the URM is established.

From the perspective of nursing, Carmen Lúcia Monteiro Lupi, representative of the Federal Nursing Council, presented the scenario for the performance of several professionals who share common goals, but have an independent relationship and limited interaction. In the field of activity of this profession, Carmen signaled the importance of skills for collaborative interprofessional practice, such as communication, patient-centered care, clarity in the definition of professional roles, team dynamics, the ability to solve problems and collaborative leadership.

From the point of view of academic practice, Marselle Nobre de Carvalho, professor at the State University of Londrina, presented the experience of the institution that includes two modules of Integration Practices Teaching, Service and Community in the first and second years of medicine, pharmacy and nursing, which allow students from different courses to learn together, developing interprofessional skills and improving practices for URM.

Regarding the vision of the health manager, Jardel Corrêa de Oliveira, coordinator of the Pharmacy and Therapeutics Commission - CFT - of the Municipal Health Department of Florianópolis, presented the actions of the CFT, as initiatives of permanent education and integration of professionals from different careers for the promotion of the URM. Jardel also emphasized the absence of incentive policies for this purpose and that there is a need for efforts in this direction.

Results

The event was attended by more than a thousand people, including health professionals, students, researchers, managers, service providers. After discussions that covered different perspectives, the organizing committee prepared a letter with recommendations for incorporation by entities and institutions, public or private, by the different levels of government, management and social control of the Unified Health System. About IPE contains the following recommendations.

  • Stimulate communication and interprofessional practice.
  • Encourage interprofessional educational initiatives that address URM content in the curricula of health courses, at undergraduate and graduate levels; in university extension programs and courses and in Permanent Health Education programs.

Influence of the global and regional initiative for the implementation of IPE in Brazil

Brazil, from 2017, presents a broad action plan for the implementation of IPE and collaborative practices in the health and education sectors. The initiative is part of the call of the Pan American Health Organization / World Health Organization (PAHO / WHO) as a measure for the transformation of the health professions' education model, through the incorporation of innovative strategies, such as IPE, promoting more resilient, equitable, better quality and cost-saving health systems.

In this perspective, it is believed that VII CBURM will add to the actions of the mentioned plan, since the rational use of medicines, promoted by professionals from different categories, working in a collaborative team, can reduce medicalization, prescription errors, in addition to increase patient safety.

It is expected that pharmaceutical education can be mobilized for the implementation of IPE in Brazil, since its epistemological bases adhere to the development of interprofessional practices to achieve the Effective Rational Use of Medicines and, therefore, patient safety.

Source: Ministry of Health of Brazil