Characterization of the selection of medicines for the Brazilian primary health care

Detalhes bibliográficos
Autor(a) principal: Karnikowski, Margô Gomes de Oliveira
Data de Publicação: 2017
Outros Autores: 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
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/139742
Resumo: 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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spelling Characterization of the selection of medicines for the Brazilian primary health careCaracterização da seleção de medicamentos para a atenção primária no BrasilDrugsEssentialclassification. Pharmacy and Therapeutics Committee. Pharmaceutical Services. National Policy of Pharmaceutical Assistance. Primary Health Care. Health Services Research. Unified Health SystemMedicamentos Essenciaisclassificação. Comitê de Farmácia e Terapêutica. Assistência Farmacêutica. Política Nacional de Assistência Farmacêutica. Atenção Primária à Saúde. Pesquisa sobre Serviços de Saúde. Sistema Único de SaúdeOBJECTIVE: 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 BrazilOBJETIVO: Caracterizar o processo de seleção de medicamentos na atenção primária à saúde, nas regiões brasileiras. MÉTODOS: Artigo integrante da Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços 2015, um estudo transversal que envolveu o levantamento de informações numa amostra de municípios das cinco regiões do Brasil. Os dados utilizados foram coletados por meio de entrevistas com os responsáveis pela assistência farmacêutica (n = 506), profissionais que realizam a dispensação de medicamentos (n = 1.139) e médicos (n = 1.558). Para avaliar a diferença entre as proporções foi adotado o teste do qui-quadrado para amostras complexas. As diferenças entre as médias foram analisadas em modelos lineares generalizados, com teste F com correção de Bonferroni para comparações múltiplas. Foram significativas as análises com valores de p ≤ 0,05. RESULTADOS: Os responsáveis da assistência farmacêutica relataram não haver Comissão de Farmácia e Terapêutica formalmente constituída (12,5%). Eles afirmaram possuir uma Lista de Medicamentos Essenciais (85,3%) atualizada (80,4%), e serem participantes deste processo (88,2%). Contudo, na percepção dos entrevistados a Lista atende apenas parcialmente (70,1%) as demandas de saúde. Dos profissionais que realizam a dispensação de medicamentos entrevistados, apenas 16,6% eram farmacêuticos, mesmo assim, 47,8% referiram conhecer os procedimentos para mudança da lista. Na perspectiva da maior parte desses profissionais (70,9%), a lista atende as demandas de saúde do município. Dentre os médicos apenas 27,2% declararam ter conhecimento dos procedimentos para mudança da lista, mas 76,5% teriam alguma reivindicação de alteração. A maior parte reporta que baseia suas reivindicações em experiências clínicas (80,0%); para 13,0% deles, a lista atende às demandas de saúde. CONCLUSÕES: Por tratar-se da primeira pesquisa nacional de caracterização do processo de seleção de medicamentos no âmbito da atenção primária à saúde, traz dados inéditos para a avaliação das políticas relacionadas com medicamentos no BrasilUniversidade 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/13974210.11606/S1518-8787.2017051007065Revista de Saúde Pública; Vol. 51 (2017): Suplemento 2; 9sRevista de Saúde Pública; Vol. 51 (2017): Suplemento 2; 9sRevista de Saúde Pública; v. 51 (2017): Suplemento 2; 9s1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/139742/135007https://www.revistas.usp.br/rsp/article/view/139742/135008https://www.revistas.usp.br/rsp/article/view/139742/148256Copyright (c) 2017 Revista de Saúde Públicainfo: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 Assis2017-10-23T19:07:50Zoai:revistas.usp.br:article/139742Revistahttps://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 Characterization of the selection of medicines for the Brazilian primary health care
Caracterização da seleção de medicamentos para a atenção primária no Brasil
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
Medicamentos Essenciais
classificação. Comitê de Farmácia e Terapêutica. Assistência Farmacêutica. Política Nacional de Assistência Farmacêutica. Atenção Primária à Saúde. Pesquisa sobre Serviços de Saúde. Sistema Único de Saúde
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
Medicamentos Essenciais
classificação. Comitê de Farmácia e Terapêutica. Assistência Farmacêutica. Política Nacional de Assistência Farmacêutica. Atenção Primária à Saúde. Pesquisa sobre Serviços de Saúde. Sistema Único de Saúde
topic Drugs
Essential
classification. Pharmacy and Therapeutics Committee. Pharmaceutical Services. National Policy of Pharmaceutical Assistance. Primary Health Care. Health Services Research. Unified Health System
Medicamentos Essenciais
classificação. Comitê de Farmácia e Terapêutica. Assistência Farmacêutica. Política Nacional de Assistência Farmacêutica. Atenção Primária à Saúde. Pesquisa sobre Serviços de Saúde. Sistema Único de Saúde
description 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
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dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/139742
10.11606/S1518-8787.2017051007065
url https://www.revistas.usp.br/rsp/article/view/139742
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/139742/135007
https://www.revistas.usp.br/rsp/article/view/139742/135008
https://www.revistas.usp.br/rsp/article/view/139742/148256
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; 9s
Revista de Saúde Pública; Vol. 51 (2017): Suplemento 2; 9s
Revista de Saúde Pública; v. 51 (2017): Suplemento 2; 9s
1518-8787
0034-8910
reponame:Revista de Saúde Pública
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reponame_str Revista de Saúde Pública
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