Thursday, April 30, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
CONTEXT: Pharmaceutical assistance is essential in health care and a right of citizens according to Brazilian law and drug policies. Pharmacist Care as an integrated part of the Primary Health Care System, in which quality use of medicines is directly related to quality health service.
OBJECTIVE: To Identify the Pharmaceutical Public Service provided by municipal districts in the State of Santa Catarina-Brazil, based on the Municipal Pharmaceutical Assistance Plans, considering some priority components related to the drug selection process.
METHODOLOGY: The diagnostic stage of 201 Municipal Pharmaceutical Public Service Plans were studied, which had been submitted to the Director of Pharmaceutical Assistance of the Santa Catarina Secretary of Health. Multiple Correspondence Analysis was used, through the program SPAD 3.5, followed by the hypothesis test.
RESULTS: The variables “presence of pharmacists” and “population” were the two which most contributed to the formation of the three groupings of municipal districts which emerged. The number of drugs listed in the Municipal Lists of Essential Drugs (REMUMES) varied from 15 to 413. The lists of 67 towns included between 101 and 200 drugs, which is considered in this study as ideal range, according to the National List of Essential Drugs 2006. No correlation was observed between the number of drugs listed in the REMUMES, and the populations of the municipal districts.
DISCUSSION: The results confirm the suspected disparity in relation to the Pharmaceutical Assistance offered by the municipal districts of different sizes, and highlight the need for a better structuring of the activities of the Pharmaceutical Public Service in the municipal districts studied. There is also a need for greater commitment by all the spheres of management, to ensure that the activities of Pharmaceutical Assistance, at local level, guarantee access to quality drugs and services, aiming at rational use.
OBJECTIVE: To Identify the Pharmaceutical Public Service provided by municipal districts in the State of Santa Catarina-Brazil, based on the Municipal Pharmaceutical Assistance Plans, considering some priority components related to the drug selection process.
METHODOLOGY: The diagnostic stage of 201 Municipal Pharmaceutical Public Service Plans were studied, which had been submitted to the Director of Pharmaceutical Assistance of the Santa Catarina Secretary of Health. Multiple Correspondence Analysis was used, through the program SPAD 3.5, followed by the hypothesis test.
RESULTS: The variables “presence of pharmacists” and “population” were the two which most contributed to the formation of the three groupings of municipal districts which emerged. The number of drugs listed in the Municipal Lists of Essential Drugs (REMUMES) varied from 15 to 413. The lists of 67 towns included between 101 and 200 drugs, which is considered in this study as ideal range, according to the National List of Essential Drugs 2006. No correlation was observed between the number of drugs listed in the REMUMES, and the populations of the municipal districts.
DISCUSSION: The results confirm the suspected disparity in relation to the Pharmaceutical Assistance offered by the municipal districts of different sizes, and highlight the need for a better structuring of the activities of the Pharmaceutical Public Service in the municipal districts studied. There is also a need for greater commitment by all the spheres of management, to ensure that the activities of Pharmaceutical Assistance, at local level, guarantee access to quality drugs and services, aiming at rational use.
Learning Objectives: Identify the Pharmaceutical Assistance provided by public health services.
Sub-Theme: Public health approach to pharmaceuticals and medical supplies