RESUMO
Introducción: En Brasil, el acceso a medicamentos es considerado parte integral del derecho a la salud y es garantizado, junto con su uso racional, por la Política Nacional de Asistencia Farmacéutica en el Sistema Único de Salud Objetivo: Identificar el perfil de acceso y uso de medicamentos de usuarios del citado Sistema. Métodos: Estudio descriptivo realizado en el municipio de Balneario Piçarras, sur de Brasil. Se entrevistaron en su domicilio 936 personas, seleccionadas aleatoriamente de los registros del Sistema de Atención Básica del Sistema Único de Salud. Resultados: De los entrevistados, 60,1 por ciento manifestó haber usado medicamentos en los últimos 15 días. Se encontró mayor probabilidad de uso de medicamentos en mujeres, personas mayores de 40 años y pensionados (p<0,05). De los 1 393 medicamentos utilizados, el 16,4 por ciento eran automedicados, principalmente antiinflamatorios no esteroideos. El 98,8 por ciento de los medicamentos fueron prescitos por médicos del Sistema y pertenecían a la Relación Municipal de Medicamentos Esenciales. Los usuarios los obtuvieron en las Unidades Básicas de Salud. Se encontró mayor adherencia a la Relación Municipal por parte de los médicos del Sistema (79,2 por ciento), que de los médicos particulares (61,1 por ciento). Los 104 usuarios de medicamentos presentaron 118 interacciones medicamentosas. El riesgo de interacción aumentó con el número de medicamentos utilizados. Conclusiones: Existe buena cobertura y acceso a medicamentos en el Sistema Único de Salud, pero aún es necesario el fortalecimiento de estrategias que promuevan su uso adecuado, como es la mayor participación del profesional farmacéutico en los servicios de salud(AU)
Introduction: In Brazil access to medicines is considered a comprehensive part of the right to health. Objective: To identify the profile of access and use of medicines of the Sole Health System´s users. Methods: A descriptive and cross-sectional study in Balneario Piçarras municipality, Santa Catarina State, in southern Brazil. 936 people were randomly selected from the records of the Sole Health System´s Basic Care System, whom were interviewed at home. Results: Out of those interviewed, 60.1 percent reported having used medications in the last 15 days. There was a greater probability of drugs using in women, people over 40 years old and pensioners (p<0,05). Out of the 1 393 drugs used, 16.4 percent were used in a self-medicated way, mostly non-steroidal anti-inflammatory drugs. 98.8 percent of the medicines belonged to the Municipal List of Essential Medications, which are prescribed by physicians of the System and that were obtained by the users in the Basic Health Units. The average number of drugs per person was 2.5. The 104 drug users had 118 drug interactions (an average of 1.7 interactions per user), and the risk of interaction increased with the number of drugs used. Conclusions: There is good coverage and access to drugs in the Sole Health System, but it is still necessary to strengthen strategies that promote their adequate use. There is a need for greater participation of pharmaceutical professionals in health services(AU)
Assuntos
Humanos , Assistência Farmacêutica , Farmacoepidemiologia , Acesso a Medicamentos Essenciais e Tecnologias em Saúde , Brasil , Epidemiologia DescritivaRESUMO
Introducción: En Brasil, el acceso a medicamentos es considerado parte integral del derecho a la salud y es garantizado, junto con su uso racional, por la Política Nacional de Asistencia Farmacéutica en el Sistema Único de Salud Objetivo: Identificar el perfil de acceso y uso de medicamentos de usuarios del citado Sistema. Métodos: Estudio descriptivo realizado en el municipio de Balneario Piçarras, sur de Brasil. Se entrevistaron en su domicilio 936 personas, seleccionadas aleatoriamente de los registros del Sistema de Atención Básica del Sistema Único de Salud. Resultados: De los entrevistados, 60,1 por ciento manifestó haber usado medicamentos en los últimos 15 días. Se encontró mayor probabilidad de uso de medicamentos en mujeres, personas mayores de 40 años y pensionados (p<0,05). De los 1 393 medicamentos utilizados, el 16,4 por ciento eran automedicados, principalmente antiinflamatorios no esteroideos. El 98,8 por ciento de los medicamentos fueron prescitos por médicos del Sistema y pertenecían a la Relación Municipal de Medicamentos Esenciales. Los usuarios los obtuvieron en las Unidades Básicas de Salud. Se encontró mayor adherencia a la Relación Municipal por parte de los médicos del Sistema (79,2 por ciento), que de los médicos particulares (61,1 por ciento). Los 104 usuarios de medicamentos presentaron 118 interacciones medicamentosas. El riesgo de interacción aumentó con el número de medicamentos utilizados. Conclusiones: Existe buena cobertura y acceso a medicamentos en el Sistema Único de Salud, pero aún es necesario el fortalecimiento de estrategias que promuevan su uso adecuado, como es la mayor participación del profesional farmacéutico en los servicios de salud(AU)
Introduction: In Brazil access to medicines is considered a comprehensive part of the right to health. Objective: To identify the profile of access and use of medicines of the Sole Health System´s users. Methods: A descriptive and cross-sectional study in Balneario Piçarras municipality, Santa Catarina State, in southern Brazil. 936 people were randomly selected from the records of the Sole Health System´s Basic Care System, whom were interviewed at home. Results: Out of those interviewed, 60.1 percent reported having used medications in the last 15 days. There was a greater probability of drugs using in women, people over 40 years old and pensioners (p<0,05). Out of the 1 393 drugs used, 16.4 percent were used in a self-medicated way, mostly non-steroidal anti-inflammatory drugs. 98.8 percent of the medicines belonged to the Municipal List of Essential Medications, which are prescribed by physicians of the System and that were obtained by the users in the Basic Health Units. The average number of drugs per person was 2.5. The 104 drug users had 118 drug interactions (an average of 1.7 interactions per user), and the risk of interaction increased with the number of drugs used. Conclusions: There is good coverage and access to drugs in the Sole Health System, but it is still necessary to strengthen strategies that promote their adequate use. There is a need for greater participation of pharmaceutical professionals in health services(AU)
Assuntos
Humanos , Acesso a Medicamentos Essenciais e Tecnologias em Saúde , Assistência Farmacêutica , Farmacoepidemiologia , Brasil , Epidemiologia DescritivaRESUMO
OBJECTIVE: To explore perceptions on access to medication supplied by the Specialized Component of Pharmaceutical Assistance (CEAF) within the Brazilian Unified Health System (which includes high-cost drugs) by the actors involved in the healthcare services of this component. METHOD: A descriptive, qualitative study was carried out by using a focal group with 7 users and 11 semi-structured interviews with health professionals (physicians and pharmacist) in the state of Santa Catarina. RESULTS: According to the participants, access to medicines had improved. Two main perceptions of the CEAF Clinical Guidelines were identified: the requirements constitute a bureaucracy that limits access, and the requisites increase the demand for tests and specialized healthcare services, exceeding the capacity of the healthcare services network. These assumptions generated the search for other means of access that revealed a lack of information and understanding of the right to health among the users. In addition, according to the participants, because of the difficulties of accessing services as a whole, full access to CEAF medicines is a goal that remains to be achieved. CONCLUSION: Although access to CEAF medicines has improved, there are still some difficulties in guaranteeing treatment access and comprehensiveness.
