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Ciência & Saúde Coletiva

versão impressa ISSN 1413-8123versão On-line ISSN 1678-4561

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RIGO, Ana Paula; LEVANDOVSKI, Rosa Maria  e  TSCHIEDEL, Balduíno. Clinical Protocol of the Brazilian Ministry of Health on Parkinson’s Disease: adherence and perception of the prescribing physician. Ciênc. saúde coletiva [online]. 2021, vol.26, n.1, pp.197-208.  Epub 25-Jan-2021. ISSN 1678-4561.  https://doi.org/10.1590/1413-81232020261.36432018.

This study evaluated the adherence of physicians to the Clinical Protocol and Therapeutic Guidelines on Parkinson’s Disease (CPTG-PD) within the scope of the Unified Health System (SUS). A descriptive analysis of 375 drug application documents sent to the Pharmaceutical Services of the Rio Grande do Sul State Public Health Department (AF/SES/RS) between March and September 2016, and a structured survey to evaluate the physician’s perception about the protocol and barriers to its use was conducted. Only 5.33% of the requests analyzed presented all the necessary data, considering the criteria of the protocol. The requests from specialists had a higher percentage of adherence to the diagnostic and dose criteria (p<0.05). The main barriers to protocol use were the lack of awareness or familiarity with the protocol (48%) and the lack of time to complete the mandatory documents (52%). More recently qualified physicians tended to perceive fewer barriers to protocol use (p<0.05). The results indicate that actions are still necessary to implement the PCDT-DP in medical practice, focusing on care and management teams. Greater integration between pharmaceutical assistance and the healthcare network is needed.

Palavras-chave : Clinical practice manual; Adherence to guidelines; Parkinson’s Disease; Pharmaceutical services; Unified Health System (SUS).

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