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

页码：243 / 253

页数：11

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