Strategies to improve the availability of medicines in primary health care in Brazil: findings and implications

被引：4
|
作者：
Barbosa, Mariana M. [1 ]
Nascimento, Renata C. R. M. [2 ]
Garcia, Marina M. [1 ]
Acurcio, Francisco A. [1 ]
Godman, Brian [3 ,4 ,5 ,6 ]
Guerra, Augusto A., Jr. [1 ]
Alvares-Teodoro, Juliana [1 ]
机构：
[1] Fed Univ Minas Gerais UFMG, Sch Pharm, Postgrad Program Med & Pharmaceut Serv, Belo Horizonte, MG, Brazil
[2] Univ Fed Ouro Preto, Sch Pharm, Dept Pharm, Ouro Preto, Brazil
[3] Univ Strathclyde, Strathclyde Inst Pharm & Biomed Sci, Glasgow G4 0RE, Lanark, Scotland
[4] Univ Liverpool Management Sch, Hlth Econ Ctr, Liverpool, Merseyside, England
[5] Karolinska Inst, Karolinska Univ Hosp Huddinge, Div Clin Pharmacol, SE-14186 Stockholm, Sweden
[6] Sefako Makgatho Hlth Sci Univ, Sch Pharm, Pretoria, South Africa
来源：
JOURNAL OF COMPARATIVE EFFECTIVENESS RESEARCH | 2021年
关键词：
health policy; health services research; observational research; pharmaceuticals; BLOOD-PRESSURE CONTROL; MIDDLE-INCOME; ADHERENCE; DISEASES; ACCESS; AFFORDABILITY; DETERMINANTS; NONADHERENCE; MEDICATIONS; COUNTRIES;
D O I：
10.2217/cer-2020-0125
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Aim: Access to essential medicines is a key component of managing patients in ambulatory care. In 2008, the State of Minas Gerais, Brazil, created the Pharmacy Network of Minas (Rede Farmacia de Minas [RFM]) program to improve access to medicines, increasing availability and restructuring the infrastructures. The aim was to assess the current situation, comparing municipalities with and without RFM. Materials & methods: Descriptive survey study, data collected from 2014 July to May 2015. Availability was verified by stock levels. Results: The drug availability index was 61.0%, higher in municipalities with RFM. Most physicians considered the pharmaceutical services as good/very good. The main reasons for medicines shortage were 'financial transference problems', 'insufficient financial resources' and 'budget'. Conclusion: Strategies, such as the RFM can promote improvements in medicine availability.
引用
收藏
页码：243 / 253
页数：11
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