Access to medicines by patients of the primary health care in the Brazilian Unified Health System

Detalhes bibliográficos
Autor(a) principal: Álvares,Juliana
Data de Publicação: 2017
Outros Autores: Guerra Junior,Augusto Afonso, Araújo,Vânia Eloisa de, Almeida,Alessandra Maciel, Dias,Carolina Zampirolli, Ascef,Bruna de Oliveira, Costa,Ediná Alves, Guibu,Ione Aquemi, Soeiro,Orlando Mario, Leite,Silvana Nair, Karnikowski,Margô Gomes de Oliveira, Costa,Karen Sarmento, Acurcio,Francisco de Assis
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000300318
Resumo: ABSTRACT OBJECTIVE To evaluate the access to medicines in primary health care of the Brazilian Unified Health System (SUS), from the patients’ perspective. METHODS This is a cross-sectional study that used data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Services, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), conducted by interviews with 8,591 patients in cities of the five regions of Brazil. Evaluation of access to medicines used concepts proposed by Penshansky and Thomas (1981), according to the dimensions: availability, accessibility, accommodation, acceptability, and affordability. Each dimension was evaluated by its own indicators. RESULTS For the “availability” dimension, 59.8% of patients reported having full access to medicines, without significant difference between regions. For “accessibility,” 60% of patients declared that the basic health unit (UBS) was not far from their house, 83% said it was very easy/easy to get to the UBS, and most patients reported that they go walking (64.5%). For “accommodation,” UBS was evaluated as very good/good for the items “comfort” (74.2%) and “cleanliness” (90.9%), and 70.8% of patients reported that they do not wait to receive their medicines, although the average waiting time was 32.9 minutes. For “acceptability,” 93.1% of patients reported to be served with respect and courtesy by the staff of the dispensing units and 90.5% declared that the units’ service was very good/good. For “affordability,” 13% of patients reported not being able to buy something important to cover expenses with health problems, and 41.8% of participants pointed out the expense with medicines. CONCLUSIONS Results show 70%–90% compliance, which is compatible with developed countries. However, access to medicines remains a challenge, because it is still heavily compromised by the low availability of essential medicines in public health units, showing that it does not occur universally, equally, and decisively to the population.
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spelling Access to medicines by patients of the primary health care in the Brazilian Unified Health SystemPharmaceutical ServicesHealth Services AccessibilityPrimary Health CareHealth Services ResearchBrazilian Unified Health SystemABSTRACT OBJECTIVE To evaluate the access to medicines in primary health care of the Brazilian Unified Health System (SUS), from the patients’ perspective. METHODS This is a cross-sectional study that used data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Services, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), conducted by interviews with 8,591 patients in cities of the five regions of Brazil. Evaluation of access to medicines used concepts proposed by Penshansky and Thomas (1981), according to the dimensions: availability, accessibility, accommodation, acceptability, and affordability. Each dimension was evaluated by its own indicators. RESULTS For the “availability” dimension, 59.8% of patients reported having full access to medicines, without significant difference between regions. For “accessibility,” 60% of patients declared that the basic health unit (UBS) was not far from their house, 83% said it was very easy/easy to get to the UBS, and most patients reported that they go walking (64.5%). For “accommodation,” UBS was evaluated as very good/good for the items “comfort” (74.2%) and “cleanliness” (90.9%), and 70.8% of patients reported that they do not wait to receive their medicines, although the average waiting time was 32.9 minutes. For “acceptability,” 93.1% of patients reported to be served with respect and courtesy by the staff of the dispensing units and 90.5% declared that the units’ service was very good/good. For “affordability,” 13% of patients reported not being able to buy something important to cover expenses with health problems, and 41.8% of participants pointed out the expense with medicines. CONCLUSIONS Results show 70%–90% compliance, which is compatible with developed countries. However, access to medicines remains a challenge, because it is still heavily compromised by the low availability of essential medicines in public health units, showing that it does not occur universally, equally, and decisively to the population.Faculdade de Saúde Pública da Universidade de São Paulo2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000300318Revista de Saúde Pública v.51 suppl.2 2017reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2017051007139info:eu-repo/semantics/openAccessÁlvares,JulianaGuerra Junior,Augusto AfonsoAraújo,Vânia Eloisa deAlmeida,Alessandra MacielDias,Carolina ZampirolliAscef,Bruna de OliveiraCosta,Ediná AlvesGuibu,Ione AquemiSoeiro,Orlando MarioLeite,Silvana NairKarnikowski,Margô Gomes de OliveiraCosta,Karen SarmentoAcurcio,Francisco de Assiseng2017-11-09T00:00:00Zoai:scielo:S0034-89102017000300318Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2017-11-09T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Access to medicines by patients of the primary health care in the Brazilian Unified Health System
title Access to medicines by patients of the primary health care in the Brazilian Unified Health System
spellingShingle Access to medicines by patients of the primary health care in the Brazilian Unified Health System
Álvares,Juliana
Pharmaceutical Services
Health Services Accessibility
Primary Health Care
Health Services Research
Brazilian Unified Health System
title_short Access to medicines by patients of the primary health care in the Brazilian Unified Health System
title_full Access to medicines by patients of the primary health care in the Brazilian Unified Health System
title_fullStr Access to medicines by patients of the primary health care in the Brazilian Unified Health System
title_full_unstemmed Access to medicines by patients of the primary health care in the Brazilian Unified Health System
title_sort Access to medicines by patients of the primary health care in the Brazilian Unified Health System
author Álvares,Juliana
author_facet Álvares,Juliana
Guerra Junior,Augusto Afonso
Araújo,Vânia Eloisa de
Almeida,Alessandra Maciel
Dias,Carolina Zampirolli
Ascef,Bruna de Oliveira
Costa,Ediná Alves
Guibu,Ione Aquemi
Soeiro,Orlando Mario
Leite,Silvana Nair
Karnikowski,Margô Gomes de Oliveira
Costa,Karen Sarmento
Acurcio,Francisco de Assis
author_role author
author2 Guerra Junior,Augusto Afonso
Araújo,Vânia Eloisa de
Almeida,Alessandra Maciel
Dias,Carolina Zampirolli
Ascef,Bruna de Oliveira
Costa,Ediná Alves
Guibu,Ione Aquemi
Soeiro,Orlando Mario
Leite,Silvana Nair
Karnikowski,Margô Gomes de Oliveira
Costa,Karen Sarmento
Acurcio,Francisco de Assis
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Álvares,Juliana
Guerra Junior,Augusto Afonso
Araújo,Vânia Eloisa de
Almeida,Alessandra Maciel
Dias,Carolina Zampirolli
Ascef,Bruna de Oliveira
Costa,Ediná Alves
Guibu,Ione Aquemi
Soeiro,Orlando Mario
Leite,Silvana Nair
Karnikowski,Margô Gomes de Oliveira
Costa,Karen Sarmento
Acurcio,Francisco de Assis
dc.subject.por.fl_str_mv Pharmaceutical Services
Health Services Accessibility
Primary Health Care
Health Services Research
Brazilian Unified Health System
topic Pharmaceutical Services
Health Services Accessibility
Primary Health Care
Health Services Research
Brazilian Unified Health System
description ABSTRACT OBJECTIVE To evaluate the access to medicines in primary health care of the Brazilian Unified Health System (SUS), from the patients’ perspective. METHODS This is a cross-sectional study that used data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Services, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), conducted by interviews with 8,591 patients in cities of the five regions of Brazil. Evaluation of access to medicines used concepts proposed by Penshansky and Thomas (1981), according to the dimensions: availability, accessibility, accommodation, acceptability, and affordability. Each dimension was evaluated by its own indicators. RESULTS For the “availability” dimension, 59.8% of patients reported having full access to medicines, without significant difference between regions. For “accessibility,” 60% of patients declared that the basic health unit (UBS) was not far from their house, 83% said it was very easy/easy to get to the UBS, and most patients reported that they go walking (64.5%). For “accommodation,” UBS was evaluated as very good/good for the items “comfort” (74.2%) and “cleanliness” (90.9%), and 70.8% of patients reported that they do not wait to receive their medicines, although the average waiting time was 32.9 minutes. For “acceptability,” 93.1% of patients reported to be served with respect and courtesy by the staff of the dispensing units and 90.5% declared that the units’ service was very good/good. For “affordability,” 13% of patients reported not being able to buy something important to cover expenses with health problems, and 41.8% of participants pointed out the expense with medicines. CONCLUSIONS Results show 70%–90% compliance, which is compatible with developed countries. However, access to medicines remains a challenge, because it is still heavily compromised by the low availability of essential medicines in public health units, showing that it does not occur universally, equally, and decisively to the population.
publishDate 2017
dc.date.none.fl_str_mv 2017-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000300318
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000300318
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.11606/s1518-8787.2017051007139
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
dc.source.none.fl_str_mv Revista de Saúde Pública v.51 suppl.2 2017
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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