Access to medicines in the Brazilian Unified Health System’s primary health care: assessment of a public policy

Author:

Barbosa Mariana M1ORCID,Moreira Thais A2ORCID,Nascimento Renata CRM3ORCID,Nascimento Mariana MG1ORCID,Acurcio Francisco A1ORCID,Godman Brian4567ORCID,Guerra Augusto A1ORCID,Alvares-Teodoro Juliana1ORCID

Affiliation:

1. School of Pharmacy, Postgraduate Program in Medicines & Pharmaceutical Services, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil

2. School of Medicine, Postgraduate Program in Public Health Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil

3. School of Pharmacy, Department of Pharmacy, Federal University of Ouro Preto, Ouro Preto, Brazil

4. Strathclyde Institute of Pharmacy & Biomedical Sciences, University of Strathclyde, Glasgow, G4 0RE, UK

5. Health Economics Centre, University of Liverpool Management School, Liverpool, UK

6. Division of Clinical Pharmacology, Karolinska Institute, Karolinska University Hospital Huddinge, SE-141 86, Stockholm, Sweden

7. School of Pharmacy, Sefako Makgatho Health Sciences University, Garankuwa, Pretoria, South Africa

Abstract

In 2008, the Programa Rede Farmácia de Minas (RFM, literally translated: ‘Minas Gerais Pharmacy Network’ program) was created as a strategy to expand access to medicines. Aim: Measure access to medicines in public pharmacies through comparison between municipalities that joined or not the RFM. Materials & methods: Cross-sectional, evaluative study, gathering information from a representative sample of the municipalities in Minas Gerais between July 2014 and May 2015. The Poisson regression results were obtained by calculating the prevalence ratios. Results: Adequate access to medicines in Minas Gerais was 69.9%, being 75.8% in municipalities with and 69.2% without the RFM. The municipalities with the RFM showed statistically higher percentages in the Availability, Adequacy/Accommodation, and Acceptability dimensions. Conclusion: RFM appears an efficient strategy for promoting access to medicines.

Publisher

Future Medicine Ltd

Subject

Health Policy

Reference28 articles.

1. MINAS GEAIS. RESOLUÇÃO SES No 1416 DE 21 DE FEVEREIRO DE 2008 Farmácia de Minas – REDE FARMÁCIA DE MINAS. Institui critérios, valores e prazos para apresentação de propostas visando a concessão do incentivo financeiro para estruturação das unidades da rede estadual de Assistência Farmacêutica no âmbito da 1a etapa do Programa Farmácia de Minas – REDE FARMÁCIA. (2008). www.saude.mg.gov.br/images/documentos/resolucao_1416.pdf

2. Indicator of access to medicines in relation to the multiple dimensions of access

3. Access to medicines by patients of the primary health care in the Brazilian Unified Health System

4. Avaliação da infraestrutura da Assistência Farmacêutica no Sistema Único de Saúde em Minas Gerais

5. The Concept of Access

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