Characterization of the selection of medicines for the Brazilian primary health care
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000300305 |
Resumo: | ABSTRACT OBJECTIVE To characterize the process of selection of medicines for primary health care in the Brazilian regions. METHODS This article is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015), a cross-sectional study that consisted of an information gathering in a sample of cities in the five regions of Brazil. The data used were collected by interviews with those responsible for pharmaceutical services (PS) (n = 506), professionals responsible for the dispensing of medicines (n = 1,139), and physicians (n = 1,558). To evaluate the difference between ratios, we adopted the Chi-square test for complex samples. The differences between the averages were analyzed in generalized linear models with F-test with Bonferroni correction for multiple comparisons. The analyses considered significant had p≤0.05. RESULTS The professionals responsible for pharmaceutical services reported non-existence of a formally constituted Pharmacy and Therapeutics Committee (PTC) (12.5%). They claimed to have an updated (80.4%) list of Essential Medicines (85.3%) and being active participants of this process (88.2%). However, in the perception of respondents, the list only partially (70.1%) meets the health demands. Of the interviewed professionals responsible for the dispensing of medicines, only 16.6% were pharmacists; even so, 47.8% reported to know the procedures to change the list. From the perspective of most of these professionals (70.9%), the list meets the health demands of the city. Among physicians, only 27.2% reported to know the procedures to change the list, but 76.5% would have some claim to change it. Most of them reported to base their claims in clinical experiences (80.0%). For 13.0% of them, the list meets the health demands. CONCLUSIONS As this is the first national survey of characterization of the process of selection of medicines within primary health care, it brings unpublished data for the assessment of policies related to medicines in Brazil. |
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Characterization of the selection of medicines for the Brazilian primary health careDrugs, Essential, classificationPharmacy and Therapeutics CommitteePharmaceutical ServicesNational Policy of Pharmaceutical AssistancePrimary Health CareHealth Services ResearchUnified Health SystemABSTRACT OBJECTIVE To characterize the process of selection of medicines for primary health care in the Brazilian regions. METHODS This article is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015), a cross-sectional study that consisted of an information gathering in a sample of cities in the five regions of Brazil. The data used were collected by interviews with those responsible for pharmaceutical services (PS) (n = 506), professionals responsible for the dispensing of medicines (n = 1,139), and physicians (n = 1,558). To evaluate the difference between ratios, we adopted the Chi-square test for complex samples. The differences between the averages were analyzed in generalized linear models with F-test with Bonferroni correction for multiple comparisons. The analyses considered significant had p≤0.05. RESULTS The professionals responsible for pharmaceutical services reported non-existence of a formally constituted Pharmacy and Therapeutics Committee (PTC) (12.5%). They claimed to have an updated (80.4%) list of Essential Medicines (85.3%) and being active participants of this process (88.2%). However, in the perception of respondents, the list only partially (70.1%) meets the health demands. Of the interviewed professionals responsible for the dispensing of medicines, only 16.6% were pharmacists; even so, 47.8% reported to know the procedures to change the list. From the perspective of most of these professionals (70.9%), the list meets the health demands of the city. Among physicians, only 27.2% reported to know the procedures to change the list, but 76.5% would have some claim to change it. Most of them reported to base their claims in clinical experiences (80.0%). For 13.0% of them, the list meets the health demands. CONCLUSIONS As this is the first national survey of characterization of the process of selection of medicines within primary health care, it brings unpublished data for the assessment of policies related to medicines in Brazil.Faculdade de Saúde Pública da Universidade de São Paulo2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000300305Revista de Saúde Pública v.51 suppl.2 2017reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2017051007065info:eu-repo/semantics/openAccessKarnikowski,Margô Gomes de OliveiraGalato,DayaniMeiners,Micheline Marie Milward de AzevedoSilva,Emília Vitória daGerlack,Letícia FariasBós,Ângelo José GonçalvesLeite,Silvana NairÁlvares,JulianaGuibu,Ione AquemiSoeiro,Orlando MarioCosta,Karen SarmentoCosta,Ediná AlvesGuerra Junior,Augusto AfonsoAcurcio,Francisco de Assiseng2017-11-09T00:00:00Zoai:scielo:S0034-89102017000300305Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2017-11-09T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Characterization of the selection of medicines for the Brazilian primary health care |
title |
Characterization of the selection of medicines for the Brazilian primary health care |
spellingShingle |
Characterization of the selection of medicines for the Brazilian primary health care Karnikowski,Margô Gomes de Oliveira Drugs, Essential, classification Pharmacy and Therapeutics Committee Pharmaceutical Services National Policy of Pharmaceutical Assistance Primary Health Care Health Services Research Unified Health System |
title_short |
Characterization of the selection of medicines for the Brazilian primary health care |
title_full |
Characterization of the selection of medicines for the Brazilian primary health care |
title_fullStr |
Characterization of the selection of medicines for the Brazilian primary health care |
title_full_unstemmed |
Characterization of the selection of medicines for the Brazilian primary health care |
title_sort |
Characterization of the selection of medicines for the Brazilian primary health care |
author |
Karnikowski,Margô Gomes de Oliveira |
author_facet |
Karnikowski,Margô Gomes de Oliveira Galato,Dayani Meiners,Micheline Marie Milward de Azevedo Silva,Emília Vitória da Gerlack,Letícia Farias Bós,Ângelo José Gonçalves Leite,Silvana Nair Álvares,Juliana Guibu,Ione Aquemi Soeiro,Orlando Mario Costa,Karen Sarmento Costa,Ediná Alves Guerra Junior,Augusto Afonso Acurcio,Francisco de Assis |
author_role |
author |
author2 |
Galato,Dayani Meiners,Micheline Marie Milward de Azevedo Silva,Emília Vitória da Gerlack,Letícia Farias Bós,Ângelo José Gonçalves Leite,Silvana Nair Álvares,Juliana Guibu,Ione Aquemi Soeiro,Orlando Mario Costa,Karen Sarmento Costa,Ediná Alves Guerra Junior,Augusto Afonso Acurcio,Francisco de Assis |
author2_role |
author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Karnikowski,Margô Gomes de Oliveira Galato,Dayani Meiners,Micheline Marie Milward de Azevedo Silva,Emília Vitória da Gerlack,Letícia Farias Bós,Ângelo José Gonçalves Leite,Silvana Nair Álvares,Juliana Guibu,Ione Aquemi Soeiro,Orlando Mario Costa,Karen Sarmento Costa,Ediná Alves Guerra Junior,Augusto Afonso Acurcio,Francisco de Assis |
dc.subject.por.fl_str_mv |
Drugs, Essential, classification Pharmacy and Therapeutics Committee Pharmaceutical Services National Policy of Pharmaceutical Assistance Primary Health Care Health Services Research Unified Health System |
topic |
Drugs, Essential, classification Pharmacy and Therapeutics Committee Pharmaceutical Services National Policy of Pharmaceutical Assistance Primary Health Care Health Services Research Unified Health System |
description |
ABSTRACT OBJECTIVE To characterize the process of selection of medicines for primary health care in the Brazilian regions. METHODS This article is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015), a cross-sectional study that consisted of an information gathering in a sample of cities in the five regions of Brazil. The data used were collected by interviews with those responsible for pharmaceutical services (PS) (n = 506), professionals responsible for the dispensing of medicines (n = 1,139), and physicians (n = 1,558). To evaluate the difference between ratios, we adopted the Chi-square test for complex samples. The differences between the averages were analyzed in generalized linear models with F-test with Bonferroni correction for multiple comparisons. The analyses considered significant had p≤0.05. RESULTS The professionals responsible for pharmaceutical services reported non-existence of a formally constituted Pharmacy and Therapeutics Committee (PTC) (12.5%). They claimed to have an updated (80.4%) list of Essential Medicines (85.3%) and being active participants of this process (88.2%). However, in the perception of respondents, the list only partially (70.1%) meets the health demands. Of the interviewed professionals responsible for the dispensing of medicines, only 16.6% were pharmacists; even so, 47.8% reported to know the procedures to change the list. From the perspective of most of these professionals (70.9%), the list meets the health demands of the city. Among physicians, only 27.2% reported to know the procedures to change the list, but 76.5% would have some claim to change it. Most of them reported to base their claims in clinical experiences (80.0%). For 13.0% of them, the list meets the health demands. CONCLUSIONS As this is the first national survey of characterization of the process of selection of medicines within primary health care, it brings unpublished data for the assessment of policies related to medicines in Brazil. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-01-01 |
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=S0034-89102017000300305 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000300305 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.11606/s1518-8787.2017051007065 |
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 |
Faculdade de Saúde Pública da Universidade de São Paulo |
publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
dc.source.none.fl_str_mv |
Revista de Saúde Pública v.51 suppl.2 2017 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
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1748936504315478016 |