Strategies to improve the availability of medicines in primary health care in brazil: findings and implications
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.2217/cer-2020-0125 http://hdl.handle.net/1843/56592 https://orcid.org/0000-0002-8087-7237 https://orcid.org/0000-0001-7756-2157 https://orcid.org/0000-0002-5880-5261 https://orcid.org/0000-0001-6539-6972 https://orcid.org/0000-0001-5256-0577 https://orcid.org/0000-0002-0210-0721 |
Resumo: | Aim: Access to essential medicines is a key component of managing patients in ambulatory care. In 2008, the State of Minas Gerais, Brazil, created the Pharmacy Network of Minas (Rede Farmácia de Minas [RFM]) program to improve access to medicines, increasing availability and restructuring the infrastructures. The aim was to assess the current situation, comparing municipalities with and without RFM. Materials & methods: Descriptive survey study, data collected from 2014 July to May 2015. Availability was verified by stock levels. Results: The drug availability index was 61.0%, higher in municipalities with RFM. Most physicians considered the pharmaceutical services as good/very good. The main reasons for medicines shortage were ‘financial transference problems’, ‘insufficient financial resources’ and ‘budget’. Conclusion: Strategies, such as the RFM can promote improvements in medicine availability. |
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2023-07-18T16:51:03Z2023-07-18T16:51:03Z2021103243253https://doi.org/10.2217/cer-2020-01252042-6305http://hdl.handle.net/1843/56592https://orcid.org/0000-0002-8087-7237https://orcid.org/0000-0001-7756-2157https://orcid.org/0000-0002-5880-5261https://orcid.org/0000-0001-6539-6972https://orcid.org/0000-0001-5256-0577https://orcid.org/0000-0002-0210-0721Aim: Access to essential medicines is a key component of managing patients in ambulatory care. In 2008, the State of Minas Gerais, Brazil, created the Pharmacy Network of Minas (Rede Farmácia de Minas [RFM]) program to improve access to medicines, increasing availability and restructuring the infrastructures. The aim was to assess the current situation, comparing municipalities with and without RFM. Materials & methods: Descriptive survey study, data collected from 2014 July to May 2015. Availability was verified by stock levels. Results: The drug availability index was 61.0%, higher in municipalities with RFM. Most physicians considered the pharmaceutical services as good/very good. The main reasons for medicines shortage were ‘financial transference problems’, ‘insufficient financial resources’ and ‘budget’. Conclusion: Strategies, such as the RFM can promote improvements in medicine availability.porUniversidade Federal de Minas GeraisUFMGBrasilFAR - DEPARTAMENTO DE FARMÁCIA SOCIALJournal of Comparative Effectiveness ResearchServiços de saúde - PesquisaProdutos FarmaceuticosHealth policyHealth services researchObservational researchPharmaceuticalsStrategies to improve the availability of medicines in primary health care in brazil: findings and implicationsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://becarispublishing.com/doi/10.2217/cer-2020-0125Mariana BarbosaRenata Macedo NascimentoMarina M GarciaFrancisco de Assis AcurcioBrian GodmanAugusto Afonso Guerra JuniorJuliana Alvares Teodoroinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/56592/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALStrategies to improve the availability of medicines in primary health care in Brazil findings and implications.pdfStrategies to improve the availability of medicines in primary health care in Brazil findings and implications.pdfapplication/pdf249675https://repositorio.ufmg.br/bitstream/1843/56592/2/Strategies%20to%20improve%20the%20availability%20of%20medicines%20in%20primary%20health%20care%20in%20Brazil%20findings%20and%20implications.pdff37e45ed5d909befbb6be6faa75f7ce5MD521843/565922023-07-18 13:51:03.613oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-07-18T16:51:03Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Strategies to improve the availability of medicines in primary health care in brazil: findings and implications |
title |
Strategies to improve the availability of medicines in primary health care in brazil: findings and implications |
spellingShingle |
Strategies to improve the availability of medicines in primary health care in brazil: findings and implications Mariana Barbosa Health policy Health services research Observational research Pharmaceuticals Serviços de saúde - Pesquisa Produtos Farmaceuticos |
title_short |
Strategies to improve the availability of medicines in primary health care in brazil: findings and implications |
title_full |
Strategies to improve the availability of medicines in primary health care in brazil: findings and implications |
title_fullStr |
Strategies to improve the availability of medicines in primary health care in brazil: findings and implications |
title_full_unstemmed |
Strategies to improve the availability of medicines in primary health care in brazil: findings and implications |
title_sort |
Strategies to improve the availability of medicines in primary health care in brazil: findings and implications |
author |
Mariana Barbosa |
author_facet |
Mariana Barbosa Renata Macedo Nascimento Marina M Garcia Francisco de Assis Acurcio Brian Godman Augusto Afonso Guerra Junior Juliana Alvares Teodoro |
author_role |
author |
author2 |
Renata Macedo Nascimento Marina M Garcia Francisco de Assis Acurcio Brian Godman Augusto Afonso Guerra Junior Juliana Alvares Teodoro |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Mariana Barbosa Renata Macedo Nascimento Marina M Garcia Francisco de Assis Acurcio Brian Godman Augusto Afonso Guerra Junior Juliana Alvares Teodoro |
dc.subject.por.fl_str_mv |
Health policy Health services research Observational research Pharmaceuticals |
topic |
Health policy Health services research Observational research Pharmaceuticals Serviços de saúde - Pesquisa Produtos Farmaceuticos |
dc.subject.other.pt_BR.fl_str_mv |
Serviços de saúde - Pesquisa Produtos Farmaceuticos |
description |
Aim: Access to essential medicines is a key component of managing patients in ambulatory care. In 2008, the State of Minas Gerais, Brazil, created the Pharmacy Network of Minas (Rede Farmácia de Minas [RFM]) program to improve access to medicines, increasing availability and restructuring the infrastructures. The aim was to assess the current situation, comparing municipalities with and without RFM. Materials & methods: Descriptive survey study, data collected from 2014 July to May 2015. Availability was verified by stock levels. Results: The drug availability index was 61.0%, higher in municipalities with RFM. Most physicians considered the pharmaceutical services as good/very good. The main reasons for medicines shortage were ‘financial transference problems’, ‘insufficient financial resources’ and ‘budget’. Conclusion: Strategies, such as the RFM can promote improvements in medicine availability. |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021 |
dc.date.accessioned.fl_str_mv |
2023-07-18T16:51:03Z |
dc.date.available.fl_str_mv |
2023-07-18T16:51:03Z |
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.uri.fl_str_mv |
http://hdl.handle.net/1843/56592 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.2217/cer-2020-0125 |
dc.identifier.issn.pt_BR.fl_str_mv |
2042-6305 |
dc.identifier.orcid.pt_BR.fl_str_mv |
https://orcid.org/0000-0002-8087-7237 https://orcid.org/0000-0001-7756-2157 https://orcid.org/0000-0002-5880-5261 https://orcid.org/0000-0001-6539-6972 https://orcid.org/0000-0001-5256-0577 https://orcid.org/0000-0002-0210-0721 |
url |
https://doi.org/10.2217/cer-2020-0125 http://hdl.handle.net/1843/56592 https://orcid.org/0000-0002-8087-7237 https://orcid.org/0000-0001-7756-2157 https://orcid.org/0000-0002-5880-5261 https://orcid.org/0000-0001-6539-6972 https://orcid.org/0000-0001-5256-0577 https://orcid.org/0000-0002-0210-0721 |
identifier_str_mv |
2042-6305 |
dc.language.iso.fl_str_mv |
por |
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por |
dc.relation.ispartof.pt_BR.fl_str_mv |
Journal of Comparative Effectiveness Research |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
dc.publisher.initials.fl_str_mv |
UFMG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
FAR - DEPARTAMENTO DE FARMÁCIA SOCIAL |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
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reponame:Repositório Institucional da UFMG instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
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Universidade Federal de Minas Gerais (UFMG) |
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UFMG |
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UFMG |
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Repositório Institucional da UFMG |
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