Magarinos-Torres Rachel, Pepe Vera Lucia Edais, Oliveira Maria Auxiliadora, Osorio-de-Castro Claudia Garcia Serpa
Departamento de Farmácia e Administração Farmacêutica, Faculdade de Farmácia, Universidade Federal Fluminense, Niterói, RJ, Brasil,
Departamento de Administração e Planejamento em Saúde, Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz.
Cien Saude Colet. 2014 Sep;19(9):3859-68. doi: 10.1590/1413-81232014199.12162013.
The selection of medicines is a skilled process that produces an essential medicines list (EML) and substantiates rational management of pharmaceutical services. This paper presents the selection of essential medicines in Brazilian states and municipalities. It discusses the perception of pharmaceutical services managers regarding the concept of essential medicines and strategies adopted for their implementation, in addition to investigating how the National Essential Medicines List was adopted and is supporting local pharmaceutical services actions. A nationwide study was carried out adopting a qualitative methodological approach in health. State and municipal managers from the five Brazilian regions were interviewed. The findings point to weaknesses in local selection procedures and in the use of the National Essential Medicines List (Rename). Barriers such as lack of formalization of pharmaceutical services at regional levels, difficulties in drafting and maintaining a pharmacy and therapeutics committee and the acritical incorporation of drugs on the EML were identified. States and municipalities have distortions that exclude the EML form the concept of essential medicines.
药品选择是一个技术过程，它会生成一份基本药物清单（EML），并为合理管理药品服务提供依据。本文介绍了巴西各州和各市的基本药物选择情况。除了调查国家基本药物清单是如何被采用以及如何支持地方药品服务行动之外，还讨论了药品服务管理人员对基本药物概念的看法以及为实施这些概念所采用的策略。采用定性健康研究方法在全国范围内开展了一项研究。对巴西五个地区的州和市管理人员进行了访谈。研究结果指出了地方选择程序以及国家基本药物清单（Rename）使用方面的弱点。发现了一些障碍，比如地区层面药品服务缺乏正规化、起草和维持药房与治疗学委员会存在困难以及在基本药物清单上不加区分地纳入药物。各州和各市存在一些偏差，将基本药物清单排除在基本药物概念之外。
