Strategies to improve the availability of medicines in primary health care in brazil: findings and implications

Detalhes bibliográficos
Autor(a) principal: Mariana Barbosa
Data de Publicação: 2021
Outros Autores: Renata Macedo Nascimento, Marina M Garcia, Francisco de Assis Acurcio, Brian Godman, Augusto Afonso Guerra Junior, Juliana Alvares Teodoro
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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spelling 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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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
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFMG
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