Free access to hypertension and diabetes medicines among the elderly: a reality yet to be constructed
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Publication Date: | 2010 |
Other Authors: | , , , , , , , , |
Format: | Article |
Language: | eng |
Source: | Cadernos de Saúde Pública |
Download full: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2010000600010 |
Summary: | The study evaluated free access to hypertension and diabetes medicines and the reasons reported for lack of access. The sample included 4,003 elderly people living in Primary Care Unit coverage areas from 41 Southern and Northeastern Brazilian cities. Free access was higher in the Northeast (62.4%). The strategy of the Family Health Program (Programa Saúde da Família - PSF) was more effective in providing access than the traditional model, with higher results in the Northeast (61.2%) than in the South (39.6%). Around 20% of medicines included in the Hypertension and Diabetes Program and 26% of those included in the National Essential Medicines List (RENAME) were paid out of pocket. In the Northeast, 25% of insulin and 32% of oral antidiabetics were paid out of pocket. Unavailability in the public sector and a lack of money determined the lack of access. Although the PSF, Hypertension and Diabetes Program and RENAME expanded free access, supplies were insufficient. A greater connection between programs and a clear definition of responsibilities can improve medicine acquisition process, increasing the effectiveness of pharmaceutical assistance. |
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Free access to hypertension and diabetes medicines among the elderly: a reality yet to be constructedContinuous-Use MedicineFree Distribution of DrugsPharmaceutical ServicesHypertensionDiabetes MellitusThe study evaluated free access to hypertension and diabetes medicines and the reasons reported for lack of access. The sample included 4,003 elderly people living in Primary Care Unit coverage areas from 41 Southern and Northeastern Brazilian cities. Free access was higher in the Northeast (62.4%). The strategy of the Family Health Program (Programa Saúde da Família - PSF) was more effective in providing access than the traditional model, with higher results in the Northeast (61.2%) than in the South (39.6%). Around 20% of medicines included in the Hypertension and Diabetes Program and 26% of those included in the National Essential Medicines List (RENAME) were paid out of pocket. In the Northeast, 25% of insulin and 32% of oral antidiabetics were paid out of pocket. Unavailability in the public sector and a lack of money determined the lack of access. Although the PSF, Hypertension and Diabetes Program and RENAME expanded free access, supplies were insufficient. A greater connection between programs and a clear definition of responsibilities can improve medicine acquisition process, increasing the effectiveness of pharmaceutical assistance.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2010-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2010000600010Cadernos de Saúde Pública v.26 n.6 2010reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/S0102-311X2010000600010info:eu-repo/semantics/openAccessPaniz,Vera Maria VieiraFassa,Anaclaudia GastalFacchini,Luiz AugustoPiccini,Roberto XavierTomasi,ElaineThumé,ElaineSilveira,Denise Silva daRodrigues,Maria AparecidaDomingues,Marlos RodriguesBertoldi,Andréa Dâmasoeng2010-07-16T00:00:00Zoai:scielo:S0102-311X2010000600010Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2010-07-16T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
Free access to hypertension and diabetes medicines among the elderly: a reality yet to be constructed |
title |
Free access to hypertension and diabetes medicines among the elderly: a reality yet to be constructed |
spellingShingle |
Free access to hypertension and diabetes medicines among the elderly: a reality yet to be constructed Paniz,Vera Maria Vieira Continuous-Use Medicine Free Distribution of Drugs Pharmaceutical Services Hypertension Diabetes Mellitus |
title_short |
Free access to hypertension and diabetes medicines among the elderly: a reality yet to be constructed |
title_full |
Free access to hypertension and diabetes medicines among the elderly: a reality yet to be constructed |
title_fullStr |
Free access to hypertension and diabetes medicines among the elderly: a reality yet to be constructed |
title_full_unstemmed |
Free access to hypertension and diabetes medicines among the elderly: a reality yet to be constructed |
title_sort |
Free access to hypertension and diabetes medicines among the elderly: a reality yet to be constructed |
author |
Paniz,Vera Maria Vieira |
author_facet |
Paniz,Vera Maria Vieira Fassa,Anaclaudia Gastal Facchini,Luiz Augusto Piccini,Roberto Xavier Tomasi,Elaine Thumé,Elaine Silveira,Denise Silva da Rodrigues,Maria Aparecida Domingues,Marlos Rodrigues Bertoldi,Andréa Dâmaso |
author_role |
author |
author2 |
Fassa,Anaclaudia Gastal Facchini,Luiz Augusto Piccini,Roberto Xavier Tomasi,Elaine Thumé,Elaine Silveira,Denise Silva da Rodrigues,Maria Aparecida Domingues,Marlos Rodrigues Bertoldi,Andréa Dâmaso |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Paniz,Vera Maria Vieira Fassa,Anaclaudia Gastal Facchini,Luiz Augusto Piccini,Roberto Xavier Tomasi,Elaine Thumé,Elaine Silveira,Denise Silva da Rodrigues,Maria Aparecida Domingues,Marlos Rodrigues Bertoldi,Andréa Dâmaso |
dc.subject.por.fl_str_mv |
Continuous-Use Medicine Free Distribution of Drugs Pharmaceutical Services Hypertension Diabetes Mellitus |
topic |
Continuous-Use Medicine Free Distribution of Drugs Pharmaceutical Services Hypertension Diabetes Mellitus |
description |
The study evaluated free access to hypertension and diabetes medicines and the reasons reported for lack of access. The sample included 4,003 elderly people living in Primary Care Unit coverage areas from 41 Southern and Northeastern Brazilian cities. Free access was higher in the Northeast (62.4%). The strategy of the Family Health Program (Programa Saúde da Família - PSF) was more effective in providing access than the traditional model, with higher results in the Northeast (61.2%) than in the South (39.6%). Around 20% of medicines included in the Hypertension and Diabetes Program and 26% of those included in the National Essential Medicines List (RENAME) were paid out of pocket. In the Northeast, 25% of insulin and 32% of oral antidiabetics were paid out of pocket. Unavailability in the public sector and a lack of money determined the lack of access. Although the PSF, Hypertension and Diabetes Program and RENAME expanded free access, supplies were insufficient. A greater connection between programs and a clear definition of responsibilities can improve medicine acquisition process, increasing the effectiveness of pharmaceutical assistance. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2010000600010 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2010000600010 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0102-311X2010000600010 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
dc.source.none.fl_str_mv |
Cadernos de Saúde Pública v.26 n.6 2010 reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1754115730353160192 |