National Survey on Access, Use and Promotion of Rational Use of Medicines:

Abstract

The Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos –Serviços (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services) aimed to characterize the organization of pharmaceutical services in the Primary Health Care of the Brazilian Unified Health System (SUS). PNAUM – Services is a cross-sectional and evaluative study, with planned sample of 600 cities, held between 2014 and 2015, composed of a remote phase, with telephone interviews with health managers. Of these 600 cities, 300 were selected for a survey on health services. We selected the 27 capitals, the 0.5% largest cities of each region, and the remaining cities were drawn. The estimate of the representative national sample size considered three levels: cities, medicine dispensing services, and patients. The interviews were carried out with a structured questionnaire specific for: municipal secretaries of health, professionals responsible for pharmaceutical services in the city, professionals responsible for the dispensing of medicines, physicians, and patients. The secondary data were obtained in official databases, in the latest update date. PNAUM – Services was the first nationwide research aimed at the assessment and acquisition of national and regional indicators on access to medicines, as well as use and rational use, from the perspective of various social subjects.

Statin use in Brazil: findings and implications

“…The study data was extracted from the PNAUM-Services database. All the methodological procedures adopted in the planning and execution of the PNAUM-Services have been reported previously [39]. Briefly, the PNAUM was a cross-sectional, exploratory, and evaluative study, with a national representative sample from the five Brazilian regions, using a three multi-stage complex sampling plan including cities, primary health care services and patients ( Figure 2).…”

“…Patients over 18 years old were recruited and interviewed in primary health care services, from July 2014 to May 2015, using a specific structured questionnaire designed for the survey [39]. Personal information, including sociodemographic data (sex, age, ethnicity, marital status, educational level, economic class, region of country and private health insurance) and lifestyle characteristics (alcohol use, smoking, frequency of physical activity in the three previous months and diet) were collected from all respondents.…”

“…To appraise current access to, and rational use of. Medicines in primary healthcare settings, the first National Survey on Access, Use and Promotion of Rational Use of Medicines (PNAUM-Services) was conducted in Brazil [39] from 2014 to 2015. As part of PNAUM -Services, this study aimed to quantify current statin use in SUS primary health care services and to characterise patient factors associated with their consumption.…”

Desenvolvimento de um protocolo de indicadores para avaliação nacional da capacidade de gestão da Assistência Farmacêutica na Atenção Primária à Saúde

“…18,19,20 O protocolo 21 foi adequado para a utilização de dados provenientes de um inquérito nacional dos Serviços Farmacêuticos (SF) na Atenção Primária à Saúde (APS). 22,23 Estima-se que na APS do SUS há mais de 44.000 centros de saúde, os quais, em sua maioria, dispensam medicamentos. Destes, 33% contam com, pelo menos, um farmacêutico em sua equipe de trabalho.…”

“…18,19,21,20 No sentido de expandir a utilização dos indicadores para uma amostra nacional, já aplicado em amostras regionais, 19,21 propôs-se a adaptação dos indicadores para avaliação utilizando os dados provenientes da Pesquisa Nacional de Acesso, Uso e Promoção do Uso Racional de Medicamentos (PNAUM). 22,23 Desta forma, os indicadores foram adaptados e adequados conforme a disponibilidade das informações na pesquisa.…”