Acesso a medicamentos para tratamento de condições agudas prescritos a adultos nas regiões Sul e Nordeste do Brasil

Paniz, Vera Maria Vieira; Cechin, Isabel Carolina Coelho Flores; Fassa, Anaclaudia Gastal; Piccini, Roberto Xavier; Tomasi, Elaine; Thumé, Elaine; Silveira, Denise Silva da; Facchini, Luiz Augusto

doi:10.1590/0102-311x00009915

Cited by 8 publications

(7 citation statements)

References 18 publications

(42 reference statements)

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“…The lack of access to medicines in the public sector is one of the major barriers to fighting the chronic diseases, and management models should intensify efforts to adopt public policies that guarantee dispensed medication [ 30 ]. Thus, in Brazil, the use of therapeutic protocols by the National Medication Policy [ 31 ] (1998) and the National Policy on Pharmaceutical Care [ 32 ] (2004) has ensured that many essential medicines are available free of charge, or at a reduced cost [ 33 ], thereby enhancing the care and strengthening the assistance.…”

Section: Discussionmentioning

confidence: 99%

Did the Family Health Strategy have an impact on indicators of hospitalizations for stroke and heart failure? Longitudinal study in Brazil: 1998-2013

et al. 2018

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IntroductionThe objective was to analyze whether socioeconomic factors related to the context and those related to the model of care—specifically the coverage of primary care by the Family Health Strategy (ESF)—had an impact on hospitalizations due to heart failure (HF) and stroke, in the State of São Paulo/Brazil between 1998 and 2013.MethodsA longitudinal ecological study involving 645 municipalities was conducted in the state of São Paulo/Brazil from 1998 to 2013, using the Hospital Information System (SIH–DataSUS database). The hospitalizations for primary care sensitive conditions: Stroke and heart failure (HF) that correspond to the International Classification of Diseases (ICD 10): I50, I63 to I67; I69, G45 to G46 were analyzed longitudinally during the period indicated regarding the percentage of people covered by the Family Health Program (PSF) adjusted for confounders (population size, gross domestic product -GDP and human development index- HDI).ResultsThere was a significant decrease in the number of hospitalizations for heart failure and stroke per 10000 (inhabitants) in the period (p <0.0001), with a significant relationship with increased proportion of ESF (p <0.0001), and this remained significant even when possible confounders (population size, GDP and HDI) were included in the model (p <0.0001).ConclusionsGDP per capita was close to or higher than that if many European countries, which shows the relevance of the study. The health care model based on the Family Health Strategy positively impacted hospitalization indicators for heart failure and stroke, indicating that this model is effective in the prevention of primary care sensitive conditions.

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Section: Discussionmentioning

confidence: 99%

Did the Family Health Strategy have an impact on indicators of hospitalizations for stroke and heart failure? Longitudinal study in Brazil: 1998-2013

et al. 2018

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“…The dependente variable was the access to medication prescribed by health professionals, classified according to the response categories: total access (all), partial (some) and null (none), and assessed according to the proposition of other studies 3, 4,6,18 , by the following question: Could the "(person's name") obtain the prescribed medication? ".…”

Section: Study Variablesmentioning

confidence: 99%

Acesso da população brasileira adulta a medicamentos prescritos

Drummond

Simões

Andrade

2018

Rev. bras. epidemiol.

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“…Given that there are problems of access to medicines by SUS patients, regardless of age or health group or evaluated health condition 15 , the results indicate that the expansion of availability has resulted in a significant reduction of hospitalizations and deaths – on average 27.6% and 8.0%, respectively, in the period of analysis. This finding shows the importance of ensuring access to pharmaceutical products by the public sector.…”

Section: Discussionmentioning

confidence: 97%

Impacts of a Brazilian pharmaceutical program on the health of chronic patients

et al. 2019

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OBJECTIVE: To evaluate the impact of the expansion of access to medicines by the Programa Farmácia Popular do Brasil (PFPB – Brazilian Popular Pharmacy Program) on the indicators of hospitalizations and deaths by hypertension and diabetes. METHODS: To estimate the impact of the Brazilian Popular Pharmacy Program, the statistical model of fixed-effect difference in differences was used, considering: the divisions Rede Própria (RP – Proprietary Network) and Rede Conveniada (RC – Partnership Network); the exposure time of the municipality to the program; intramunicipal density, measured by the number of accredited establishments; and the coverage spillover effect into patients from nonparticipating municipalities. Data from 5,566 municipalities were used, for the period from 2003 to 2016, including: (i) administrative records of the PFPB, Sistema de Informações sobre Mortalidade (SIM – Information System on Mortality), and Sistema de Informações Hospitalares (SIH – Hospital Information System); ii) other health data managed by the Departamento de Informática do SUS (DATASUS – Department of Informatics of SUS); iii) sociodemographic data produced by the Brazilian Institute of Geography and Statistics (IBGE); and iv) data from the Relação Anual de Informações Sociais (RAIS – Annual List of Social Information). RESULTS: The expansion of access to medicines for treatment of hypertension and diabetes resulted in a meaningful and statistically significant reduction (p < 0.05) of the number of hospitalizations and deaths by these diseases, in an average annual rate of 27.6% and 8.0%, respectively. The observed impacts were induced by the partnership network, highlighting the density of establishments per 100,000 inhabitants and, above all, the exposure time of the municipality to the program as relevant to the effect. Evidence of a spillover effect and of the maintenance of impacts on different age groups, especially older people, were also observed. CONCLUSIONS: The strategy to expand access to medicines through the PFPB was effective in reducing hospitalizations and deaths by hypertension and diabetes in Brazil during the investigated period. Better understanding the impacts of the program is important to improve the pharmaceutical care policy, to ensure access to cost-effective treatments.

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Acesso a medicamentos para tratamento de condições agudas prescritos a adultos nas regiões Sul e Nordeste do Brasil

Cited by 8 publications

References 18 publications

Did the Family Health Strategy have an impact on indicators of hospitalizations for stroke and heart failure? Longitudinal study in Brazil: 1998-2013

Did the Family Health Strategy have an impact on indicators of hospitalizations for stroke and heart failure? Longitudinal study in Brazil: 1998-2013

Acesso da população brasileira adulta a medicamentos prescritos

Impacts of a Brazilian pharmaceutical program on the health of chronic patients

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