Faculty of Pharmacy, Postgraduate Program in Medicines & Pharmaceutical Services, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
School of Pharmacy, SUS Collaborating Centre for Technology Assessment & Excellence in Health, UFMG, Belo Horizonte, MG, Brazil.
J Comp Eff Res. 2021 Apr;10(6):519-532. doi: 10.2217/cer-2020-0259. Epub 2021 Mar 19.
To evaluate the influence of organizational structure and technical-management activities on the availability of essential medicines in the primary healthcare. Cross-sectional, exploratory and evaluative study. The availability was evaluated according to parameters established by the WHO. The average availability of standardized essential medicines was 83.3 and 73.3% for medicines purchased centrally by the Brazilian government. Among the therapeutic groups evaluated, the lowest average availability were for the tuberculostatics (24.1%) and psychotropic/special control medicines (30.3%). The availability of essential medicines was positively influenced by the presence of the pharmacist and by the computerized system deployed, and negatively associated with essential medicines purchased centrally by the federal government, especially in the smaller municipalities.
评估组织结构和技术管理活动对基层医疗保健基本药物供应的影响。 横断面、探索性和评价性研究。 根据世界卫生组织（WHO）制定的参数评估供应情况。 经巴西政府集中采购的标准化基本药物的平均可得率为 83.3%和 73.3%。 在评估的治疗组中，最低的平均可得率为抗结核药物（24.1%）和精神药物/特殊管制药物（30.3%）。 药剂师的存在和部署的计算机系统对基本药物的供应有积极影响，而与联邦政府集中采购的基本药物呈负相关，尤其是在较小的城市。
