Acesso a medicamentos de uso contínuo em adultos e idosos nas regiões Sul e Nordeste do Brasil

Paniz, Vera Maria Vieira; Fassa, Anaclaudia Gastal; Facchini, Luiz Augusto; Bertoldi, Andréa Dâmaso; Piccini, Roberto Xavier; Tomasi, Elaine; Thumé, Elaine; Silveira, Denise Silva da; Siqueira, Fernando Vinholes; Rodrigues, Maria Aparecida

doi:10.1590/s0102-311x2008000200005

Cited by 108 publications

(155 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A similar result was found in the municipality of Florianopolis (Santa Catarina) 27 . This result is also in line with the WHO reference value, which considers access to medicines above 80% desirable 28 .…”

Section: Discussionsupporting

confidence: 85%

Medication use by the elderly: analysis of prescribing, dispensing, and use in a medium-sized city in the state of São Paulo

Stefano

Conterno

Filho

et al. 2017

Rev. bras. geriatr. gerontol.

View full text Add to dashboard Cite

Objective: To describe the prescribing, dispensing, use, adhesion, and storage of medicines to and by the elderly. Method: A descriptive cross-sectional study was performed in Estratégia Saúde da Família (Family Health Strategy) health centers (ESF), in Marília in the state of São Paulo, Brazil, based on the records of and interviews with 114 individuals seven to ten days after a medical consultation. A descriptive analysis was carried out. Results: The mean number of prescribed drugs was 4.98 per elderly patient. Of the total number of prescribed drugs, 81.5% were supplied by public services, with the nutrient (50%); antilipemic (62.1%); analgesic (30.7%); dermo-protector (66.6%); herbal (40%) and parasite and antifungal (37.5%) classes dispensed the least. A total of 83.8% of the prescribed drugs were used, while the drugs dispensed at the lowest rates were not used by the elderly, except for analgesics. A total of 40.3% of the respondents exhibited low adherence. Most stored their medicines in a suitable place. Conclusion: The prescribing, dispensing, use and storage of medications to and by the elderly can be considered effective, but adherence remains low, requiring new strategies and interventions.

show abstract

Section: Discussionsupporting

confidence: 85%

Medication use by the elderly: analysis of prescribing, dispensing, and use in a medium-sized city in the state of São Paulo

Stefano

Conterno

Filho

et al. 2017

Rev. bras. geriatr. gerontol.

View full text Add to dashboard Cite

show abstract

“…These characteristics are consistent with those observed in other studies conducted among users of the Unified Health System -SUS (Colombo et al, 2004;Ribeiro et al, 2006;Paniz et al, 2008). In addition, this population lives predominantly in urban areas (75.4%).…”

Section: Socio-demographic Profile Of Userssupporting

confidence: 91%

“…These findings, therefore, are factors that may compromise the rational use of medication. Paniz et al (2008), assisted by the Project for Expansion and Consolidation of the Family Health, conducted a study that included adults (aged 30-64 years) and elderly (aged 65 years or more) in the South and Northeast regions of Brazil. This study about access to continuous-use medication for treatment of diabetes, high blood pressure and/or mental illnesses, found total access was observed in 81.2% of the cases, whereas partial access corresponded to 7.0% and no access was observed in 11.8% of the cases.…”

Section: Discussionmentioning

confidence: 99%

Analysis of pharmaceutical assistance in the Taquari Valley, Rio Grande do Sul: profile of service users and access to medication

Kauffmann

Fernandes

Deitos

et al. 2009

Braz. J. Pharm. Sci.

View full text Add to dashboard Cite

Pharmaceutical assistance concerns actions developed by the pharmacist and other professionals with the purpose of promoting, protecting and restoring health. Medications are an essential tool in this process that focuses on the access to, and the rational use of, drugs. This study is aimed at evaluating the Pharmaceutical Assistance provided by Municipal Health Offices in the Taquari Valley, Rio Grande do Sul. For this purpose, 2,794 users of public pharmacies were interviewed and data was analyzed using descriptive statistics. The users of the public pharmacies were mainly female and individuals with low educational level and income. On average, 2.41 drugs were prescribed per medical prescription and 1.72 of these were procured. Out of the total medicines prescribed, 76.5% were listed in the municipal standard drug list (SDL). Medication was prescribed by its generic name in 81.8% of the prescriptions. Antibiotics and injections were prescribed in 11.9% and 4.0% of the prescriptions, respectively. Users' access to information is partial, which can impair adherence to the treatment. Thus, it is possible to conclude that review of the service is necessary for it to be effective.Uniterms: Pharmaceutical assistance. Unified Health System. Medicines/rational use. Medicines/ prescription indicators.A Assistência Farmacêutica se preocupa com ações desenvolvidas pelo farmacêutico ou outros profissionais com o propósito de promover, proteger e restaurar a saúde. Medicamentos são ferramentas essenciais nesse processo, que se concentra no acesso e no uso racional de fármacos. Este estudo objetivou a avaliação da Assitência Farmacêutica suprida pela Secretaria Municipal da Saúde no Vale do Taquari, no Rio Grande do Sul. Com esse propósito, 2.794 usuários das farmácias públicas foram entrevistados e analisaram-se os dados usando estatística descritiva. Os usuários das farmácias públicas eram, principalmente, mulheres e indivíduos com baixo nível educacional e financeiro. Na média, 2,41 fármacos eram prescritos por prescrição médica e 1,72 destes foram obtidos. Do total de medicamentos prescritos, 76,5% estava inscritos na lista de medicamentos padrão do município (SDL). A medicação foi prescrita pelo nome genérico em 81,8% dos casos. Antibióticos e injeções foram prescritas em 11,9% e 4,0% das prescrições, respectivamente. O acesso dos usuários à informação é parcial, o que pode prejudicar a adesão ao tratamento. Dessa forma, é possível concluir que a revisão do serviço é necessária para que seja eficaz.Unitermos: Assistência farmacêutica. Sistema Único de Saúde. Medicamentos/uso racional. Medicamentos/indicadores de prescrição.

show abstract

“…It corroborates the results of other analyses from the same research, showing the importance of socioeconomic aspects in the South. In the Northeast, the type of PCU and link with the PCU of the area are more important to establish access 30 .…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2010

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Acesso a medicamentos de uso contínuo em adultos e idosos nas regiões Sul e Nordeste do Brasil

Cited by 108 publications

References 23 publications

Medication use by the elderly: analysis of prescribing, dispensing, and use in a medium-sized city in the state of São Paulo

Medication use by the elderly: analysis of prescribing, dispensing, and use in a medium-sized city in the state of São Paulo

Analysis of pharmaceutical assistance in the Taquari Valley, Rio Grande do Sul: profile of service users and access to medication

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

Contact Info

Product

Resources

About