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 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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spelling 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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language eng
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dc.publisher.none.fl_str_mv Frontiers
publisher.none.fl_str_mv Frontiers
dc.source.none.fl_str_mv reponame:Repositório Institucional da UnB
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reponame_str Repositório Institucional da UnB
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repository.name.fl_str_mv Repositório Institucional da UnB - Universidade de Brasília (UnB)
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