Ethics and pharmaceutical services in primary health care: daily challenges

Abstract This study aimed to identify and discuss ethical problems experienced by pharmacists in primary health care. Data were collected through semi-structured interviews conducted with 19 pharmacists in Florianópolis, Santa Catarina, Brazil. The content of interviews was analyzed through thematic-categorical analysis in the light of bioethics references. Ten ethical problems were identified related to the political dimension of the working process and health care, involving issues related to the structure of services and work environment, and management of health services. An ethical analysis to solve these questions is an important strategy to improve pharmaceutical services in primary health care.

摘要 本研究旨在识别并探讨初级卫生保健药师所面临的伦理问题。研究数据通过对巴西圣卡塔琳娜州弗洛里亚诺波利斯市的19名药师开展半结构化访谈收集所得。研究依托生命伦理学（bioethics）的相关参照框架，采用主题分类分析法对访谈内容进行分析。最终共识别出十项与工作流程及医疗服务的政治维度相关的伦理问题，涵盖服务结构、工作环境以及医疗服务管理等议题。针对上述问题开展伦理分析，是优化初级卫生保健药学服务的重要策略。