Medicine dispensing service in primary health care of SUS
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=S0034-89102017000300312 |
Resumo: | ABSTRACT OBJECTIVE To characterize the medicine dispensing services in the primary health care network in Brazil and in its different regions, aiming to promote the access and rational use of medicines. METHODS This is a cross-sectional, quantitative study with data obtained from the Pesquisa Nacional sobre Acesso, Utilização e Uso Racional de Medicamentos (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), 2015. Observation visits were carried out in 1,175 dispensing units, and interviews were held with 1,139 professionals responsible for the dispensation of medicines in the dispensing units and 495 municipal coordinators of pharmaceutical services. RESULTS More than half (53%) of the units presented a space smaller than 10 m2 for dispensing of medicines; 23.8% had bars or barriers between users and dispenser; 41.7% had computerized system; and 23.7% had counters for individual care. Among those responsible for dispensation, 87.4% said they always or repeatedly inform users how to use the medicines, and 18.1% reported developing some type of clinical activity. Isolated pharmacies presented a more developed physical and personal structure than those belonging to health units, but we found no significant differences regarding the information provided and the development of clinical activities. CONCLUSIONS There are major differences in the organization models of dispensation between cities, with regional differences regarding the physical structure and professionals involved. The centralization of medicine dispensing in pharmacies separated from the health services is associated with better structural and professional conditions, as in the dispensing units of the South, Southeast, and Midwest regions. However, the development of dispensation as health service does not prevail in any pharmacy or region of the Country yet. |
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oai:scielo:S0034-89102017000300312 |
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USP-23 |
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Revista de Saúde Pública |
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Medicine dispensing service in primary health care of SUSGood Dispensing PracticesPharmaceutical ServicesPrimary Health CareHealth Services ResearchBrazilian Unified Health SystemABSTRACT OBJECTIVE To characterize the medicine dispensing services in the primary health care network in Brazil and in its different regions, aiming to promote the access and rational use of medicines. METHODS This is a cross-sectional, quantitative study with data obtained from the Pesquisa Nacional sobre Acesso, Utilização e Uso Racional de Medicamentos (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), 2015. Observation visits were carried out in 1,175 dispensing units, and interviews were held with 1,139 professionals responsible for the dispensation of medicines in the dispensing units and 495 municipal coordinators of pharmaceutical services. RESULTS More than half (53%) of the units presented a space smaller than 10 m2 for dispensing of medicines; 23.8% had bars or barriers between users and dispenser; 41.7% had computerized system; and 23.7% had counters for individual care. Among those responsible for dispensation, 87.4% said they always or repeatedly inform users how to use the medicines, and 18.1% reported developing some type of clinical activity. Isolated pharmacies presented a more developed physical and personal structure than those belonging to health units, but we found no significant differences regarding the information provided and the development of clinical activities. CONCLUSIONS There are major differences in the organization models of dispensation between cities, with regional differences regarding the physical structure and professionals involved. The centralization of medicine dispensing in pharmacies separated from the health services is associated with better structural and professional conditions, as in the dispensing units of the South, Southeast, and Midwest regions. However, the development of dispensation as health service does not prevail in any pharmacy or region of the Country yet.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=S0034-89102017000300312Revista de Saúde Pública v.51 suppl.2 2017reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2017051007121info:eu-repo/semantics/openAccessLeite,Silvana NairBernardo,Noemia Liege Maria da CunhaÁlvares,JulianaGuerra Junior,Augusto AfonsoCosta,Ediná AlvesAcurcio,Francisco de AssisGuibu,Ione AquemiCosta,Karen SarmentoKarnikowski,Margô Gomes de OliveiraSoeiro,Orlando MarioSoares,Lucianoeng2017-11-09T00:00:00Zoai:scielo:S0034-89102017000300312Revistahttp://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 |
Medicine dispensing service in primary health care of SUS |
title |
Medicine dispensing service in primary health care of SUS |
spellingShingle |
Medicine dispensing service in primary health care of SUS Leite,Silvana Nair Good Dispensing Practices Pharmaceutical Services Primary Health Care Health Services Research Brazilian Unified Health System |
title_short |
Medicine dispensing service in primary health care of SUS |
title_full |
Medicine dispensing service in primary health care of SUS |
title_fullStr |
Medicine dispensing service in primary health care of SUS |
title_full_unstemmed |
Medicine dispensing service in primary health care of SUS |
title_sort |
Medicine dispensing service in primary health care of SUS |
author |
Leite,Silvana Nair |
author_facet |
Leite,Silvana Nair Bernardo,Noemia Liege Maria da Cunha Álvares,Juliana Guerra Junior,Augusto Afonso Costa,Ediná Alves Acurcio,Francisco de Assis Guibu,Ione Aquemi Costa,Karen Sarmento Karnikowski,Margô Gomes de Oliveira Soeiro,Orlando Mario Soares,Luciano |
author_role |
author |
author2 |
Bernardo,Noemia Liege Maria da Cunha Álvares,Juliana Guerra Junior,Augusto Afonso Costa,Ediná Alves Acurcio,Francisco de Assis Guibu,Ione Aquemi Costa,Karen Sarmento Karnikowski,Margô Gomes de Oliveira Soeiro,Orlando Mario Soares,Luciano |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Leite,Silvana Nair Bernardo,Noemia Liege Maria da Cunha Álvares,Juliana Guerra Junior,Augusto Afonso Costa,Ediná Alves Acurcio,Francisco de Assis Guibu,Ione Aquemi Costa,Karen Sarmento Karnikowski,Margô Gomes de Oliveira Soeiro,Orlando Mario Soares,Luciano |
dc.subject.por.fl_str_mv |
Good Dispensing Practices Pharmaceutical Services Primary Health Care Health Services Research Brazilian Unified Health System |
topic |
Good Dispensing Practices Pharmaceutical Services Primary Health Care Health Services Research Brazilian Unified Health System |
description |
ABSTRACT OBJECTIVE To characterize the medicine dispensing services in the primary health care network in Brazil and in its different regions, aiming to promote the access and rational use of medicines. METHODS This is a cross-sectional, quantitative study with data obtained from the Pesquisa Nacional sobre Acesso, Utilização e Uso Racional de Medicamentos (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), 2015. Observation visits were carried out in 1,175 dispensing units, and interviews were held with 1,139 professionals responsible for the dispensation of medicines in the dispensing units and 495 municipal coordinators of pharmaceutical services. RESULTS More than half (53%) of the units presented a space smaller than 10 m2 for dispensing of medicines; 23.8% had bars or barriers between users and dispenser; 41.7% had computerized system; and 23.7% had counters for individual care. Among those responsible for dispensation, 87.4% said they always or repeatedly inform users how to use the medicines, and 18.1% reported developing some type of clinical activity. Isolated pharmacies presented a more developed physical and personal structure than those belonging to health units, but we found no significant differences regarding the information provided and the development of clinical activities. CONCLUSIONS There are major differences in the organization models of dispensation between cities, with regional differences regarding the physical structure and professionals involved. The centralization of medicine dispensing in pharmacies separated from the health services is associated with better structural and professional conditions, as in the dispensing units of the South, Southeast, and Midwest regions. However, the development of dispensation as health service does not prevail in any pharmacy or region of the Country yet. |
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=S0034-89102017000300312 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000300312 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.11606/s1518-8787.2017051007121 |
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_ |
1748936504331206656 |