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对《巴西统一卫生系统中“健康区域”的药学服务组织》的评论

Comments on "The organization of pharmaceutical services by 'health region' in Brazil's Unified Health System".

作者信息

Araújo Suetônio Queiroz, Costa Karen Sarmento, Luiza Vera Lucia, Lavras Carmen, Santana Eucilene Alves, Tavares Noemia Urruth Leão

机构信息

Departamento de Assistência Farmacêutica e Insumos Estratégicos, Secretaria de Ciência, Tecnologia e Insumos Estratégicos, Ministério da Saúde. Esplanada dos Ministérios, Bloco G. 70058-900 Brasília DF Brasil.

Núcleo de Estudos de Políticas Públicas, Universidade Estadual de Campinas. Campinas SP Brasil.

出版信息

Cien Saude Colet. 2017 Apr;22(4):1181-1191. doi: 10.1590/1413-81232017224.27042016.

Abstract

This study aimed to describe and characterize the pharmaceutical services provided in Brazil's Unified Health System (SUS) from the point of view of the healthcare networks that are organized by region in the QualiSUS-Rede Project. This was a cross-sectional study, with data collected from December 2013 to July 2015, in public health establishments that carried out delivery or warehousing of medications (n = 4,938), in 465 municipalites, and the Federal District, in 43'Health Regions'. The results show the existence of at least one management service supporting the health network, and warehousing of medications in all the regions (> 90%). It also showed the availability of at least one healthcare service, in healthcare locations, by pharmaceutical professionals is irregular between the Regions, being highest in the Southeastern Region (74.3%), and lowest in the Northeastern Region (43.3%). The results underpine the need for effective structuring of pharmaceutical assistance in the SUS networks, overcoming the current restrictive vision of its activities, which gives value almost exclusively to the logistical component of support to the network, to the detriment of the clinical component. It is also important to expand, and improve the quality of, the population's access to medical drugs, and improve the quality of the healthcare offered to users of the system.

摘要

本研究旨在从QualiSUS-Rede项目中按地区组织的医疗网络的角度,描述和刻画巴西统一卫生系统(SUS)提供的药学服务。这是一项横断面研究,数据收集于2013年12月至2015年7月,来自465个市和联邦区的43个“卫生区域”内开展药品配送或仓储的公共卫生机构(n = 4,938)。结果显示,所有区域(> 90%)均存在至少一项支持卫生网络的管理服务以及药品仓储。结果还表明,各区域之间药学专业人员在医疗机构提供的至少一项医疗服务的可及性并不规律,东南部地区最高(74.3%),东北地区最低(43.3%)。这些结果强调了在SUS网络中有效构建药学援助的必要性,克服目前对其活动的狭隘看法,即几乎只重视支持网络的后勤部分,而损害了临床部分。扩大并提高民众获得药品的机会以及改善提供给系统使用者的医疗服务质量也很重要。

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