Analysis of access to hypertensive and diabetic drugs in the Family Health Strategy, State of Pernambuco, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista brasileira de epidemiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2015000200413 |
Resumo: | OBJECTIVE: To evaluate the access to drugs for hypertension and diabetes and the direct cost of buying them among users of the Family Health Strategy (FHS) in the state of Pernambuco, Brazil. METHODS: Population-based, cross-sectional study of a systematic random sample of 785 patients with hypertension and 823 patients with diabetes mellitus who were registered in 208 randomly selected FHS teams in 35 municipalities of the state of Pernambuco. The selected municipalities were classified into three levels with probability proportional to municipality size (LS, large-sized; MS, medium-sized; SS, small-sized). To verify differences between the cities, we used the χ2 test. RESULTS: Pharmacological treatment was used by 91.2% patients with hypertension whereas 85.6% patients with diabetes mellitus used oral antidiabetic drugs (OADs), and 15.4% used insulin. The FHS team itself provided antihypertensive medications to 69.0% patients with hypertension, OADs to 75.0% patients with diabetes mellitus, and insulin treatment to 65.4%. The 36.9% patients with hypertension and 29.8% with diabetes mellitus that had to buy all or part of their medications reported median monthly cost of R$ 18.30, R$ 14.00, and R$ 27.61 for antihypertensive drugs, OADs, and insulin, respectively. CONCLUSION: It is necessary to increase efforts to ensure access to these drugs in the primary health care network. |
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Analysis of access to hypertensive and diabetic drugs in the Family Health Strategy, State of Pernambuco, BrazilUnified Health SystemPrimary Health CareHealth Services AccessibilityDiabetes MellitusHypertensionDrug Utilization OBJECTIVE: To evaluate the access to drugs for hypertension and diabetes and the direct cost of buying them among users of the Family Health Strategy (FHS) in the state of Pernambuco, Brazil. METHODS: Population-based, cross-sectional study of a systematic random sample of 785 patients with hypertension and 823 patients with diabetes mellitus who were registered in 208 randomly selected FHS teams in 35 municipalities of the state of Pernambuco. The selected municipalities were classified into three levels with probability proportional to municipality size (LS, large-sized; MS, medium-sized; SS, small-sized). To verify differences between the cities, we used the χ2 test. RESULTS: Pharmacological treatment was used by 91.2% patients with hypertension whereas 85.6% patients with diabetes mellitus used oral antidiabetic drugs (OADs), and 15.4% used insulin. The FHS team itself provided antihypertensive medications to 69.0% patients with hypertension, OADs to 75.0% patients with diabetes mellitus, and insulin treatment to 65.4%. The 36.9% patients with hypertension and 29.8% with diabetes mellitus that had to buy all or part of their medications reported median monthly cost of R$ 18.30, R$ 14.00, and R$ 27.61 for antihypertensive drugs, OADs, and insulin, respectively. CONCLUSION: It is necessary to increase efforts to ensure access to these drugs in the primary health care network. Associação Brasileira de Saúde Coletiva2015-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2015000200413Revista Brasileira de Epidemiologia v.18 n.2 2015reponame:Revista brasileira de epidemiologia (Online)instname:Associação Brasileira de Saúde Coletiva (ABRASCO)instacron:ABRASCO10.1590/1980-5497201500020010info:eu-repo/semantics/openAccessBarreto,Maria Nelly Sobreira de CarvalhoCesse,Eduarda Ângela PessoaLima,Rodrigo FonsecaMarinho,Michelly Geórgia da SilvaSpecht,Yuri da SilvaCarvalho,Eduardo Maia Freese deFontbonne,Annickeng2015-06-09T00:00:00Zoai:scielo:S1415-790X2015000200413Revistahttp://www.scielo.br/rbepidhttps://old.scielo.br/oai/scielo-oai.php||revbrepi@usp.br1980-54971415-790Xopendoar:2015-06-09T00:00Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO)false |
dc.title.none.fl_str_mv |
Analysis of access to hypertensive and diabetic drugs in the Family Health Strategy, State of Pernambuco, Brazil |
title |
Analysis of access to hypertensive and diabetic drugs in the Family Health Strategy, State of Pernambuco, Brazil |
spellingShingle |
Analysis of access to hypertensive and diabetic drugs in the Family Health Strategy, State of Pernambuco, Brazil Barreto,Maria Nelly Sobreira de Carvalho Unified Health System Primary Health Care Health Services Accessibility Diabetes Mellitus Hypertension Drug Utilization |
title_short |
Analysis of access to hypertensive and diabetic drugs in the Family Health Strategy, State of Pernambuco, Brazil |
title_full |
Analysis of access to hypertensive and diabetic drugs in the Family Health Strategy, State of Pernambuco, Brazil |
title_fullStr |
Analysis of access to hypertensive and diabetic drugs in the Family Health Strategy, State of Pernambuco, Brazil |
title_full_unstemmed |
Analysis of access to hypertensive and diabetic drugs in the Family Health Strategy, State of Pernambuco, Brazil |
title_sort |
Analysis of access to hypertensive and diabetic drugs in the Family Health Strategy, State of Pernambuco, Brazil |
author |
Barreto,Maria Nelly Sobreira de Carvalho |
author_facet |
Barreto,Maria Nelly Sobreira de Carvalho Cesse,Eduarda Ângela Pessoa Lima,Rodrigo Fonseca Marinho,Michelly Geórgia da Silva Specht,Yuri da Silva Carvalho,Eduardo Maia Freese de Fontbonne,Annick |
author_role |
author |
author2 |
Cesse,Eduarda Ângela Pessoa Lima,Rodrigo Fonseca Marinho,Michelly Geórgia da Silva Specht,Yuri da Silva Carvalho,Eduardo Maia Freese de Fontbonne,Annick |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Barreto,Maria Nelly Sobreira de Carvalho Cesse,Eduarda Ângela Pessoa Lima,Rodrigo Fonseca Marinho,Michelly Geórgia da Silva Specht,Yuri da Silva Carvalho,Eduardo Maia Freese de Fontbonne,Annick |
dc.subject.por.fl_str_mv |
Unified Health System Primary Health Care Health Services Accessibility Diabetes Mellitus Hypertension Drug Utilization |
topic |
Unified Health System Primary Health Care Health Services Accessibility Diabetes Mellitus Hypertension Drug Utilization |
description |
OBJECTIVE: To evaluate the access to drugs for hypertension and diabetes and the direct cost of buying them among users of the Family Health Strategy (FHS) in the state of Pernambuco, Brazil. METHODS: Population-based, cross-sectional study of a systematic random sample of 785 patients with hypertension and 823 patients with diabetes mellitus who were registered in 208 randomly selected FHS teams in 35 municipalities of the state of Pernambuco. The selected municipalities were classified into three levels with probability proportional to municipality size (LS, large-sized; MS, medium-sized; SS, small-sized). To verify differences between the cities, we used the χ2 test. RESULTS: Pharmacological treatment was used by 91.2% patients with hypertension whereas 85.6% patients with diabetes mellitus used oral antidiabetic drugs (OADs), and 15.4% used insulin. The FHS team itself provided antihypertensive medications to 69.0% patients with hypertension, OADs to 75.0% patients with diabetes mellitus, and insulin treatment to 65.4%. The 36.9% patients with hypertension and 29.8% with diabetes mellitus that had to buy all or part of their medications reported median monthly cost of R$ 18.30, R$ 14.00, and R$ 27.61 for antihypertensive drugs, OADs, and insulin, respectively. CONCLUSION: It is necessary to increase efforts to ensure access to these drugs in the primary health care network. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-06-01 |
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=S1415-790X2015000200413 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2015000200413 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1980-5497201500020010 |
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 |
Associação Brasileira de Saúde Coletiva |
publisher.none.fl_str_mv |
Associação Brasileira de Saúde Coletiva |
dc.source.none.fl_str_mv |
Revista Brasileira de Epidemiologia v.18 n.2 2015 reponame:Revista brasileira de epidemiologia (Online) instname:Associação Brasileira de Saúde Coletiva (ABRASCO) instacron:ABRASCO |
instname_str |
Associação Brasileira de Saúde Coletiva (ABRASCO) |
instacron_str |
ABRASCO |
institution |
ABRASCO |
reponame_str |
Revista brasileira de epidemiologia (Online) |
collection |
Revista brasileira de epidemiologia (Online) |
repository.name.fl_str_mv |
Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO) |
repository.mail.fl_str_mv |
||revbrepi@usp.br |
_version_ |
1754212954349240320 |