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Published September 22, 2017 | Version v1
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Characterization of the institutionalization of pharmaceutical services in Brazilian primary health care

Creators

  • 1. Universidade Federal da Bahia. Faculdade de Farmácia
  • 2. Universidade Federal da Bahia. Instituto de Saúde Coletiva
  • 3. ROR icon Secretaria da Educação do Estado da Bahia
  • 4. Universidade do Estado da Bahia. Departamento de Saúde
  • 5. Universidade Federal de Minas Gerais. Faculdade de Farmácia. Departamento de Farmácia Social
  • 6. Universidade Federal de Minas Gerais. Faculdade de Farmácia. Departamento de Farmácia Socia
  • 7. Santa Casa de São Paulo. Faculdade de Ciências Médicas. Departamento de Saúde Coletiva
  • 8. 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
  • 9. Universidade de Brasília. Faculdade de Ceilândia
  • 10. Pontifícia Universidade Católica de Campinas. Faculdade de Ciências Farmacêuticas
  • 11. Universidade Federal de Santa Catarina. Departamento de Ciências Farmacêuticas

Description

OBJECTIVE:  To  characterize  the  current  stage  of  the  institutionalization  of  pharmaceutical  services in Brazilian cities.

METHODS: This study is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), a cross-sectional, exploratory, and evaluative study composed by an information survey in a representative sample of cities, stratified by Brazilian regions. We interviewed municipal secretaries of health, responsible for pharmaceutical services, and pharmacists responsible for the dispensing of medicines. The variables selected from the interviews were grouped into five dimensions that defined three stages of pharmaceutical services institutionalization: incipient (0%-34.0%), partial (35.0%-69.0%), and advanced (70.0%-100%), estimated based on the interviewees' answers. Frequencies were estimated with 95% confidence intervals. For the statistical association analysis, the Chi-square test was applied, with significance level of p<0.05.

RESULTS: Our results show a partial and heterogeneous process of institutionalization of pharmaceutical services in Brazil, and an advanced stage in formal structures, such as the municipal health plans and the existence of a standardized list of medicines. The analysed variables in the "organization, structure, and financing" dimension configured stages that range from partial to advanced. The management presented partial institutionalization, positively showing the existence of computerized system, but also disparate results regarding the autonomy in the management of financial resources. Indispensable items related to the structure expressed disparities between the regions, with statistically significant differences.

CONCLUSION: The study showed a partial and heterogeneous process of institutionalization of pharmaceutical services in Brazilian cities, showing regional disparities. Variables related to the normative aspects of institutionalization were positively highlighted in all dimensions; however, it is necessary to conduct new studies to evaluate the institutionalization of pharmaceutical services' finalistic activities.

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Identifiers

URL
https://www.revistas.usp.br/rsp/article/view/139760

References

  • SOUZA, GISÉLIA SANTANA ; COSTA, EDINÁ ALVES ; BARROS, RAFAEL DAMASCENO DE ; PEREIRA, MARCELO TAVARES ; BARRETO, JOSLENE LACERDA ; GUERRA JUNIOR, AUGUSTO AFONSO ; ACURCIO, FRANCISCO DE ASSIS ; GUIBU, IONE AQUEMI ; ÁLVARES, JULIANA ; COSTA, KAREN SARMENTO ; KARNIKOWSKI, MARGÔ GOMES DE OLIVEIRA ; SOEIRO, ORLANDO MARIO ; Leite, Silvana Nair ; LEITE, S. N. . Characterization of the institutionalization of pharmaceutical services in Brazilian primary health care. REVISTA DE SAÚDE PÚBLICA (ONLINE), v. 51, p. 2-3, 2017.