Lima Marina Guimarães, Ribeiro Andréia Queiroz, Acurcio Francisco de Assis, Rozenfeld Suely, Klein Carlos Henrique
Faculdade de Farmácia, Universidade Federal de Minas Gerais, Rua Peru 111, Belo Horizonte, MG 30320-040, Brazil.
Cad Saude Publica. 2007 Jun;23(6):1423-30. doi: 10.1590/s0102-311x2007000600017.
The aim of this study was to analyze the structure of private drug expenditures by individuals 60 years and older in Belo Horizonte, Minas Gerais, Brazil. The study population consisted of a representative sample of retirees under the National Social Security Institute (INSS) in the city of Belo Horizonte, interviewed through a household survey. Monthly out-of-pocket drug expenditures were calculated, and a drug cost structure analysis was performed according to drug characteristics. 667 elders answered the survey. Mean drug expenditures per month were US$ 38.91. The therapeutic groups representing the majority of drug expenditures were: cardiovascular system (26%), nervous system (24%), and digestive/metabolic system (15%). Considering drug registration categories, brand-name drugs accounted for the majority of expenditures (54%). The results of this study can support policies to improve both access to medicines and overall health conditions for the Brazilian elderly population.
本研究旨在分析巴西米纳斯吉拉斯州贝洛奥里藏特市60岁及以上老年人的个人药品自费支出结构。研究人群包括贝洛奥里藏特市国家社会保障局（INSS）退休人员的代表性样本，通过家庭调查进行访谈。计算每月自付药品费用，并根据药品特征进行药品成本结构分析。667名老年人回答了调查。每月平均药品支出为38.91美元。占药品支出大部分的治疗类别为：心血管系统（26%）、神经系统（24%）和消化/代谢系统（15%）。考虑药品注册类别，品牌药占支出的大部分（54%）。本研究结果可为改善巴西老年人口获得药品的机会和整体健康状况的政策提供支持。
