Indicators related to the rational use of medicines and its associated factors

Authors

  • Marina Guimarães Lima Universidade Federal de Minas Gerais. Faculdade de Farmácia. Departamento de Farmácia Social
  • Juliana Álvares Universidade Federal de Minas Gerais. Faculdade de Farmácia. Departamento de Farmácia Social
  • Augusto Afonso Guerra Junior Universidade Federal de Minas Gerais. Faculdade de Farmácia. Departamento de Farmácia Social
  • Ediná Alves Costa Universidade Federal da Bahia. Instituto de Saúde Coletiva
  • Ione Aquemi Guibu Santa Casa de São Paulo. Faculdade de Ciências Médicas. Departamento de Saúde Coletiva
  • Orlando Mario Soeiro Pontifícia Universidade Católica de Campinas. Faculdade de Ciências Farmacêuticas
  • Silvana Nair Leite Universidade Federal de Santa Catarina. Departamento de Ciências Farmacêuticas
  • Margô Gomes de Oliveira Karnikowski Universidade de Brasília. Faculdade de Ceilândia
  • Karen Sarmento Costa Universidade Estadual de Campinas. Núcleo de Estudos de Políticas Públicas Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Saúde Coletiva. Programa de Pós-Graduação em Saúde Coletiva Faculdade de Medicina. Universidade Federal do Rio Grande do Sul. Programa de Pós-Graduação em Epidemiologia
  • Francisco de Assis Acurcio Universidade Federal de Minas Gerais. Faculdade de Farmácia. Departamento de Farmácia Social

DOI:

https://doi.org/10.11606/S1518-8787.2017051007137

Keywords:

Drug Utilization, statistics & numerical data. Quality Indicators, Health Care. Management Indicators. Pharmaceutical Services. Primary Health Care. Health Services Research. Unified Health System

Abstract

OBJECTIVE: To evaluate indicators related to the rational use of medicines and its associated factors in Basic Health Units. METHOD: This is a cross-sectional study carried out in a representative sample of Brazilian cities included in the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015). The data were collected by interviews with users, medicine dispensing professionals, and prescribers; and described by prescription, dispensing, and health services indicators. We analyzed the association between human resources characteristics of pharmaceutical services and dispensing indicators. RESULTS: At national level, the average number of medicines prescribed was 2.4. Among the users, 5.8% had antibiotic prescription, 74.8% received guidance on how to use the medicines at the pharmacy and, for 45.1% of users, all prescribed medicines were from the national list of essential medicines. All the indicators presented statistically significant differences between the regions of Brazil. The dispensing professionals that reported the presence of a pharmacist in the unit with a working load of 40 hours or more per week presented 1.82 more chance of transmitting information on the way of using the medicines in the dispensing process. CONCLUSION: The analysis of prescription, dispensing, and health services indicators in the basic health units showed an unsatisfactory proportion of essential medicines prescription and limitations in the correct identification of the medicine, orientation to the patients on medicines, and availability of therapeutic protocols in the health services

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Published

2017-09-22

Issue

Vol. 51 (2017): Suplemento 2

Section

Original Articles

How to Cite

Lima, M. G., Álvares, J., Guerra Junior, A. A., Costa, E. A., Guibu, I. A., Soeiro, O. M., Leite, S. N., Karnikowski, M. G. de O., Costa, K. S., & Acurcio, F. de A. (2017). Indicators related to the rational use of medicines and its associated factors. Revista De Saúde Pública, 51(suppl.2), 23s. https://doi.org/10.11606/S1518-8787.2017051007137