Accessibility and acquisition of medicines in a long-stay institution for the elderly in Brazil [Abstract in English]
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Scientia Medica (Porto Alegre. Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/12973 |
Resumo: | AIMS: To describe the strategies of access to medicines and the cost of its acquisition in a long-stay institution for the elderly in Brazil. METHODS: A semi-structured interview was performed to investigate what means were used by the institution to purchase prescription drugs for the elderly. The amount spent for purchase in drugstores was compared to what could have been spent if the drugs were obtained by accessing viable strategies provided by the public health sector in the same period of time. RESULTS: During the study period, 107 different types of medicines were purchased by the institution, among which 22 (20.6%) could have been accessed through the public health sector, which equates to a savings of R$7,721.52. Bureaucratic barriers to enrollment of elderly in basic health units were identified, which prevented free access to essential medicines. CONCLUSIONS: The difficulty of access medicines through strategies offered by the public health sector for its distribution meant higher costs for the elderly institution. These data can help managers to identify avoidable expenses and to better understand the possibilities of access to medicines, as well as lead to a reflection on the existence of a possible dissociation between public policies on access to medicines and long-stay institutions for elderly in Brazil. |
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Accessibility and acquisition of medicines in a long-stay institution for the elderly in Brazil [Abstract in English]Acesso e aquisição de medicamentos em instituição de longa permanência para idosos no BrasilAGINGLONG-STAY INSTITUTION FOR THE ELDERLYHOMES FOR THE AGEDDRUG UTILIZATIONPHARMACEUTICAL SERVICESHEALTH ECONOMICS.ENVELHECIMENTOINSTITUIÇÃO DE LONGA PERMANÊNCIA PARA IDOSOSLAR DE IDOSOSUSO DE MEDICAMENTOSASSISTÊNCIA FARMACÊUTICAECONOMIA DA SAÚDE.AIMS: To describe the strategies of access to medicines and the cost of its acquisition in a long-stay institution for the elderly in Brazil. METHODS: A semi-structured interview was performed to investigate what means were used by the institution to purchase prescription drugs for the elderly. The amount spent for purchase in drugstores was compared to what could have been spent if the drugs were obtained by accessing viable strategies provided by the public health sector in the same period of time. RESULTS: During the study period, 107 different types of medicines were purchased by the institution, among which 22 (20.6%) could have been accessed through the public health sector, which equates to a savings of R$7,721.52. Bureaucratic barriers to enrollment of elderly in basic health units were identified, which prevented free access to essential medicines. CONCLUSIONS: The difficulty of access medicines through strategies offered by the public health sector for its distribution meant higher costs for the elderly institution. These data can help managers to identify avoidable expenses and to better understand the possibilities of access to medicines, as well as lead to a reflection on the existence of a possible dissociation between public policies on access to medicines and long-stay institutions for elderly in Brazil.OBJETIVOS: Descrever as estratégias de acesso a medicamentos e os custos com sua aquisição,em uma instituição de longa permanência para idosos brasileira. MÉTODOS: Foi realizada uma entrevista semi-estruturada para investigar que meios foram utilizados pela instituição para adquirir os medicamentos prescritos para os idosos.O valor despendido para aquisição em farmácias comerciais foi comparado ao que poderia ter sido gasto caso os medicamentos fossem obtidos acessando estratégias viáveis disponibilizadas pelo setor público de saúde, no mesmo período de tempo. RESULTADOS: Foram comprados pela instituição 107 diferentes tipos de medicamentos, entre os quais, 22 (20,6%) poderiam ter sido acessados por meio do setor público de saúde, o que corresponderia a uma economia de R$ 7.721,52 no período compreendido pelo estudo. Foram identificadas barreiras burocráticas para o cadastramento dos idosos nas unidades básicas de saúde, que impossibilitavam o acesso gratuito aos medicamentos essenciais. CONCLUSÕES: A dificuldade de acesso aos medicamentos através de estratégias disponibilizadas pelo setor público de saúde para distribuição dos mesmos implicou maiores gastos para a instituição de idosos.Estes dados podem auxiliar gestores a identificar gastos evitáveis e conhecer melhor as possibilidades de acesso aos medicamentos, assim como levar a uma reflexão acerca da existência de uma possível dissociação entre as políticas públicas de acesso aos medicamentos e as instituições de longa permanência para idosos no Brasil.Editora da PUCRS - ediPUCRS2013-07-20info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/12973Scientia Medica; Vol. 23 No. 2 (2013); 90-95Scientia Medica; v. 23 n. 2 (2013); 90-951980-61081806-5562reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/12973/9665https://revistaseletronicas.pucrs.br/scientiamedica/article/view/12973/9666Gerlack, Letícia FariasBós, Ângelo José GonçalvesLyra Júnior, DivaldoKarnikowski, Margô Gomes de Oliveirainfo:eu-repo/semantics/openAccess2013-09-18T19:29:09Zoai:ojs.revistaseletronicas.pucrs.br:article/12973Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2013-09-18T19:29:09Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Accessibility and acquisition of medicines in a long-stay institution for the elderly in Brazil [Abstract in English] Acesso e aquisição de medicamentos em instituição de longa permanência para idosos no Brasil |
title |
Accessibility and acquisition of medicines in a long-stay institution for the elderly in Brazil [Abstract in English] |
spellingShingle |
Accessibility and acquisition of medicines in a long-stay institution for the elderly in Brazil [Abstract in English] Gerlack, Letícia Farias AGING LONG-STAY INSTITUTION FOR THE ELDERLY HOMES FOR THE AGED DRUG UTILIZATION PHARMACEUTICAL SERVICES HEALTH ECONOMICS. ENVELHECIMENTO INSTITUIÇÃO DE LONGA PERMANÊNCIA PARA IDOSOS LAR DE IDOSOS USO DE MEDICAMENTOS ASSISTÊNCIA FARMACÊUTICA ECONOMIA DA SAÚDE. |
title_short |
Accessibility and acquisition of medicines in a long-stay institution for the elderly in Brazil [Abstract in English] |
title_full |
Accessibility and acquisition of medicines in a long-stay institution for the elderly in Brazil [Abstract in English] |
title_fullStr |
Accessibility and acquisition of medicines in a long-stay institution for the elderly in Brazil [Abstract in English] |
title_full_unstemmed |
Accessibility and acquisition of medicines in a long-stay institution for the elderly in Brazil [Abstract in English] |
title_sort |
Accessibility and acquisition of medicines in a long-stay institution for the elderly in Brazil [Abstract in English] |
author |
Gerlack, Letícia Farias |
author_facet |
Gerlack, Letícia Farias Bós, Ângelo José Gonçalves Lyra Júnior, Divaldo Karnikowski, Margô Gomes de Oliveira |
author_role |
author |
author2 |
Bós, Ângelo José Gonçalves Lyra Júnior, Divaldo Karnikowski, Margô Gomes de Oliveira |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Gerlack, Letícia Farias Bós, Ângelo José Gonçalves Lyra Júnior, Divaldo Karnikowski, Margô Gomes de Oliveira |
dc.subject.por.fl_str_mv |
AGING LONG-STAY INSTITUTION FOR THE ELDERLY HOMES FOR THE AGED DRUG UTILIZATION PHARMACEUTICAL SERVICES HEALTH ECONOMICS. ENVELHECIMENTO INSTITUIÇÃO DE LONGA PERMANÊNCIA PARA IDOSOS LAR DE IDOSOS USO DE MEDICAMENTOS ASSISTÊNCIA FARMACÊUTICA ECONOMIA DA SAÚDE. |
topic |
AGING LONG-STAY INSTITUTION FOR THE ELDERLY HOMES FOR THE AGED DRUG UTILIZATION PHARMACEUTICAL SERVICES HEALTH ECONOMICS. ENVELHECIMENTO INSTITUIÇÃO DE LONGA PERMANÊNCIA PARA IDOSOS LAR DE IDOSOS USO DE MEDICAMENTOS ASSISTÊNCIA FARMACÊUTICA ECONOMIA DA SAÚDE. |
description |
AIMS: To describe the strategies of access to medicines and the cost of its acquisition in a long-stay institution for the elderly in Brazil. METHODS: A semi-structured interview was performed to investigate what means were used by the institution to purchase prescription drugs for the elderly. The amount spent for purchase in drugstores was compared to what could have been spent if the drugs were obtained by accessing viable strategies provided by the public health sector in the same period of time. RESULTS: During the study period, 107 different types of medicines were purchased by the institution, among which 22 (20.6%) could have been accessed through the public health sector, which equates to a savings of R$7,721.52. Bureaucratic barriers to enrollment of elderly in basic health units were identified, which prevented free access to essential medicines. CONCLUSIONS: The difficulty of access medicines through strategies offered by the public health sector for its distribution meant higher costs for the elderly institution. These data can help managers to identify avoidable expenses and to better understand the possibilities of access to medicines, as well as lead to a reflection on the existence of a possible dissociation between public policies on access to medicines and long-stay institutions for elderly in Brazil. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-07-20 |
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://revistaseletronicas.pucrs.br/scientiamedica/article/view/12973 |
url |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/12973 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/12973/9665 https://revistaseletronicas.pucrs.br/scientiamedica/article/view/12973/9666 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Scientia Medica; Vol. 23 No. 2 (2013); 90-95 Scientia Medica; v. 23 n. 2 (2013); 90-95 1980-6108 1806-5562 reponame:Scientia Medica (Porto Alegre. Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Scientia Medica (Porto Alegre. Online) |
collection |
Scientia Medica (Porto Alegre. Online) |
repository.name.fl_str_mv |
Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
scientiamedica@pucrs.br || editora.periodicos@pucrs.br |
_version_ |
1809101750074867712 |