Influence of pharmaceutical services organization on the availability of essential medicines in a public health system
Main Author: | |
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Publication Date: | 2021 |
Other Authors: | , , , , , , , |
Format: | Article |
Language: | por |
Source: | Repositório Institucional da UFMG |
Download full: | https://doi.org/10.2217/cer-2020-0259 http://hdl.handle.net/1843/56642 https://orcid.org/0000-0003-2540-8291 https://orcid.org/0000-0002-0210-0721 https://orcid.org/0000-0002-5880-5261 https://orcid.org/0000-0001-5256-0577 https://orcid.org/0000-0002-5549-3426 https://orcid.org/0000-0001-6539-6972 https://orcid.org/0000-0001-5036-1988 https://orcid.org/0000-0001-7756-2157 https://orcid.org/0000-0003-0138-9401 |
Summary: | Objective: To evaluate the influence of organizational structure and technical-management activities on the availability of essential medicines in the primary healthcare. Materials & methods: Cross-sectional, exploratory and evaluative study. The availability was evaluated according to parameters established by the WHO. Results: The average availability of standardized essential medicines was 83.3 and 73.3% for medicines purchased centrally by the Brazilian government. Among the therapeutic groups evaluated, the lowest average availability were for the tuberculostatics (24.1%) and psychotropic/special control medicines (30.3%). Conclusion: The availability of essential medicines was positively influenced by the presence of the pharmacist and by the computerized system deployed, and negatively associated with essential medicines purchased centrally by the federal government, especially in the smaller municipalities. |
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2023-07-18T20:32:12Z2023-07-18T20:32:12Z2021106519532https://doi.org/10.2217/cer-2020-02592042-6313http://hdl.handle.net/1843/56642https://orcid.org/0000-0003-2540-8291https://orcid.org/0000-0002-0210-0721https://orcid.org/0000-0002-5880-5261https://orcid.org/0000-0001-5256-0577https://orcid.org/0000-0002-5549-3426https://orcid.org/0000-0001-6539-6972https://orcid.org/0000-0001-5036-1988https://orcid.org/0000-0001-7756-2157https://orcid.org/0000-0003-0138-9401Objective: To evaluate the influence of organizational structure and technical-management activities on the availability of essential medicines in the primary healthcare. Materials & methods: Cross-sectional, exploratory and evaluative study. The availability was evaluated according to parameters established by the WHO. Results: The average availability of standardized essential medicines was 83.3 and 73.3% for medicines purchased centrally by the Brazilian government. Among the therapeutic groups evaluated, the lowest average availability were for the tuberculostatics (24.1%) and psychotropic/special control medicines (30.3%). Conclusion: The availability of essential medicines was positively influenced by the presence of the pharmacist and by the computerized system deployed, and negatively associated with essential medicines purchased centrally by the federal government, especially in the smaller municipalities.porUniversidade Federal de Minas GeraisUFMGBrasilFAR - DEPARTAMENTO DE FARMÁCIA SOCIALJournal of Comparative Effectiveness ResearchSaúde ColetivaServiços farmaceuticosCuidados Primários de SaúdeSistema Único de SaúdeAvailabilityDrugs, essentialPharmaceutical servicesPrimary health careUnified health systemInfluence of pharmaceutical services organization on the availability of essential medicines in a public health systeminfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://becarispublishing.com/doi/10.2217/cer-2020-0259Wenderson Henrique RochaJuliana Álvares TeodoroFrancisco de Assis AcurcioAugusto Afonso Guerra JúniorIsabel Cristina Gomes MouraBrian GodmanAmanj KurdiRenata Cristina Rezende Macedo do NascimentoAlessandra Maciel Almeidainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/56642/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALInfluence of pharmaceutical services.pdfInfluence of pharmaceutical services.pdfapplication/pdf272429https://repositorio.ufmg.br/bitstream/1843/56642/2/Influence%20of%20pharmaceutical%20services.pdf445f4287f6304f21f5c48f202dff7257MD521843/566422023-07-18 17:32:12.877oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-07-18T20:32:12Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Influence of pharmaceutical services organization on the availability of essential medicines in a public health system |
title |
Influence of pharmaceutical services organization on the availability of essential medicines in a public health system |
spellingShingle |
Influence of pharmaceutical services organization on the availability of essential medicines in a public health system Wenderson Henrique Rocha Availability Drugs, essential Pharmaceutical services Primary health care Unified health system Saúde Coletiva Serviços farmaceuticos Cuidados Primários de Saúde Sistema Único de Saúde |
title_short |
Influence of pharmaceutical services organization on the availability of essential medicines in a public health system |
title_full |
Influence of pharmaceutical services organization on the availability of essential medicines in a public health system |
title_fullStr |
Influence of pharmaceutical services organization on the availability of essential medicines in a public health system |
title_full_unstemmed |
Influence of pharmaceutical services organization on the availability of essential medicines in a public health system |
title_sort |
Influence of pharmaceutical services organization on the availability of essential medicines in a public health system |
author |
Wenderson Henrique Rocha |
author_facet |
Wenderson Henrique Rocha Juliana Álvares Teodoro Francisco de Assis Acurcio Augusto Afonso Guerra Júnior Isabel Cristina Gomes Moura Brian Godman Amanj Kurdi Renata Cristina Rezende Macedo do Nascimento Alessandra Maciel Almeida |
author_role |
author |
author2 |
Juliana Álvares Teodoro Francisco de Assis Acurcio Augusto Afonso Guerra Júnior Isabel Cristina Gomes Moura Brian Godman Amanj Kurdi Renata Cristina Rezende Macedo do Nascimento Alessandra Maciel Almeida |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Wenderson Henrique Rocha Juliana Álvares Teodoro Francisco de Assis Acurcio Augusto Afonso Guerra Júnior Isabel Cristina Gomes Moura Brian Godman Amanj Kurdi Renata Cristina Rezende Macedo do Nascimento Alessandra Maciel Almeida |
dc.subject.por.fl_str_mv |
Availability Drugs, essential Pharmaceutical services Primary health care Unified health system |
topic |
Availability Drugs, essential Pharmaceutical services Primary health care Unified health system Saúde Coletiva Serviços farmaceuticos Cuidados Primários de Saúde Sistema Único de Saúde |
dc.subject.other.pt_BR.fl_str_mv |
Saúde Coletiva Serviços farmaceuticos Cuidados Primários de Saúde Sistema Único de Saúde |
description |
Objective: To evaluate the influence of organizational structure and technical-management activities on the availability of essential medicines in the primary healthcare. Materials & methods: Cross-sectional, exploratory and evaluative study. The availability was evaluated according to parameters established by the WHO. Results: The average availability of standardized essential medicines was 83.3 and 73.3% for medicines purchased centrally by the Brazilian government. Among the therapeutic groups evaluated, the lowest average availability were for the tuberculostatics (24.1%) and psychotropic/special control medicines (30.3%). Conclusion: The availability of essential medicines was positively influenced by the presence of the pharmacist and by the computerized system deployed, and negatively associated with essential medicines purchased centrally by the federal government, especially in the smaller municipalities. |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021 |
dc.date.accessioned.fl_str_mv |
2023-07-18T20:32:12Z |
dc.date.available.fl_str_mv |
2023-07-18T20:32:12Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/56642 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.2217/cer-2020-0259 |
dc.identifier.issn.pt_BR.fl_str_mv |
2042-6313 |
dc.identifier.orcid.pt_BR.fl_str_mv |
https://orcid.org/0000-0003-2540-8291 https://orcid.org/0000-0002-0210-0721 https://orcid.org/0000-0002-5880-5261 https://orcid.org/0000-0001-5256-0577 https://orcid.org/0000-0002-5549-3426 https://orcid.org/0000-0001-6539-6972 https://orcid.org/0000-0001-5036-1988 https://orcid.org/0000-0001-7756-2157 https://orcid.org/0000-0003-0138-9401 |
url |
https://doi.org/10.2217/cer-2020-0259 http://hdl.handle.net/1843/56642 https://orcid.org/0000-0003-2540-8291 https://orcid.org/0000-0002-0210-0721 https://orcid.org/0000-0002-5880-5261 https://orcid.org/0000-0001-5256-0577 https://orcid.org/0000-0002-5549-3426 https://orcid.org/0000-0001-6539-6972 https://orcid.org/0000-0001-5036-1988 https://orcid.org/0000-0001-7756-2157 https://orcid.org/0000-0003-0138-9401 |
identifier_str_mv |
2042-6313 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.ispartof.pt_BR.fl_str_mv |
Journal of Comparative Effectiveness Research |
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info:eu-repo/semantics/openAccess |
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openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
dc.publisher.initials.fl_str_mv |
UFMG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
FAR - DEPARTAMENTO DE FARMÁCIA SOCIAL |
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Universidade Federal de Minas Gerais |
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