An analysis of the essential medicines policy in primary care : findings from MedMinas project
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UnB |
Texto Completo: | http://repositorio2.unb.br/jspui/handle/10482/48374 https://doi.org/10.3389/fphar.2022.953329 |
Resumo: | 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. |
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An analysis of the essential medicines policy in primary care : findings from MedMinas projectMedicamentos - política - BrasilAtenção primária à saúdeBackground: 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.Faculdade de Ciências da Saúde (FS)Departamento de Farmácia (FS FAR)FrontiersOswaldo Cruz Foundation (FIOCRUZ), René Rachou Institute (IRR), GETESA (Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente)Strathclyde University, Strathclyde Institute of Pharmacy and Biomedical Sciences (SIPBS), Glasgow, United KingdomFaculty of Health Sciences, University of Brasília, Department of PharmacyOswaldo Cruz Foundation (FIOCRUZ), René Rachou Institute (IRR), GETESA (Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente)Oswaldo Cruz Foundation (FIOCRUZ), René Rachou Institute (IRR), GETESA (Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente)Oswaldo Cruz Foundation (FIOCRUZ), René Rachou Institute (IRR), GETESA (Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente)Luz, Tatiana Chama BorgesTavares, Noemia Urruth LeãoMarques, Isabela CristinaCastro, Ana Karine Sarvel deCota, Betania Barros2024-06-24T12:55:47Z2024-06-24T12:55:47Z2022info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfLUZ, Tatiana Chama Borges et al. An analysis of the essential medicines policy in primary care: findings from MedMinas project. Frontiers in Pharmacology, [S. l.], v. 13, out. 2022. DOI: https://doi.org/10.3389/fphar.2022.953329. Disponível em: https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2022.953329/full. Acesso em: 24 jun. 2024.http://repositorio2.unb.br/jspui/handle/10482/48374https://doi.org/10.3389/fphar.2022.953329eng© 2022 Luz, Tavares, Marques, de Castro and Cota. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UnBinstname:Universidade de Brasília (UnB)instacron:UNB2024-06-24T12:55:48Zoai:repositorio.unb.br:10482/48374Repositório InstitucionalPUBhttps://repositorio.unb.br/oai/requestrepositorio@unb.bropendoar:2024-06-24T12:55:48Repositório Institucional da UnB - Universidade de Brasília (UnB)false |
dc.title.none.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 Medicamentos - política - Brasil Atenção primária à saúde |
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.none.fl_str_mv |
Oswaldo Cruz Foundation (FIOCRUZ), René Rachou Institute (IRR), GETESA (Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente) Strathclyde University, Strathclyde Institute of Pharmacy and Biomedical Sciences (SIPBS), Glasgow, United Kingdom Faculty of Health Sciences, University of Brasília, Department of Pharmacy Oswaldo Cruz Foundation (FIOCRUZ), René Rachou Institute (IRR), GETESA (Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente) Oswaldo Cruz Foundation (FIOCRUZ), René Rachou Institute (IRR), GETESA (Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente) Oswaldo Cruz Foundation (FIOCRUZ), René Rachou Institute (IRR), GETESA (Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente) |
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.por.fl_str_mv |
Medicamentos - política - Brasil Atenção primária à saúde |
topic |
Medicamentos - política - Brasil Atenção primária à saúde |
description |
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. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022 2024-06-24T12:55:47Z 2024-06-24T12:55:47Z |
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 |
LUZ, Tatiana Chama Borges et al. An analysis of the essential medicines policy in primary care: findings from MedMinas project. Frontiers in Pharmacology, [S. l.], v. 13, out. 2022. DOI: https://doi.org/10.3389/fphar.2022.953329. Disponível em: https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2022.953329/full. Acesso em: 24 jun. 2024. http://repositorio2.unb.br/jspui/handle/10482/48374 https://doi.org/10.3389/fphar.2022.953329 |
identifier_str_mv |
LUZ, Tatiana Chama Borges et al. An analysis of the essential medicines policy in primary care: findings from MedMinas project. Frontiers in Pharmacology, [S. l.], v. 13, out. 2022. DOI: https://doi.org/10.3389/fphar.2022.953329. Disponível em: https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2022.953329/full. Acesso em: 24 jun. 2024. |
url |
http://repositorio2.unb.br/jspui/handle/10482/48374 https://doi.org/10.3389/fphar.2022.953329 |
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eng |
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Frontiers |
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Frontiers |
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