Workforce in the pharmaceutical services of the primary health care of SUS, Brazil

Detalhes bibliográficos
Autor(a) principal: Carvalho, Marselle Nobre
Data de Publicação: 2017
Outros Autores: Álvares, Juliana, Costa, Karen Sarmento, Guerra Junior, Augusto Afonso, Acurcio, Francisco de Assis, Costa, Ediná Alves, Guibu, Ione Aquemi, Soeiro, Orlando Mario, Karnikowski, Margô Gomes de Oliveira, Leite, Silvana Nair
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/139750
Resumo: OBJECTIVE: To characterize the workforce in the pharmaceutical services in the primary care of the Brazilian Unified Health System (SUS). METHODS: This is a cross-sectional and quantitative study, with data from 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). For the analysis, we considered the data stratification into geographical regions. We analyzed the data on workers in the municipal pharmaceutical services management and in the medicine dispensing units, according to the country’s regions. For the statistical association analysis, we carried out a Pearson correlation test for the categorical variables. RESULTS: We analyzed 1,175 pharmacies/dispensing units, 507 phone interviews (495 pharmaceutical services coordinators), and 1,139 professionals responsible for medicine delivery. The workforce in pharmaceutical services was mostly constituted by women, aged from 18 to 39 years, with higher education (90.7% in coordination and 45.5% in dispensing units), having permanent employment bonds (public tender), being for more than one year in the position or duty, and with weekly work hours above 30h, working both in municipal management and in medicine dispensing units. We observed regional differences in the workforce composition in dispensing units, with higher percentage of pharmacists in the Southeast and Midwest regions. CONCLUSIONS: The professionalization of municipal management posts in primary health care is an achievement in the organization of the workforce in pharmaceutical services. However, significant deficiencies exist in the workforce composition in medicine dispensing units, which may compromise the medicine use quality and its results in population health
id USP-23_bc5e30ddf5f9da19af0bfee276a5b121
oai_identifier_str oai:revistas.usp.br:article/139750
network_acronym_str USP-23
network_name_str Revista de Saúde Pública
repository_id_str
spelling Workforce in the pharmaceutical services of the primary health care of SUS, BrazilForça de trabalho na assistência farmacêutica da atenção básica do SUS, BrasilPharmaceutical Servicesmanpower. Patient Care Team. Workers. Primary Health Care. Health Services Research. Unified Health SystemAssistência Farmacêuticarecursos humanos. Equipe de Assistência ao Paciente. Trabalhadores. Atenção Primária à Saúde. Pesquisa sobre Serviços de Saúde. Sistema Único de SaúdeOBJECTIVE: To characterize the workforce in the pharmaceutical services in the primary care of the Brazilian Unified Health System (SUS). METHODS: This is a cross-sectional and quantitative study, with data from 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). For the analysis, we considered the data stratification into geographical regions. We analyzed the data on workers in the municipal pharmaceutical services management and in the medicine dispensing units, according to the country’s regions. For the statistical association analysis, we carried out a Pearson correlation test for the categorical variables. RESULTS: We analyzed 1,175 pharmacies/dispensing units, 507 phone interviews (495 pharmaceutical services coordinators), and 1,139 professionals responsible for medicine delivery. The workforce in pharmaceutical services was mostly constituted by women, aged from 18 to 39 years, with higher education (90.7% in coordination and 45.5% in dispensing units), having permanent employment bonds (public tender), being for more than one year in the position or duty, and with weekly work hours above 30h, working both in municipal management and in medicine dispensing units. We observed regional differences in the workforce composition in dispensing units, with higher percentage of pharmacists in the Southeast and Midwest regions. CONCLUSIONS: The professionalization of municipal management posts in primary health care is an achievement in the organization of the workforce in pharmaceutical services. However, significant deficiencies exist in the workforce composition in medicine dispensing units, which may compromise the medicine use quality and its results in population healthOBJETIVO: Caracterizar a força de trabalho da assistência farmacêutica na atenção básica do Sistema Único de Saúde. MÉTODOS: Trata-se de estudo transversal de abordagem quantitativa com dados da Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015. Para a análise, foi considerada a estratificação dos dados por região geográfica. Foram analisados dados sobre os trabalhadores na gestão da assistência farmacêutica municipal e nas unidades de dispensação de medicamentos segundo regiões do país. Para a análise de associação estatística foi realizado teste de correlação Pearson para as variáveis categóricas. RESULTADOS: Foram observadas 1.175 farmácias/unidades dispensadoras, 507 entrevistas telefônicas (495 coordenadores da assistência farmacêutica), e 1.139 responsáveis pela entrega de medicamentos. A força de trabalho na assistência farmacêutica era predominantemente composta por mulheres, na faixa etária de 18 a 39 anos, com formação superior (90,7% na coordenação e 45,5% na unidade de dispensação), com vínculo empregatício efetivo (concursado), há mais de um ano no cargo ou atividade e jornada de trabalho semanal superior a 30 horas, tanto na gestão municipal quanto nas unidades de dispensação de medicamentos. Foram observadas diferenças regionais na composição da força de trabalho nas unidades de dispensação; nas regiões Sudeste e Centro-Oeste havia maior proporção de farmacêuticos nestes serviços. CONCLUSÕES: A profissionalização das funções de gestão municipal na atenção básica é uma conquista na organização da força de trabalho da assistência farmacêutica. No entanto, há importantes deficiências na composição da força de trabalho nas unidades de dispensação de medicamentos que devem comprometer a qualidade do uso dos medicamentos e seus resultados na saúde da populaçãoUniversidade de São Paulo. Faculdade de Saúde Pública2017-09-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/13975010.11606/S1518-8787.2017051007110Revista de Saúde Pública; Vol. 51 (2017): Suplemento 2; 16sRevista de Saúde Pública; Vol. 51 (2017): Suplemento 2; 16sRevista de Saúde Pública; v. 51 (2017): Suplemento 2; 16s1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/139750/135017https://www.revistas.usp.br/rsp/article/view/139750/135018https://www.revistas.usp.br/rsp/article/view/139750/148259Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessCarvalho, Marselle NobreÁlvares, JulianaCosta, Karen SarmentoGuerra Junior, Augusto AfonsoAcurcio, Francisco de AssisCosta, Ediná AlvesGuibu, Ione AquemiSoeiro, Orlando MarioKarnikowski, Margô Gomes de OliveiraLeite, Silvana Nair2017-10-23T19:07:50Zoai:revistas.usp.br:article/139750Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2017-10-23T19:07:50Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Workforce in the pharmaceutical services of the primary health care of SUS, Brazil
Força de trabalho na assistência farmacêutica da atenção básica do SUS, Brasil
title Workforce in the pharmaceutical services of the primary health care of SUS, Brazil
spellingShingle Workforce in the pharmaceutical services of the primary health care of SUS, Brazil
Carvalho, Marselle Nobre
Pharmaceutical Services
manpower. Patient Care Team. Workers. Primary Health Care. Health Services Research. Unified Health System
Assistência Farmacêutica
recursos humanos. Equipe de Assistência ao Paciente. Trabalhadores. Atenção Primária à Saúde. Pesquisa sobre Serviços de Saúde. Sistema Único de Saúde
title_short Workforce in the pharmaceutical services of the primary health care of SUS, Brazil
title_full Workforce in the pharmaceutical services of the primary health care of SUS, Brazil
title_fullStr Workforce in the pharmaceutical services of the primary health care of SUS, Brazil
title_full_unstemmed Workforce in the pharmaceutical services of the primary health care of SUS, Brazil
title_sort Workforce in the pharmaceutical services of the primary health care of SUS, Brazil
author Carvalho, Marselle Nobre
author_facet Carvalho, Marselle Nobre
Álvares, Juliana
Costa, Karen Sarmento
Guerra Junior, Augusto Afonso
Acurcio, Francisco de Assis
Costa, Ediná Alves
Guibu, Ione Aquemi
Soeiro, Orlando Mario
Karnikowski, Margô Gomes de Oliveira
Leite, Silvana Nair
author_role author
author2 Álvares, Juliana
Costa, Karen Sarmento
Guerra Junior, Augusto Afonso
Acurcio, Francisco de Assis
Costa, Ediná Alves
Guibu, Ione Aquemi
Soeiro, Orlando Mario
Karnikowski, Margô Gomes de Oliveira
Leite, Silvana Nair
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Carvalho, Marselle Nobre
Álvares, Juliana
Costa, Karen Sarmento
Guerra Junior, Augusto Afonso
Acurcio, Francisco de Assis
Costa, Ediná Alves
Guibu, Ione Aquemi
Soeiro, Orlando Mario
Karnikowski, Margô Gomes de Oliveira
Leite, Silvana Nair
dc.subject.por.fl_str_mv Pharmaceutical Services
manpower. Patient Care Team. Workers. Primary Health Care. Health Services Research. Unified Health System
Assistência Farmacêutica
recursos humanos. Equipe de Assistência ao Paciente. Trabalhadores. Atenção Primária à Saúde. Pesquisa sobre Serviços de Saúde. Sistema Único de Saúde
topic Pharmaceutical Services
manpower. Patient Care Team. Workers. Primary Health Care. Health Services Research. Unified Health System
Assistência Farmacêutica
recursos humanos. Equipe de Assistência ao Paciente. Trabalhadores. Atenção Primária à Saúde. Pesquisa sobre Serviços de Saúde. Sistema Único de Saúde
description OBJECTIVE: To characterize the workforce in the pharmaceutical services in the primary care of the Brazilian Unified Health System (SUS). METHODS: This is a cross-sectional and quantitative study, with data from 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). For the analysis, we considered the data stratification into geographical regions. We analyzed the data on workers in the municipal pharmaceutical services management and in the medicine dispensing units, according to the country’s regions. For the statistical association analysis, we carried out a Pearson correlation test for the categorical variables. RESULTS: We analyzed 1,175 pharmacies/dispensing units, 507 phone interviews (495 pharmaceutical services coordinators), and 1,139 professionals responsible for medicine delivery. The workforce in pharmaceutical services was mostly constituted by women, aged from 18 to 39 years, with higher education (90.7% in coordination and 45.5% in dispensing units), having permanent employment bonds (public tender), being for more than one year in the position or duty, and with weekly work hours above 30h, working both in municipal management and in medicine dispensing units. We observed regional differences in the workforce composition in dispensing units, with higher percentage of pharmacists in the Southeast and Midwest regions. CONCLUSIONS: The professionalization of municipal management posts in primary health care is an achievement in the organization of the workforce in pharmaceutical services. However, significant deficiencies exist in the workforce composition in medicine dispensing units, which may compromise the medicine use quality and its results in population health
publishDate 2017
dc.date.none.fl_str_mv 2017-09-22
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/139750
10.11606/S1518-8787.2017051007110
url https://www.revistas.usp.br/rsp/article/view/139750
identifier_str_mv 10.11606/S1518-8787.2017051007110
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/139750/135017
https://www.revistas.usp.br/rsp/article/view/139750/135018
https://www.revistas.usp.br/rsp/article/view/139750/148259
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
application/xml
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 51 (2017): Suplemento 2; 16s
Revista de Saúde Pública; Vol. 51 (2017): Suplemento 2; 16s
Revista de Saúde Pública; v. 51 (2017): Suplemento 2; 16s
1518-8787
0034-8910
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
_version_ 1800221799016824832