Characterization of the selection of medicines for the Brazilian primary health care

Authors

  • Margô Gomes de Oliveira Karnikowski Universidade de Brasília. Curso de Farmácia. Faculdade de Ceilândia
  • Dayani Galato Universidade de Brasília. Curso de Farmácia. Faculdade de Ceilândia
  • Micheline Marie Milward de Azevedo Meiners Universidade de Brasília. Curso de Farmácia. Faculdade de Ceilândia
  • Emília Vitória da Silva Universidade de Brasília. Curso de Farmácia. Faculdade de Ceilândia
  • Letícia Farias Gerlack Universidade de Brasília. Faculdade de Ceilândia. Programa de Pós-graduação em Ciências e Tecnologias em Saúde
  • Ângelo José Gonçalves Bós Pontifícia Universidade Católica do Rio Grande do Sul
  • Silvana Nair Leite Universidade Federal de Santa Catarina. Departamento de Ciências Farmacêuticas
  • Juliana Álvares Universidade Federal de Minas Gerais. Faculdade de Farmácia. Departamento de Farmácia Social
  • Ione Aquemi Guibu Santa Casa de São Paulo. Faculdade de Ciências Médicas. Departamento de Saúde Coletiva
  • Orlando Mario Soeiro Pontifícia Universidade Católica de Campinas. Faculdade de Ciências Farmacêuticas
  • Karen Sarmento Costa Universidade Estadual de Campinas. Núcleo de Estudos de Políticas Públicas Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Saúde Coletiva. Programa de Pós-Graduação em Saúde Coletiva Universidade Federal do Rio Grande do Sul. Faculdade de Medicina. Programa de Pós-Graduação em Epidemiologia
  • Ediná Alves Costa Universidade Federal da Bahia. Instituto de Saúde Coletiva
  • Augusto Afonso Guerra Junior Universidade Federal de Santa Catarina. Departamento de Ciências Farmacêuticas
  • Francisco de Assis Acurcio Universidade Federal de Santa Catarina. Departamento de Ciências Farmacêuticas

DOI:

https://doi.org/10.11606/S1518-8787.2017051007065

Keywords:

Drugs, Essential, classification. Pharmacy and Therapeutics Committee. Pharmaceutical Services. National Policy of Pharmaceutical Assistance. Primary Health Care. Health Services Research. Unified Health System

Abstract

OBJECTIVE: To characterize the process of selection of medicines for primary health care in the Brazilian regions. METHODS: This article is part of 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), a cross-sectional study that consisted of an information gathering in a sample of cities in the five regions of Brazil. The data used were collected by interviews with those responsible for pharmaceutical services (PS) (n = 506), professionals responsible for the dispensing of medicines (n = 1,139), and physicians (n = 1,558). To evaluate the difference between ratios, we adopted the Chi-square test for complex samples. The differences between the averages were analyzed in generalized linear models with F-test with Bonferroni correction for multiple comparisons. The analyses considered significant had p≤0.05. RESULTS: The professionals responsible for pharmaceutical services reported non-existence of a formally constituted Pharmacy and Therapeutics Committee (PTC) (12.5%). They claimed to have an updated (80.4%) list of Essential Medicines (85.3%) and being active participants of this process (88.2%). However, in the perception of respondents, the list only partially (70.1%) meets the health demands. Of the interviewed professionals responsible for the dispensing of medicines, only 16.6% were pharmacists; even so, 47.8% reported to know the procedures to change the list. From the perspective of most of these professionals (70.9%), the list meets the health demands of the city. Among physicians, only 27.2% reported to know the procedures to change the list, but 76.5% would have some claim to change it. Most of them reported to base their claims in clinical experiences (80.0%). For 13.0% of them, the list meets the health demands. CONCLUSIONS: As this is the first national survey of characterization of the process of selection of medicines within primary health care, it brings unpublished data for the assessment of policies related to medicines in Brazil

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Published

2017-09-22

Issue

Vol. 51 (2017): Suplemento 2

Section

Original Articles

How to Cite

Karnikowski, M. G. de O., Galato, D., Meiners, M. M. M. de A., Silva, E. V. da, Gerlack, L. F., Bós, Ângelo J. G., Leite, S. N., Álvares, J., Guibu, I. A., Soeiro, O. M., Costa, K. S., Costa, E. A., Guerra Junior, A. A., & Acurcio, F. de A. (2017). Characterization of the selection of medicines for the Brazilian primary health care. Revista De Saúde Pública, 51(suppl.2), 9s. https://doi.org/10.11606/S1518-8787.2017051007065