Programa de Pós-Graduação em Assistência Farmacêutica, Instituto de Ciências da Saúde, Universidade Federal do Pará.. R. Augusto Corrêa 01, Campus Universitário do Guamá. 66075-110 Belém PA Brasil.
Cien Saude Colet. 2022 Dec;27(12):4579-4588. doi: 10.1590/1413-812320222712.10742022. Epub 2022 Jul 6.
Comprehensive access to health is a global issue. One-third of the population does not have regular access to essential medicines. People Deprived of Liberty (PDL) are one of those people in a situation of unequal access. Given the uniqueness of the penitentiary system, this research aimed to identify the determining factors in the access to medicines made available by the Brazilian Unified Health System (SUS) for the PDLs in Pará, Brazil. The applied, exploratory, qualitative research was conducted from August 2019 to February 2020 using the APOTECA framework. The APOTECA framework analysis revealed that technical, political, and administrative factors are the main hurdles to guaranteeing equal access to medicines made available by the SUS for the PDLs in Pará. The deprivation of liberty, social vulnerability, and other factors inherent to the prison reality hinder the implementation of PDLs' right to health, and several challenges must be overcome to secure equal access to medicines.
全面获得医疗保健是一个全球性问题。有三分之一的人口无法定期获得基本药物。被剥夺自由的人（PDL）就是无法平等获得医疗服务的人群之一。鉴于监狱系统的独特性，本研究旨在确定巴西帕拉州 PDLS 获得巴西统一卫生系统（SUS）提供的药物的决定因素。该应用、探索性、定性研究于 2019 年 8 月至 2020 年 2 月期间使用 APOTECA 框架进行。APOTECA 框架分析表明，技术、政治和行政因素是保障 PDLS 平等获得 SUS 提供的药物的主要障碍。自由被剥夺、社会脆弱性以及监狱现实中的其他因素阻碍了 PDLS 健康权利的实施，要确保平等获得药物，还需要克服许多挑战。
