Access to medicines by patients of the primary health care in the Brazilian Unified Health System
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , , , , , , |
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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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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1748936504615370752 |