Composição dos gastos privados com medicamentos utilizados por aposentados e pensionistas com idade igual ou superior a 60 anos em Belo Horizonte, Minas Gerais, Brasil

Lima, Marina Guimarães; Ribeiro, Andréia Queiróz; Acúrcio, Francisco de Assis; Rozenfeld, Suely; Klein, Carlos Henrique

doi:10.1590/s0102-311x2007000600017

Cited by 15 publications

(14 citation statements)

References 17 publications

(21 reference statements)

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“…However, more than 80% of medicines prescribed belong to RENAME, indicating high essentiality in this study, although one quarter were not obtained free of charge. The importance of paid access to essential medicines is reinforced by the study showing that 60.6% of medicines not available at the PCU belonged to RENAME 4 and by another study which observed that 75% of medicines consumed by the elderly were acquired in the private sector despite the fact that 27% of those were considered essential 6 .…”

Section: Discussionmentioning

confidence: 99%

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Free access to hypertension and diabetes medicines among the elderly: a reality yet to be constructed

et al. 2010

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The study evaluated free access to hypertension and diabetes medicines and the reasons reported for lack of access. The sample included 4,003 elderly people living in Primary Care Unit coverage areas from 41 Southern and Northeastern Brazilian cities. Free access was higher in the Northeast (62.4%). The strategy of the Family Health Program (Programa Saúde da Família - PSF) was more effective in providing access than the traditional model, with higher results in the Northeast (61.2%) than in the South (39.6%). Around 20% of medicines included in the Hypertension and Diabetes Program and 26% of those included in the National Essential Medicines List (RENAME) were paid out of pocket. In the Northeast, 25% of insulin and 32% of oral antidiabetics were paid out of pocket. Unavailability in the public sector and a lack of money determined the lack of access. Although the PSF, Hypertension and Diabetes Program and RENAME expanded free access, supplies were insufficient. A greater connection between programs and a clear definition of responsibilities can improve medicine acquisition process, increasing the effectiveness of pharmaceutical assistance.

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Section: Discussionmentioning

confidence: 99%

“…However, studies evidence obstacles in the process of obtaining essential medicines from the primary health care system 2,3,4,5 , resulting in high medicine-related costs for the family 6,7 .…”

Section: Introductionmentioning

confidence: 99%

Free access to hypertension and diabetes medicines among the elderly: a reality yet to be constructed

et al. 2010

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“…Another possibility is the migration to the private sector, where expenses can prevent the control of the morbidity condition especially in the case of chronic diseases. 8 There were differences in the variation of prices in each sector: non-existent in the FPB-P -where prices are regulated -small in the private sector and greater in the FPB-E, because the Program does not fi x prices and the establishment is free to determine the desired profi t margin. In addition, federal subsidies enable establishments to offer prices that are lower than the competitors', using the Program to attract clients.…”

Section: Discussionmentioning

confidence: 99%

Preços e disponibilidade de medicamentos no Programa Farmácia Popular do Brasil

et al. 2010

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OBJETIVO: Analisar o desempenho do Programa Farmácia Popular do Brasil perante os setores público e privado, em relação a: disponibilidade, preço e custo, para o paciente, de medicamentos para hipertensão e diabetes. MÉTODOS: Foi utilizada a metodologia desenvolvida pela Organização Mundial da Saúde em conjunto com a Ação Internacional para Saúde, para comparação de preços e disponibilidade de medicamentos. A pesquisa foi aplicada em maio de 2007, em estabelecimentos de diferentes setores [público, privado e as modalidades própria (FPB-P) e expansão (FPB-E) do Programa], em 30 municípios do Brasil. Os quatro medicamentos analisados foram: captopril 25mg e hidroclorotiazida 25mg, para hipertensão, e metformina 500mg e glibenclamida 5mg, para diabetes. RESULTADOS: O FPB-E apresentou maior disponibilidade de medicamentos e o setor público, a menor. Tanto no setor público quanto na FPB-P o percentual de disponibilidade de similares foi maior que o de genéricos. A comparação de preços entre os setores mostrou menor preço de aquisição no FPB-E, seguido pelo FPB-P. O FPB-E apresentou economia superior a 90% em relação ao setor privado. O número de dias de trabalho necessários para aquisição de tratamentos para hipertensão e diabetes foi menor no FPB-E. CONCLUSÕES: A menor disponibilidade encontrada no setor público pode ser uma das justificativas para migração dos usuários do setor público para o FPB. Os altos preços praticados pelo setor privado também contribuem para que o Programa seja uma alternativa de acesso a medicamentos no País.

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“…On the other hand, a low perception of health was connected with different neighborhoods, with a poor perception of physical environment contributing independently to adhesion. 15 The drugs most frequently used by respondents of this study were related to the cardiovascular system, which is connected with the fact that cardiovascular diseases are the most prevalent among the elderly, as discussed by Metge et al (2004). 5 Classes of drug related to the central nervous system, digestive tract and metabolism are often used in research regarding the elderly.…”

Section: Discussionmentioning

confidence: 76%

“…14 In terms of studies of individual cities, a survey conducted of 667 elderly persons in Belo Horizonte, Minas Gerais, evaluating the spending of the elderly population on drugs in both the public and private sector, found that the average expenditure incurred in the public sector was US $7.89, while the average spending in the private sector was US $69.48. 15 Another Brazilian cross-sectional population based study, conducted in 2009 with 1,720 adults living in the urban area of Florianópolis, in the state of Santa Catarina in southern Brazil, noted that the average spending on drugs was US $23.70, with higher rates among women, older individuals and among the highest socioeconomic class. 16 To ensure access to medicines for the majority of the population, improve the care provided by the health services and provide specific knowledge of the health profile of the elderly population in Brazil, it is necessary to carry out economic analysis and research in the health sector that can be used to support decisions on the allocation of financial resources.…”

Section: Introductionmentioning

confidence: 99%

Profile of drug spend among elderly individuals from different socioeconomic groups

Colet

Borges

Amador

2016

Rev. bras. geriatr. gerontol.

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The increase in the elderly population is associated with increased health care costs. The objective of the present study was to describe the results of research conducted in groups of elderly persons from different socioeconomic classes in Porto Alegre in the state of Rio Grande do Sul, and to compare the drugs spending profiles of different groups. A cross-sectional study was performed using a sample of individuals aged 60 years or older who participated in community groups. Analysis of variance (ANOVA) and the Tukey test were used to analyze the difference in costs of drugs among different socioeconomic classes. A total of 225 seniors were interviewed and females were predominant in all classes. The most common chronic diseases included hypertension, which occurred in 21.0%, 36.0% and 38.0% of elderly persons in social classes A, C and E, respectively. The average number of medications was 5.34 (±2.64) in social class A, 4.07 (±2.73) in social class C and 4.28 (±2.39) in social class E. The share of household income spent on medication for elderly persons in classes A, C and E was 4.0%, 5.7% and 10.0%, respectively. The drugs with the highest monthly cost for each patient in class A, C and E, respectively, were antipsychotic and anti-Parkinson's medication, diabetes medicine, and medication for the treatment of bone disease. It was concluded that there are specific differences in the cost and expenses incurred on spending on medication for the elderly of different socioeconomic classes.

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Composição dos gastos privados com medicamentos utilizados por aposentados e pensionistas com idade igual ou superior a 60 anos em Belo Horizonte, Minas Gerais, Brasil

Cited by 15 publications

References 17 publications

Free access to hypertension and diabetes medicines among the elderly: a reality yet to be constructed

Free access to hypertension and diabetes medicines among the elderly: a reality yet to be constructed

Preços e disponibilidade de medicamentos no Programa Farmácia Popular do Brasil

Profile of drug spend among elderly individuals from different socioeconomic groups

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