Medicine dispensing service in primary health care of SUS
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/139757 |
Resumo: | OBJECTIVE: To characterize the medicine dispensing services in the primary health care network in Brazil and in its different regions, aiming to promote the access and rational use of medicines. METHODS: This is a cross-sectional, quantitative study with data obtained from the Pesquisa Nacional sobre Acesso, Utilização e Uso Racional de Medicamentos (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), 2015. Observation visits were carried out in 1,175 dispensing units, and interviews were held with 1,139 professionals responsible for the dispensation of medicines in the dispensing units and 495 municipal coordinators of pharmaceutical services. RESULTS: More than half (53%) of the units presented a space smaller than 10 m2 for dispensing of medicines; 23.8% had bars or barriers between users and dispenser; 41.7% had computerized system; and 23.7% had counters for individual care. Among those responsible for dispensation, 87.4% said they always or repeatedly inform users how to use the medicines, and 18.1% reported developing some type of clinical activity. Isolated pharmacies presented a more developed physical and personal structure than those belonging to health units, but we found no significant differences regarding the information provided and the development of clinical activities. CONCLUSIONS: There are major differences in the organization models of dispensation between cities, with regional differences regarding the physical structure and professionals involved. The centralization of medicine dispensing in pharmacies separated from the health services is associated with better structural and professional conditions, as in the dispensing units of the South, Southeast, and Midwest regions. However, the development of dispensation as health service does not prevail in any pharmacy or region of the Country yet |
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Medicine dispensing service in primary health care of SUSServiço de dispensação de medicamentos na atenção básica no SUSBoas Práticas de Dispensação. Assistência Farmacêutica. Atenção Primária à Saúde. Pesquisa sobre Serviços de Saúde. Sistema Único de SaúdeGood Dispensing Practices. Pharmaceutical Services. Primary Health Care. Health Services Research. Brazilian Unified Health SystemOBJECTIVE: To characterize the medicine dispensing services in the primary health care network in Brazil and in its different regions, aiming to promote the access and rational use of medicines. METHODS: This is a cross-sectional, quantitative study with data obtained from the Pesquisa Nacional sobre Acesso, Utilização e Uso Racional de Medicamentos (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), 2015. Observation visits were carried out in 1,175 dispensing units, and interviews were held with 1,139 professionals responsible for the dispensation of medicines in the dispensing units and 495 municipal coordinators of pharmaceutical services. RESULTS: More than half (53%) of the units presented a space smaller than 10 m2 for dispensing of medicines; 23.8% had bars or barriers between users and dispenser; 41.7% had computerized system; and 23.7% had counters for individual care. Among those responsible for dispensation, 87.4% said they always or repeatedly inform users how to use the medicines, and 18.1% reported developing some type of clinical activity. Isolated pharmacies presented a more developed physical and personal structure than those belonging to health units, but we found no significant differences regarding the information provided and the development of clinical activities. CONCLUSIONS: There are major differences in the organization models of dispensation between cities, with regional differences regarding the physical structure and professionals involved. The centralization of medicine dispensing in pharmacies separated from the health services is associated with better structural and professional conditions, as in the dispensing units of the South, Southeast, and Midwest regions. However, the development of dispensation as health service does not prevail in any pharmacy or region of the Country yetOBJETIVO: Caracterizar os serviços de dispensação de medicamentos na rede de atenção básica no Brasil e nas diferentes regiões, com vistas ao acesso e a promoção do uso racional de medicamentos. MÉTODOS: Trata-se de estudo transversal, de abordagem quantitativa, a partir de dados obtidos da Pesquisa Nacional sobre Acesso, Utilização e Uso Racional de Medicamentos, 2015. Foram realizadas visitas de observação em 1.175 unidades de dispensação e entrevistas com 1.139 responsáveis pela dispensação dos medicamentos nas unidades dispensadoras e 495 coordenadores da assistência farmacêutica municipal. RESULTADOS: Mais da metade (53%) das unidades apresentaram espaço menor que 10 m2 para dispensação de medicamentos, 23,8% apresentavam grades ou barreiras entre usuários e dispensador, 41,7% dispunham de sistema informatizado, 23,7% contavam com guichês para atendimento individual. Entre os responsáveis pela dispensação 87,4% afirmaram informar sobre a forma de uso dos medicamentos sempre ou repetidamente, e 18,1% afirmaram desenvolver algum tipo de atividade clínica. As farmácias isoladas apresentavam estrutura física e pessoal mais desenvolvida que aquelas pertencentes a unidades de saúde, mas não houve diferenças significantes quanto às informações prestadas e o desenvolvimento de atividades clínicas. CONCLUSÕES: Há grandes diferenças de modelos de organização da dispensação entre os municípios, com diferenças regionais quanto à estrutura física e a profissionais envolvidos. A centralização da dispensação de medicamentos em farmácias isoladas dos serviços de saúde está associada a melhores condições estruturais e de profissionais, assim como nas unidades dispensadoras das regiões Sul, Sudeste e Centro-Oeste, no entanto o desenvolvimento da dispensação como serviço de saúde ainda não prevalece em qualquer tipo de farmácia ou região do paísUniversidade 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/13975710.11606/S1518-8787.2017051007121Revista de Saúde Pública; Vol. 51 (2017): Suplemento 2; 11sRevista de Saúde Pública; Vol. 51 (2017): Suplemento 2; 11sRevista de Saúde Pública; v. 51 (2017): Suplemento 2; 11s1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/139757/135037https://www.revistas.usp.br/rsp/article/view/139757/135038https://www.revistas.usp.br/rsp/article/view/139757/148262Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessLeite, Silvana NairBernardo, Noemia Liege Maria da CunhaÁlvares, JulianaGuerra Junior, Augusto AfonsoCosta, Ediná AlvesAcurcio, Francisco de AssisGuibu, Ione AquemiCosta, Karen SarmentoKarnikowski, Margô Gomes de OliveiraSoeiro, Orlando MarioSoares, Luciano2017-10-23T19:07:50Zoai:revistas.usp.br:article/139757Revistahttps://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 |
Medicine dispensing service in primary health care of SUS Serviço de dispensação de medicamentos na atenção básica no SUS |
title |
Medicine dispensing service in primary health care of SUS |
spellingShingle |
Medicine dispensing service in primary health care of SUS Leite, Silvana Nair Boas Práticas de Dispensação. Assistência Farmacêutica. Atenção Primária à Saúde. Pesquisa sobre Serviços de Saúde. Sistema Único de Saúde Good Dispensing Practices. Pharmaceutical Services. Primary Health Care. Health Services Research. Brazilian Unified Health System |
title_short |
Medicine dispensing service in primary health care of SUS |
title_full |
Medicine dispensing service in primary health care of SUS |
title_fullStr |
Medicine dispensing service in primary health care of SUS |
title_full_unstemmed |
Medicine dispensing service in primary health care of SUS |
title_sort |
Medicine dispensing service in primary health care of SUS |
author |
Leite, Silvana Nair |
author_facet |
Leite, Silvana Nair Bernardo, Noemia Liege Maria da Cunha Álvares, Juliana Guerra Junior, Augusto Afonso Costa, Ediná Alves Acurcio, Francisco de Assis Guibu, Ione Aquemi Costa, Karen Sarmento Karnikowski, Margô Gomes de Oliveira Soeiro, Orlando Mario Soares, Luciano |
author_role |
author |
author2 |
Bernardo, Noemia Liege Maria da Cunha Álvares, Juliana Guerra Junior, Augusto Afonso Costa, Ediná Alves Acurcio, Francisco de Assis Guibu, Ione Aquemi Costa, Karen Sarmento Karnikowski, Margô Gomes de Oliveira Soeiro, Orlando Mario Soares, Luciano |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Leite, Silvana Nair Bernardo, Noemia Liege Maria da Cunha Álvares, Juliana Guerra Junior, Augusto Afonso Costa, Ediná Alves Acurcio, Francisco de Assis Guibu, Ione Aquemi Costa, Karen Sarmento Karnikowski, Margô Gomes de Oliveira Soeiro, Orlando Mario Soares, Luciano |
dc.subject.por.fl_str_mv |
Boas Práticas de Dispensação. Assistência Farmacêutica. Atenção Primária à Saúde. Pesquisa sobre Serviços de Saúde. Sistema Único de Saúde Good Dispensing Practices. Pharmaceutical Services. Primary Health Care. Health Services Research. Brazilian Unified Health System |
topic |
Boas Práticas de Dispensação. Assistência Farmacêutica. Atenção Primária à Saúde. Pesquisa sobre Serviços de Saúde. Sistema Único de Saúde Good Dispensing Practices. Pharmaceutical Services. Primary Health Care. Health Services Research. Brazilian Unified Health System |
description |
OBJECTIVE: To characterize the medicine dispensing services in the primary health care network in Brazil and in its different regions, aiming to promote the access and rational use of medicines. METHODS: This is a cross-sectional, quantitative study with data obtained from the Pesquisa Nacional sobre Acesso, Utilização e Uso Racional de Medicamentos (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), 2015. Observation visits were carried out in 1,175 dispensing units, and interviews were held with 1,139 professionals responsible for the dispensation of medicines in the dispensing units and 495 municipal coordinators of pharmaceutical services. RESULTS: More than half (53%) of the units presented a space smaller than 10 m2 for dispensing of medicines; 23.8% had bars or barriers between users and dispenser; 41.7% had computerized system; and 23.7% had counters for individual care. Among those responsible for dispensation, 87.4% said they always or repeatedly inform users how to use the medicines, and 18.1% reported developing some type of clinical activity. Isolated pharmacies presented a more developed physical and personal structure than those belonging to health units, but we found no significant differences regarding the information provided and the development of clinical activities. CONCLUSIONS: There are major differences in the organization models of dispensation between cities, with regional differences regarding the physical structure and professionals involved. The centralization of medicine dispensing in pharmacies separated from the health services is associated with better structural and professional conditions, as in the dispensing units of the South, Southeast, and Midwest regions. However, the development of dispensation as health service does not prevail in any pharmacy or region of the Country yet |
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/139757 10.11606/S1518-8787.2017051007121 |
url |
https://www.revistas.usp.br/rsp/article/view/139757 |
identifier_str_mv |
10.11606/S1518-8787.2017051007121 |
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/139757/135037 https://www.revistas.usp.br/rsp/article/view/139757/135038 https://www.revistas.usp.br/rsp/article/view/139757/148262 |
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; 11s Revista de Saúde Pública; Vol. 51 (2017): Suplemento 2; 11s Revista de Saúde Pública; v. 51 (2017): Suplemento 2; 11s 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_ |
1800221799024164864 |