Access to medicines:

relations with the institutionalization of pharmaceutical services

Authors

  • Rafael Damasceno de Barros Universidade Federal da Bahia. Instituto de Saúde Coletiva
  • Ediná Alves Costa Universidade Federal da Bahia. Instituto de Saúde Coletiva
  • Djanilson Barbosa dos Santos Universidade Federal do Recôncavo da Bahia. Centro de Ciências da Saúde
  • Gisélia Santana Souza Universidade Federal da Bahia. Faculdade de Farmácia
  • 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
  • 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. Departamento de Saúde Coletiva
  • Karen Sarmento Costa Universidade Estadual de Campinas. Núcleo de Estudos de Políticas Públicas Universidade Estadual de Campinas. Faculdade de Medicina. 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 Universidade de Brasília. Faculdade de Ceilândia
  • Orlando Mario Soeiro Pontifícia Universidade Católica de Campinas. Faculdade de Ciências Farmacêuticas
  • Silvana Nair Leite Universidade Federal de Santa Catarina. Departamento de Ciências Farmacêuticas

DOI:

https://doi.org/10.11606/S1518-8787.2017051007138

Keywords:

Pharmaceutical Services, organization & administration. Health Services Accessibility. Primary Health Care. Health Services Research. Unified Health System

Abstract

OBJETIVE: To analyze the relationship between access to medicines by the population and the institutionalization of pharmaceutical services in Brazilian primary health care. METHODS: This study 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, exploratory, and evaluative study composed of an information survey in a representative sample of cities, stratified by Brazilian regions. Access was defined based on the acquisition of medicines reported by the patient, ranging between: total, partial, or null. The institutionalization of pharmaceutical services was analyzed based on information provided by pharmaceutical services providers and by those responsible for medicines delivery. Chi-square test and multinomial logistic regression were used in the statistical analysis. RESULTS: Full access to medicines was greater when professionals affirmed there were the following aspects of the dimensions: “management tools,” “participation and social control,” “financing,” and “personnel structure,” with significant associations in the bivariate analysis. The “pharmaceutical care” dimension did not achieve such an association. After multinomial logistic regression, full access was more prevalent when those in charge of pharmaceutical services stated that: they always or repeatedly attend meetings of the Municipal Health Council, OR = 3.3 (95%CI 1.5-7.3); there are protocols for medicines delivery, OR = 2.7 (95%CI 1.2-6.1); there is computerized system for managing pharmaceutical services, OR = 3.9 (95%CI 1.9-8.0); those responsible for medicines delivery reported having participated in a course or training for professionals in the past two years, OR = 2.0 (95%CI 1.1-3.5); there is computerized system for pharmaceutical services management, OR = 4.3 (95%CI 2.4-7.5). CONCLUSIONS: Aspects related to the institutionalization of pharmaceutical services have been strongly related to access to medicines. Our results indicate the need to prioritize its implementation, contributing to its consolidation in Brazil and to the effectiveness of health services regarding the purposes of pharmaceutical services policies

Published

2017-09-22

How to Cite

Barros, R. D. de, Costa, E. A., Santos, D. B. dos, Souza, G. S., Álvares, J., Guerra Junior, A. A., Acurcio, F. de A., Guibu, I. A., Costa, K. S., Karnikowski, M. G. de O., Soeiro, O. M., & Leite, S. N. (2017). Access to medicines:: relations with the institutionalization of pharmaceutical services. Revista De Saúde Pública, 51(suppl.2), 8s. https://doi.org/10.11606/S1518-8787.2017051007138

Issue

Section

Original Articles