Equity analysis of resource distribution for the Popular Pharmacy Program
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/158164 |
Resumo: | OBJECTIVE: To analyze the regional allocation of the resources from the Brazilian Popular Pharmacy Program, taking into account the relative availability of the program and the potential needs of the region. METHODS: Data from the National Health Survey of the Annual Report of Social Information and the administrative database of the program were used to create a non-parametric indicator of coverage using multiple data envelopment analysis technique. This indicator considers the relative availability of the program, taking into account equal access to equal needs (equity based on regional needs). The analysis of this indicator shows if the regions that most need pharmaceutical assistance are those that receive more resources from the Brazilian Popular Pharmacy Program. RESULTS: The states belonging to the richest regions of the country, Southeast and South, present wider relative coverage of the Brazilian Popular Pharmacy Program compared to poorer localities. In addition, the inequalities observed between locations are better explained by inefficiency in the transfer of resources to the basic component of pharmaceutical care than by the Brazilian Popular Pharmacy Program itself. According to the model, a 43.76% increase in the transfer to the basic component of pharmaceutical care would be required in order to improve equity, whereas the increase required by the Brazilian Popular Pharmacy Program is equivalent to 22.71%. CONCLUSIONS: Although the Brazilian Popular Pharmacy Program seeks to reduce the socioeconomic inequalities observed in access to pharmaceutical care, which integrates health care services, regional disparities in access to medicine persist. These regional differences are attributed mostly to allocation failures and problems in managing the conventional pharmaceutical care cycle provided through SUS pharmacies. |
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Equity analysis of resource distribution for the Popular Pharmacy ProgramAnálise de equidade da distribuição de recursos do Programa Farmácia PopularPharmaceutical Services, economicsHealth Services Needs and DemandEquity in Resource AllocationNational Policy of Pharmaceutical AssistanceAssistência Farmacêutica, economiaNecessidades e Demandas de Serviços de SaúdeEquidade na Alocação de RecursosPolítica Nacional de Assistência FarmacêuticaOBJECTIVE: To analyze the regional allocation of the resources from the Brazilian Popular Pharmacy Program, taking into account the relative availability of the program and the potential needs of the region. METHODS: Data from the National Health Survey of the Annual Report of Social Information and the administrative database of the program were used to create a non-parametric indicator of coverage using multiple data envelopment analysis technique. This indicator considers the relative availability of the program, taking into account equal access to equal needs (equity based on regional needs). The analysis of this indicator shows if the regions that most need pharmaceutical assistance are those that receive more resources from the Brazilian Popular Pharmacy Program. RESULTS: The states belonging to the richest regions of the country, Southeast and South, present wider relative coverage of the Brazilian Popular Pharmacy Program compared to poorer localities. In addition, the inequalities observed between locations are better explained by inefficiency in the transfer of resources to the basic component of pharmaceutical care than by the Brazilian Popular Pharmacy Program itself. According to the model, a 43.76% increase in the transfer to the basic component of pharmaceutical care would be required in order to improve equity, whereas the increase required by the Brazilian Popular Pharmacy Program is equivalent to 22.71%. CONCLUSIONS: Although the Brazilian Popular Pharmacy Program seeks to reduce the socioeconomic inequalities observed in access to pharmaceutical care, which integrates health care services, regional disparities in access to medicine persist. These regional differences are attributed mostly to allocation failures and problems in managing the conventional pharmaceutical care cycle provided through SUS pharmacies.OBJETIVO: Analisar a alocação regional dos recursos do Programa Farmácia Popular do Brasil, levando em conta a disponibilidade relativa do programa e as necessidades potenciais da região. MÉTODOS: Os dados da Pesquisa Nacional de Saúde, da Relação Anual de Informações Sociais e da base administrativa do programa foram usados para criar um indicador não paramétrico de cobertura a partir da técnica de análise envoltória de dados múltipla. Esse indicador considera a disponibilidade relativa do programa, considerando a equidade de acesso para necessidades idênticas (equidade baseada nas necessidades regionais). A análise desse indicador mostra se as regiões que mais necessitam de assistência farmacêutica são aquelas que recebem mais recursos do Programa Farmácia Popular do Brasil. RESULTADOS: Os estados pertencentes às regiões mais ricas do país, Sudeste e Sul, apresentam maior cobertura relativa do Programa Farmácia Popular do Brasil em relação às localidades mais pobres. Ademais, as desigualdades observadas entre os locais são melhor explicadas por ineficiência no repasse dos recursos para o componente básico da assistência farmacêutica do que pelo Programa Farmácia Popular do Brasil em si. Segundo o modelo, para melhorar a equidade, seria necessário um aumento de 43,76% nos repasses ao componente básico da assistência farmacêutica, enquanto o aumento requerido pelo Programa Farmácia Popular do Brasil equivale a 22,71%. CONCLUSÕES: Apesar de o Programa Farmácia Popular do Brasil buscar atenuar as desigualdades socioeconômicas observadas no acesso à assistência farmacêutica, que integra os serviços de atenção à saúde, persistem as disparidades regionais no acesso a medicamentos. Essas diferenças regionais são atribuídas em maior parte a falhas na alocação e problemas na gestão do ciclo de assistência farmacêutica convencional prestada por meio das farmácias do SUS.Universidade de São Paulo. Faculdade de Saúde Pública2019-05-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/15816410.11606/S1518-8787.2019053000731Revista de Saúde Pública; Vol. 53 (2019); 50Revista de Saúde Pública; Vol. 53 (2019); 50Revista de Saúde Pública; v. 53 (2019); 501518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/158164/153359https://www.revistas.usp.br/rsp/article/view/158164/153361https://www.revistas.usp.br/rsp/article/view/158164/153360Copyright (c) 2019 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessSilva, Maria Eduarda de Lima eAlmeida, Aléssio Tony Cavalcanti deAraújo Júnior, Ignácio Tavares de2019-08-22T17:07:55Zoai:revistas.usp.br:article/158164Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2019-08-22T17:07:55Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Equity analysis of resource distribution for the Popular Pharmacy Program Análise de equidade da distribuição de recursos do Programa Farmácia Popular |
title |
Equity analysis of resource distribution for the Popular Pharmacy Program |
spellingShingle |
Equity analysis of resource distribution for the Popular Pharmacy Program Silva, Maria Eduarda de Lima e Pharmaceutical Services, economics Health Services Needs and Demand Equity in Resource Allocation National Policy of Pharmaceutical Assistance Assistência Farmacêutica, economia Necessidades e Demandas de Serviços de Saúde Equidade na Alocação de Recursos Política Nacional de Assistência Farmacêutica |
title_short |
Equity analysis of resource distribution for the Popular Pharmacy Program |
title_full |
Equity analysis of resource distribution for the Popular Pharmacy Program |
title_fullStr |
Equity analysis of resource distribution for the Popular Pharmacy Program |
title_full_unstemmed |
Equity analysis of resource distribution for the Popular Pharmacy Program |
title_sort |
Equity analysis of resource distribution for the Popular Pharmacy Program |
author |
Silva, Maria Eduarda de Lima e |
author_facet |
Silva, Maria Eduarda de Lima e Almeida, Aléssio Tony Cavalcanti de Araújo Júnior, Ignácio Tavares de |
author_role |
author |
author2 |
Almeida, Aléssio Tony Cavalcanti de Araújo Júnior, Ignácio Tavares de |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Silva, Maria Eduarda de Lima e Almeida, Aléssio Tony Cavalcanti de Araújo Júnior, Ignácio Tavares de |
dc.subject.por.fl_str_mv |
Pharmaceutical Services, economics Health Services Needs and Demand Equity in Resource Allocation National Policy of Pharmaceutical Assistance Assistência Farmacêutica, economia Necessidades e Demandas de Serviços de Saúde Equidade na Alocação de Recursos Política Nacional de Assistência Farmacêutica |
topic |
Pharmaceutical Services, economics Health Services Needs and Demand Equity in Resource Allocation National Policy of Pharmaceutical Assistance Assistência Farmacêutica, economia Necessidades e Demandas de Serviços de Saúde Equidade na Alocação de Recursos Política Nacional de Assistência Farmacêutica |
description |
OBJECTIVE: To analyze the regional allocation of the resources from the Brazilian Popular Pharmacy Program, taking into account the relative availability of the program and the potential needs of the region. METHODS: Data from the National Health Survey of the Annual Report of Social Information and the administrative database of the program were used to create a non-parametric indicator of coverage using multiple data envelopment analysis technique. This indicator considers the relative availability of the program, taking into account equal access to equal needs (equity based on regional needs). The analysis of this indicator shows if the regions that most need pharmaceutical assistance are those that receive more resources from the Brazilian Popular Pharmacy Program. RESULTS: The states belonging to the richest regions of the country, Southeast and South, present wider relative coverage of the Brazilian Popular Pharmacy Program compared to poorer localities. In addition, the inequalities observed between locations are better explained by inefficiency in the transfer of resources to the basic component of pharmaceutical care than by the Brazilian Popular Pharmacy Program itself. According to the model, a 43.76% increase in the transfer to the basic component of pharmaceutical care would be required in order to improve equity, whereas the increase required by the Brazilian Popular Pharmacy Program is equivalent to 22.71%. CONCLUSIONS: Although the Brazilian Popular Pharmacy Program seeks to reduce the socioeconomic inequalities observed in access to pharmaceutical care, which integrates health care services, regional disparities in access to medicine persist. These regional differences are attributed mostly to allocation failures and problems in managing the conventional pharmaceutical care cycle provided through SUS pharmacies. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-05-21 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/158164 10.11606/S1518-8787.2019053000731 |
url |
https://www.revistas.usp.br/rsp/article/view/158164 |
identifier_str_mv |
10.11606/S1518-8787.2019053000731 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/158164/153359 https://www.revistas.usp.br/rsp/article/view/158164/153361 https://www.revistas.usp.br/rsp/article/view/158164/153360 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 53 (2019); 50 Revista de Saúde Pública; Vol. 53 (2019); 50 Revista de Saúde Pública; v. 53 (2019); 50 1518-8787 0034-8910 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_ |
1787713239471095808 |