Indicators related to the rational use of medicines and its associated factors
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=S0034-89102017000300316 |
Resumo: | ABSTRACT OBJECTIVE To evaluate indicators related to the rational use of medicines and its associated factors in Basic Health Units. METHOD This is a cross-sectional study carried out in a representative sample of Brazilian cities included in the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015). The data were collected by interviews with users, medicine dispensing professionals, and prescribers; and described by prescription, dispensing, and health services indicators. We analyzed the association between human resources characteristics of pharmaceutical services and dispensing indicators. RESULTS At national level, the average number of medicines prescribed was 2.4. Among the users, 5.8% had antibiotic prescription, 74.8% received guidance on how to use the medicines at the pharmacy and, for 45.1% of users, all prescribed medicines were from the national list of essential medicines. All the indicators presented statistically significant differences between the regions of Brazil. The dispensing professionals that reported the presence of a pharmacist in the unit with a working load of 40 hours or more per week presented 1.82 more chance of transmitting information on the way of using the medicines in the dispensing process. CONCLUSION The analysis of prescription, dispensing, and health services indicators in the basic health units showed an unsatisfactory proportion of essential medicines prescription and limitations in the correct identification of the medicine, orientation to the patients on medicines, and availability of therapeutic protocols in the health services. |
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Indicators related to the rational use of medicines and its associated factorsDrug Utilization, statistics & numerical dataQuality Indicators, Health CareManagement IndicatorsPharmaceutical ServicesPrimary Health CareHealth Services ResearchUnified Health SystemABSTRACT OBJECTIVE To evaluate indicators related to the rational use of medicines and its associated factors in Basic Health Units. METHOD This is a cross-sectional study carried out in a representative sample of Brazilian cities included in the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015). The data were collected by interviews with users, medicine dispensing professionals, and prescribers; and described by prescription, dispensing, and health services indicators. We analyzed the association between human resources characteristics of pharmaceutical services and dispensing indicators. RESULTS At national level, the average number of medicines prescribed was 2.4. Among the users, 5.8% had antibiotic prescription, 74.8% received guidance on how to use the medicines at the pharmacy and, for 45.1% of users, all prescribed medicines were from the national list of essential medicines. All the indicators presented statistically significant differences between the regions of Brazil. The dispensing professionals that reported the presence of a pharmacist in the unit with a working load of 40 hours or more per week presented 1.82 more chance of transmitting information on the way of using the medicines in the dispensing process. CONCLUSION The analysis of prescription, dispensing, and health services indicators in the basic health units showed an unsatisfactory proportion of essential medicines prescription and limitations in the correct identification of the medicine, orientation to the patients on medicines, and availability of therapeutic protocols in the health services.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=S0034-89102017000300316Revista de Saúde Pública v.51 suppl.2 2017reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2017051007137info:eu-repo/semantics/openAccessLima,Marina GuimarãesÁlvares,JulianaGuerra Junior,Augusto AfonsoCosta,Ediná AlvesGuibu,Ione AquemiSoeiro,Orlando MarioLeite,Silvana NairKarnikowski,Margô Gomes de OliveiraCosta,Karen SarmentoAcurcio,Francisco de Assiseng2017-11-09T00:00:00Zoai:scielo:S0034-89102017000300316Revistahttp://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 |
Indicators related to the rational use of medicines and its associated factors |
title |
Indicators related to the rational use of medicines and its associated factors |
spellingShingle |
Indicators related to the rational use of medicines and its associated factors Lima,Marina Guimarães Drug Utilization, statistics & numerical data Quality Indicators, Health Care Management Indicators Pharmaceutical Services Primary Health Care Health Services Research Unified Health System |
title_short |
Indicators related to the rational use of medicines and its associated factors |
title_full |
Indicators related to the rational use of medicines and its associated factors |
title_fullStr |
Indicators related to the rational use of medicines and its associated factors |
title_full_unstemmed |
Indicators related to the rational use of medicines and its associated factors |
title_sort |
Indicators related to the rational use of medicines and its associated factors |
author |
Lima,Marina Guimarães |
author_facet |
Lima,Marina Guimarães Álvares,Juliana Guerra Junior,Augusto Afonso 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 |
Álvares,Juliana Guerra Junior,Augusto Afonso 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 |
dc.contributor.author.fl_str_mv |
Lima,Marina Guimarães Álvares,Juliana Guerra Junior,Augusto Afonso 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 |
Drug Utilization, statistics & numerical data Quality Indicators, Health Care Management Indicators Pharmaceutical Services Primary Health Care Health Services Research Unified Health System |
topic |
Drug Utilization, statistics & numerical data Quality Indicators, Health Care Management Indicators Pharmaceutical Services Primary Health Care Health Services Research Unified Health System |
description |
ABSTRACT OBJECTIVE To evaluate indicators related to the rational use of medicines and its associated factors in Basic Health Units. METHOD This is a cross-sectional study carried out in a representative sample of Brazilian cities included in the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015). The data were collected by interviews with users, medicine dispensing professionals, and prescribers; and described by prescription, dispensing, and health services indicators. We analyzed the association between human resources characteristics of pharmaceutical services and dispensing indicators. RESULTS At national level, the average number of medicines prescribed was 2.4. Among the users, 5.8% had antibiotic prescription, 74.8% received guidance on how to use the medicines at the pharmacy and, for 45.1% of users, all prescribed medicines were from the national list of essential medicines. All the indicators presented statistically significant differences between the regions of Brazil. The dispensing professionals that reported the presence of a pharmacist in the unit with a working load of 40 hours or more per week presented 1.82 more chance of transmitting information on the way of using the medicines in the dispensing process. CONCLUSION The analysis of prescription, dispensing, and health services indicators in the basic health units showed an unsatisfactory proportion of essential medicines prescription and limitations in the correct identification of the medicine, orientation to the patients on medicines, and availability of therapeutic protocols in the health services. |
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=S0034-89102017000300316 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000300316 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.11606/s1518-8787.2017051007137 |
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 |
_version_ |
1748936504610127872 |