Management of pharmaceutical services in the Brazilian primary health care
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=S0034-89102017000300304 |
Resumo: | ABSTRACT OBJECTIVE To identify limiting factors in the management of pharmaceutical services in the primary health care provided by the Brazilian Unified Health System (SUS). METHODS This study was based on the data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos no Brasil (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), and it was conducted by interviews with professionals responsible for pharmaceutical services in Brazilian cities, in 2015. To identify the management limiting factors, we considered the organizational, operational, and sustainability indicators of the management. For the analyses, we included the weights and structure of analysis plan for complex samples. The results were expressed by frequencies and measures of central tendency with 95% confidence interval, considering the Brazilian geographic regions. RESULTS We identified the following limiting factors: lack of pharmaceutical services in the Municipal Health Secretariat organization chart (24%) and in the health plan (18%); lack of participation of managers in the Health Board and the absence of reference to this topic in the agenda of meetings (58.4%); lack of financial autonomy (61.5%) and lack of knowledge on the available values (81.7%); lack of adoption of operational procedures (about 50%) for selection, scheduling, and acquisition; and the fact that most professionals evaluate the organization of pharmaceutical services as good and great (58.8%), despite the worrisome indicators. CONCLUSIONS Pharmaceutical services management is currently supported by a legal and political framework that should guide and contribute to improve the pharmaceutical services in the Brazilian Unified Health System primary health care. However, there is a mismatch between the goals established by these guidelines and what is actually happening. |
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Revista de Saúde Pública |
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Management of pharmaceutical services in the Brazilian primary health carePharmaceutical Services, organization & administrationPrimary Health CareHealth ManagementHealth Services ResearchNational Drug PolicyUnified Health SystemABSTRACT OBJECTIVE To identify limiting factors in the management of pharmaceutical services in the primary health care provided by the Brazilian Unified Health System (SUS). METHODS This study was based on the data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos no Brasil (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), and it was conducted by interviews with professionals responsible for pharmaceutical services in Brazilian cities, in 2015. To identify the management limiting factors, we considered the organizational, operational, and sustainability indicators of the management. For the analyses, we included the weights and structure of analysis plan for complex samples. The results were expressed by frequencies and measures of central tendency with 95% confidence interval, considering the Brazilian geographic regions. RESULTS We identified the following limiting factors: lack of pharmaceutical services in the Municipal Health Secretariat organization chart (24%) and in the health plan (18%); lack of participation of managers in the Health Board and the absence of reference to this topic in the agenda of meetings (58.4%); lack of financial autonomy (61.5%) and lack of knowledge on the available values (81.7%); lack of adoption of operational procedures (about 50%) for selection, scheduling, and acquisition; and the fact that most professionals evaluate the organization of pharmaceutical services as good and great (58.8%), despite the worrisome indicators. CONCLUSIONS Pharmaceutical services management is currently supported by a legal and political framework that should guide and contribute to improve the pharmaceutical services in the Brazilian Unified Health System primary health care. However, there is a mismatch between the goals established by these guidelines and what is actually happening.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=S0034-89102017000300304Revista de Saúde Pública v.51 suppl.2 2017reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2017051007063info:eu-repo/semantics/openAccessGerlack,Letícia FariasKarnikowski,Margô Gomes de OliveiraAreda,Camila AlvesGalato,DayaniOliveira,Aline Gomes deÁlvares,JulianaLeite,Silvana NairCosta,Ediná AlvesGuibu,Ione AquemiSoeiro,Orlando MarioCosta,Karen SarmentoGuerra Junior,Augusto AfonsoAcurcio,Francisco de Assiseng2017-11-09T00:00:00Zoai:scielo:S0034-89102017000300304Revistahttp://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 |
Management of pharmaceutical services in the Brazilian primary health care |
title |
Management of pharmaceutical services in the Brazilian primary health care |
spellingShingle |
Management of pharmaceutical services in the Brazilian primary health care Gerlack,Letícia Farias Pharmaceutical Services, organization & administration Primary Health Care Health Management Health Services Research National Drug Policy Unified Health System |
title_short |
Management of pharmaceutical services in the Brazilian primary health care |
title_full |
Management of pharmaceutical services in the Brazilian primary health care |
title_fullStr |
Management of pharmaceutical services in the Brazilian primary health care |
title_full_unstemmed |
Management of pharmaceutical services in the Brazilian primary health care |
title_sort |
Management of pharmaceutical services in the Brazilian primary health care |
author |
Gerlack,Letícia Farias |
author_facet |
Gerlack,Letícia Farias Karnikowski,Margô Gomes de Oliveira Areda,Camila Alves Galato,Dayani Oliveira,Aline Gomes de Álvares,Juliana Leite,Silvana Nair Costa,Ediná Alves Guibu,Ione Aquemi Soeiro,Orlando Mario Costa,Karen Sarmento Guerra Junior,Augusto Afonso Acurcio,Francisco de Assis |
author_role |
author |
author2 |
Karnikowski,Margô Gomes de Oliveira Areda,Camila Alves Galato,Dayani Oliveira,Aline Gomes de Álvares,Juliana Leite,Silvana Nair Costa,Ediná Alves Guibu,Ione Aquemi Soeiro,Orlando Mario Costa,Karen Sarmento Guerra Junior,Augusto Afonso Acurcio,Francisco de Assis |
author2_role |
author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Gerlack,Letícia Farias Karnikowski,Margô Gomes de Oliveira Areda,Camila Alves Galato,Dayani Oliveira,Aline Gomes de Álvares,Juliana Leite,Silvana Nair Costa,Ediná Alves Guibu,Ione Aquemi Soeiro,Orlando Mario Costa,Karen Sarmento Guerra Junior,Augusto Afonso Acurcio,Francisco de Assis |
dc.subject.por.fl_str_mv |
Pharmaceutical Services, organization & administration Primary Health Care Health Management Health Services Research National Drug Policy Unified Health System |
topic |
Pharmaceutical Services, organization & administration Primary Health Care Health Management Health Services Research National Drug Policy Unified Health System |
description |
ABSTRACT OBJECTIVE To identify limiting factors in the management of pharmaceutical services in the primary health care provided by the Brazilian Unified Health System (SUS). METHODS This study was based on the data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos no Brasil (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), and it was conducted by interviews with professionals responsible for pharmaceutical services in Brazilian cities, in 2015. To identify the management limiting factors, we considered the organizational, operational, and sustainability indicators of the management. For the analyses, we included the weights and structure of analysis plan for complex samples. The results were expressed by frequencies and measures of central tendency with 95% confidence interval, considering the Brazilian geographic regions. RESULTS We identified the following limiting factors: lack of pharmaceutical services in the Municipal Health Secretariat organization chart (24%) and in the health plan (18%); lack of participation of managers in the Health Board and the absence of reference to this topic in the agenda of meetings (58.4%); lack of financial autonomy (61.5%) and lack of knowledge on the available values (81.7%); lack of adoption of operational procedures (about 50%) for selection, scheduling, and acquisition; and the fact that most professionals evaluate the organization of pharmaceutical services as good and great (58.8%), despite the worrisome indicators. CONCLUSIONS Pharmaceutical services management is currently supported by a legal and political framework that should guide and contribute to improve the pharmaceutical services in the Brazilian Unified Health System primary health care. However, there is a mismatch between the goals established by these guidelines and what is actually happening. |
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=S0034-89102017000300304 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000300304 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.11606/s1518-8787.2017051007063 |
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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1748936504313380864 |