Uso racional de medicamentos entre indivíduos com diabetes mellitus e hipertensão arterial no município do Rio de Janeiro, Brasil

Mendes, Luiz Villarinho Pereira; Luiza, Vera Lúcia; Campos, Mônica Rodrigues

doi:10.1590/1413-81232014196.20372013

Cited by 19 publications

(18 citation statements)

References 13 publications

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“…Mendes et al (2014) proposed a composite indicator to estimate the AUM combining three domains (adherence, no auto-medication and adequate behaviour regarding medicines—ask for information only to health professionals, no expired medicines neither damaged medicine package or label, all medicines prescribed by authorized prescribers) and applied in data from a household survey conducted in Rio de Janeiro (about 6.3 million inhabitants). In this article, we adapted their proposal to have a picture of the whole country.…”

Section: Discussionmentioning

confidence: 99%

“…These indicators were adapted from Mendes et al (2014), who proposed a composite indicator to evaluate the AUM by hypertensive and/or diabetic patients treated in primary healthcare units in the city of Rio de Janeiro. This indicator was constructed from different theoretical constructs, whose information came from different sources: direct observation of the field researchers, interviewees’ reports from dichotomous questions, multiple choice and Likert scale and combined three domains (adherence, auto-medication and adequate behaviour regarding medicines—ask for information only to health professionals, no expired medicines neither damaged medicine package or label, all medicines prescribed by authorized prescribers).…”

Section: Methodsmentioning

confidence: 99%

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Inappropriate use of medicines and associated factors in Brazil: an approach from a national household survey

Luiza

Mendes

Tavares

et al. 2019

Health Policy and Planning

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This article aims to describe the inappropriate use of medicines in the Brazilian urban population and to identify associated factors. We conducted a data analysis of a household survey carried out in Brazil in 2013–14. The sampling plan was done by clusters with representativeness of the urban population and large regions of the country, according to gender and age domains. For this analysis, we considered a sample of adults (≥20 years) who reported having chronic non-communicable diseases, medical indication for drug treatment and medicine use (n = 12 283). We evaluated the prevalence of inappropriate use in the domains: non-adherence, inappropriate use behaviour and inadequate care with medicines, all verified in the following groups of independent variables: demographic and socio-economic characteristics, health and pharmaceutical care, health status and use of medicines. Crude and adjusted prevalence ratios were obtained using robust Poisson regression. It was found 46.1% of people having at least one behaviour of inappropriate use of medicines. The worst results were found for the domain of inappropriate use behaviour, a situation of 36.6% of the users, which included unauthorized prescriber, inadequate source of information and indication of the medicines by non-authorized prescribers. The best result was found for the lack of medicines care, informed by only 4.6% of users who kept expired drugs at home. The inappropriate use of medicines was associated with gender (female), region of residence (Northeast), not visiting the doctor regularly or visiting more than one doctor, not having free access to medicines and using of five or more medicines. There was a high prevalence of inappropriate use, which was associated with both individual and health system characteristics pointing out the need to set priorities as for health education and public interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Inappropriate use of medicines and associated factors in Brazil: an approach from a national household survey

Luiza

Mendes

Tavares

et al. 2019

Health Policy and Planning

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“…The applied questionnaire contained mostly closed questions, distributed in 5 blocks (general data, data on health conditions, use of health services, experience with the RECASA program, patient's treatment), with some aspects collected through observation (verification of medicines and medical prescription at home). The source study method is presented in more detail by Mendes et al 16 .…”

Section: Methodsmentioning

confidence: 99%

Uso de serviços de saúde e de medicamentos por portadores de Hipertensão e Diabetes no Município do Rio de Janeiro, Brasil

Freitas

Matta

Mendes

et al. 2018

Ciênc. saúde coletiva

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This study aimed to describe and analyze factors associated with emergency care and hospitalization of hypertensive and diabetic patients in the municipality of Rio de Janeiro, especially those related to the use of medicines. This is across-sectional study using secondary database from a household survey that approached hypertensive and diabetic patients. The outcome variables were: 1) seek for emergency careasa resultof complications related to hypertension and diabetes in the 12months preceding the interviews; 2) hospitalizationin the same period andfor the same reasons. Uni and bivariate analysis between exposure variables and each of the outcomes were performed using chi-square test at a significance level of 10%, which originated multivariate logistic regression analysis. Negative self-evaluation of health status was associated with both outcomes in the multivariate analysis. Having stopped taking the medications was associated with hospitalization and having missed a medical appointment in the last six months was associated with search for emergency care.

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“…It is also stated that more comprehensive policies are needed for RUM [21]. In recent years, studies on rational drug use have been carried out in specific groups such as hypertensive, diabetic, and neonates [22], [23], [24]. The adoption and recognition of policies for practitioners and consumers are highly effective on success.…”

Section: Introductionmentioning

confidence: 99%

Consumer Awareness, Attitude, and Behavior Related to the Rational Use of Medicines in a Developing Country Context: The Case of Turkey

Tengilimoğlu

Tekin

Zekioğlu

et al. 2020

Open Access Maced J Med Sci

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BACKGROUND: The high cost of medicines continues to be a major problem in health care. AIM: This study aims to investigate the awareness, attitudes, and behaviors of consumers with regard to the rational use of medicine (RUM) in a developing country context. METHODS: The study was designed as descriptive cross-sectional research. The survey was conducted in the two major cities of Turkey, namely, Ankara and Edirne, whose populations well-represent the socio-economic characteristics of the overall Turkish population between January and March 2016. A total of 2267 individuals participated in the survey. The survey consisted of 37 questions which included statements about various socio-demographic factors and the RUM. Frequencies and percentages were used for the presentation of qualitative data while cross-tabulations and Chi-square tests were utilized for the investigation of the relationships among research variables. RESULTS: According to the findings, 54.7% of participants stated that they request medicine not related to their illness be added to the prescription; only 24.7% of them have heard the term “rational use of medicine.” The distribution of the responses related to handling unused medicines was significant for educational level (p = 0.010; α = 0.05). At the same time, high school and university graduates are also more likely to take medicines in accordance with doctor’s advice compare to the other groups. CONCLUSION: Our study results indicate that consumer awareness of the RUMs is at a low level and more effective consumer awareness campaigns are needed on this issue.

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Uso racional de medicamentos entre indivíduos com diabetes mellitus e hipertensão arterial no município do Rio de Janeiro, Brasil

Abstract: Uso racional de medicamentos entre indivíduos com diabetes mellitus e hipertensão arterial no município do Rio de Janeiro, BrasilRational use of medicines by individuals with diabetes mellitus and arterial hypertension in the municipality of Rio de Janeiro, Brazil

Cited by 19 publications

References 13 publications

Inappropriate use of medicines and associated factors in Brazil: an approach from a national household survey

Inappropriate use of medicines and associated factors in Brazil: an approach from a national household survey

Uso de serviços de saúde e de medicamentos por portadores de Hipertensão e Diabetes no Município do Rio de Janeiro, Brasil

Consumer Awareness, Attitude, and Behavior Related to the Rational Use of Medicines in a Developing Country Context: The Case of Turkey

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