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提高巴西初级卫生保健中药物供应的策略:发现与启示。

Strategies to improve the availability of medicines in primary health care in Brazil: findings and implications.

机构信息

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

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

出版信息

J Comp Eff Res. 2021 Feb;10(3):243-253. doi: 10.2217/cer-2020-0125. Epub 2021 Feb 5.

DOI:10.2217/cer-2020-0125
PMID:33541125
Abstract

Access to essential medicines is a key component of managing patients in ambulatory care. In 2008, the State of Minas Gerais, Brazil, created the Pharmacy Network of Minas (Rede Farmácia de Minas [RFM]) program to improve access to medicines, increasing availability and restructuring the infrastructures. The aim was to assess the current situation, comparing municipalities with and without RFM. Descriptive survey study, data collected from 2014 July to May 2015. Availability was verified by stock levels. The drug availability index was 61.0%, higher in municipalities with RFM. Most physicians considered the pharmaceutical services as good/very good. The main reasons for medicines shortage were 'financial transference problems', 'insufficient financial resources' and 'budget'. Strategies, such as the RFM can promote improvements in medicine availability.

摘要

在门诊护理中,获得基本药物是管理患者的关键组成部分。2008 年,巴西米纳斯吉拉斯州创建了药房网络 Minas(Rede Farmácia de Minas [RFM])计划,以改善药物的可及性,增加供应并重组基础设施。目的是评估当前的情况,比较有和没有 RFM 的城市。描述性调查研究,数据收集于 2014 年 7 月至 2015 年 5 月。通过库存水平验证了供应情况。药物供应指数为 61.0%,在有 RFM 的城市中更高。大多数医生认为药品服务良好/非常好。药品短缺的主要原因是“财务转移问题”、“资金不足”和“预算”。像 RFM 这样的策略可以促进药品供应的改善。

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