Medicine dispensing service in primary health care of SUS

Authors

  • Silvana Nair Leite Universidade Federal de Santa Catarina. Departamento de Ciências Farmacêuticas
  • Noemia Liege Maria da Cunha Bernardo Universidade do Vale do Itajaí
  • Juliana Álvares Universidade Federal de Minas Gerais. Faculdade de Farmácia. Departamento de Farmácia Social
  • Augusto Afonso Guerra Junior Universidade Federal de Minas Gerais. Faculdade de Farmácia. Departamento de Farmácia Social
  • Ediná Alves Costa Universidade Federal da Bahia. Instituto de Saúde Coletiva
  • Francisco de Assis Acurcio Universidade Federal de Minas Gerais. Faculdade de Farmácia. Departamento de Farmácia Social
  • Ione Aquemi Guibu Santa Casa de São Paulo. Faculdade de Ciências Médicas
  • 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
  • Margô Gomes de Oliveira Karnikowski Pontifícia Universidade Católica de Campinas. Faculdade de Ciências Farmacêuticas
  • Orlando Mario Soeiro Universidade de Brasília. Faculdade de Ceilândia
  • Luciano Soares Universidade da Região de Joinville. Programa de Pós-Graduação em Saúde e Meio Ambiente

DOI:

https://doi.org/10.11606/S1518-8787.2017051007121

Keywords:

Good Dispensing Practices. Pharmaceutical Services. Primary Health Care. Health Services Research. Brazilian Unified Health System

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

Published

2017-09-22

How to Cite

Leite, S. N., Bernardo, N. L. M. da C., Álvares, J., Guerra Junior, A. A., Costa, E. A., Acurcio, F. de A., Guibu, I. A., Costa, K. S., Karnikowski, M. G. de O., Soeiro, O. M., & Soares, L. (2017). Medicine dispensing service in primary health care of SUS. Revista De Saúde Pública, 51(suppl.2), 11s. https://doi.org/10.11606/S1518-8787.2017051007121

Issue

Section

Original Articles