An analysis of the essential medicines policy in primary care: Findings from MedMinas Project

Detalhes bibliográficos
Autor(a) principal: Luz, Tatiana Chama Borges
Data de Publicação: 2022
Outros Autores: Tavares, Noemia Urruth Leão, Marques, Isabela Cristina, Castro, Ana Karine Sarvel de, Cota, Betania Barros
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/56491
Resumo: Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil/Strathclyde Institute of Pharmacy and Biomedical Sciences. Strathclyde University. Glasgow, United Kingdom.
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spelling Luz, Tatiana Chama BorgesTavares, Noemia Urruth LeãoMarques, Isabela CristinaCastro, Ana Karine Sarvel deCota, Betania Barros2023-01-18T13:17:14Z2023-01-18T13:17:14Z2022LUZ, Tatiana Chama Borges et al. An analysis of the essential medicines policy in primary care: Findings from MedMinas project. Front Pharmacol., v. 13, 953329, 2022. doi: 10.3389/fphar.2022.953329.1663-9812https://www.arca.fiocruz.br/handle/icict/56491engFrontiers MediaAn analysis of the essential medicines policy in primary care: Findings from MedMinas Projectinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleGrupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil/Strathclyde Institute of Pharmacy and Biomedical Sciences. Strathclyde University. Glasgow, United Kingdom.Department of Pharmacy. Faculty of Health Sciences. University of Brasília. Brasília, DF, Brazil.Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil.Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil.Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil.Background: Essential Medicines Policy (EMP) has been adopted in Brazil to improve the provision and use of pharmaceuticals. This mixed methods study aims to bring evidence of the EMP implemented in municipalities in the context of primary care in Minas Gerais (20,997,560 inhabitants), Southeast Brazil. Methods: We analysed the core output of the EMP, i.e., the municipal essential medicines lists (MEML) and the effects of the policy on the procurement and availability of medicines. Data sources included a sample of 1,019 individuals (patients, health managers and health professionals), 995 prescriptions, 2,365 dispensed medicines and policy documents from 26 municipalities. Data were collected between April and October 2019. Document analysis and thematic content analysis were performed, and four availability indexes were estimated. Results: The findings suggest an overall lack of standardised and methodologically sound procedures to elaborate the MEML. Funding and public purchasing processes were found to be the major obstacles to medicine procurement. Only 63% of medicines were available at public community pharmacies and just 46.2% of patients had full access to their pharmaceutical treatment. Conclusion: This study reveals weaknesses in the implementation of EMP and a clear disconnection between medicines selection, procurement, and availability, the three core elements of the supply system. These findings contribute to informing future policy improvement actions to strengthen this system. Other countries aiming to advance towards universal health coverage may learn from the challenges that primary care in Brazil still needs to address.essential medicines policymedicines supplymixed-methods studypharmaceutical servicesprimary health careinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/56491/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALn analysis of the essential medicines policy in primary care_Findings from MedMinas project.pdfn analysis of the essential medicines policy in primary care_Findings from MedMinas project.pdfapplication/pdf282973https://www.arca.fiocruz.br/bitstream/icict/56491/2/n%20analysis%20of%20the%20essential%20medicines%20policy%20in%20primary%20care_Findings%20from%20MedMinas%20project.pdf23d2c8d7f45006b35c8f631e890aa880MD52icict/564912023-01-18 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dc.title.en_US.fl_str_mv An analysis of the essential medicines policy in primary care: Findings from MedMinas Project
title An analysis of the essential medicines policy in primary care: Findings from MedMinas Project
spellingShingle An analysis of the essential medicines policy in primary care: Findings from MedMinas Project
Luz, Tatiana Chama Borges
essential medicines policy
medicines supply
mixed-methods study
pharmaceutical services
primary health care
title_short An analysis of the essential medicines policy in primary care: Findings from MedMinas Project
title_full An analysis of the essential medicines policy in primary care: Findings from MedMinas Project
title_fullStr An analysis of the essential medicines policy in primary care: Findings from MedMinas Project
title_full_unstemmed An analysis of the essential medicines policy in primary care: Findings from MedMinas Project
title_sort An analysis of the essential medicines policy in primary care: Findings from MedMinas Project
author Luz, Tatiana Chama Borges
author_facet Luz, Tatiana Chama Borges
Tavares, Noemia Urruth Leão
Marques, Isabela Cristina
Castro, Ana Karine Sarvel de
Cota, Betania Barros
author_role author
author2 Tavares, Noemia Urruth Leão
Marques, Isabela Cristina
Castro, Ana Karine Sarvel de
Cota, Betania Barros
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Luz, Tatiana Chama Borges
Tavares, Noemia Urruth Leão
Marques, Isabela Cristina
Castro, Ana Karine Sarvel de
Cota, Betania Barros
dc.subject.en.en_US.fl_str_mv essential medicines policy
medicines supply
mixed-methods study
pharmaceutical services
primary health care
topic essential medicines policy
medicines supply
mixed-methods study
pharmaceutical services
primary health care
description Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil/Strathclyde Institute of Pharmacy and Biomedical Sciences. Strathclyde University. Glasgow, United Kingdom.
publishDate 2022
dc.date.issued.fl_str_mv 2022
dc.date.accessioned.fl_str_mv 2023-01-18T13:17:14Z
dc.date.available.fl_str_mv 2023-01-18T13:17:14Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv LUZ, Tatiana Chama Borges et al. An analysis of the essential medicines policy in primary care: Findings from MedMinas project. Front Pharmacol., v. 13, 953329, 2022. doi: 10.3389/fphar.2022.953329.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/56491
dc.identifier.issn.en_US.fl_str_mv 1663-9812
identifier_str_mv LUZ, Tatiana Chama Borges et al. An analysis of the essential medicines policy in primary care: Findings from MedMinas project. Front Pharmacol., v. 13, 953329, 2022. doi: 10.3389/fphar.2022.953329.
1663-9812
url https://www.arca.fiocruz.br/handle/icict/56491
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/56491/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/56491/2/n%20analysis%20of%20the%20essential%20medicines%20policy%20in%20primary%20care_Findings%20from%20MedMinas%20project.pdf
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repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
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