Evidence map›Paper›PMID 29160462›Full record

ArticleRevista de saude publica2017

Access to medicines: relations with the institutionalization of pharmaceutical services.

Rafael Damasceno de Barros, Ediná Alves Costa, Djanilson Barbosa Dos Santos, Gisélia Santana Souza, Juliana Álvares, Augusto Afonso Guerra, Francisco de Assis Acurcio, Ione Aquemi Guibu, Karen Sarmento Costa, Margô Gomes de Oliveira Karnikowski and 2 more

Open access · goldAbstract read
In one paragraph

Article in Revista de saude publica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
9.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 43 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 1 country.

Rafael Damasceno de BarrosInstituto de Saúde Coletiva. Universidade Federal da Bahia. Salvador, BA, Brasil.
Ediná Alves CostaInstituto de Saúde Coletiva. Universidade Federal da Bahia. Salvador, BA, Brasil.
Djanilson Barbosa Dos SantosCentro de Ciências da Saúde. Universidade Federal do Recôncavo da Bahia. Santo Antônio de Jesus, BA, Brasil.
Gisélia Santana SouzaFaculdade de Farmácia. Universidade Federal da Bahia. Salvador, BA, Brasil.
Juliana ÁlvaresDepartamento de Farmácia Social. Faculdade de Farmácia. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil.
Augusto Afonso GuerraDepartamento de Farmácia Social. Faculdade de Farmácia. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil.
Francisco de Assis AcurcioDepartamento de Farmácia Social. Faculdade de Farmácia. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil.
Ione Aquemi GuibuDepartamento de Saúde Coletiva. Faculdade de Ciências Médicas. Santa Casa de São Paulo. São Paulo, SP, Brasil.
Karen Sarmento CostaNúcleo de Estudos de Políticas Públicas. Universidade Estadual de Campinas. Campinas, SP, Brasil.
Margô Gomes de Oliveira KarnikowskiFaculdade de Ceilândia. Universidade de Brasília. Brasília, DF, Brasil.
Orlando Mario SoeiroFaculdade de Ciências Farmacêuticas. Pontifícia Universidade Católica de Campinas. Campinas, SP, Brasil.
Silvana Nair LeiteDepartamento de Ciências Farmacêuticas. Universidade Federal de Santa Catarina. Florianópolis, SC, Brasil.
Universidade Federal da Bahia · BRUniversidade Federal de Minas Gerais · BRFaculdade de Ciências Médicas da Santa Casa de São Paulo · BRPontifícia Universidade Católica de Campinas · BRUniversidade de Brasília · BRUniversidade Estadual de Campinas (UNICAMP) · BRUniversidade Federal de Santa Catarina · BRUniversidade Federal do Recôncavo da Bahia · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objetiveTo analyze the relationship between access to medicines by the population and the institutionalization of pharmaceutical services in Brazilian primary health care.

methodsThis study is part of 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), a cross-sectional, exploratory, and evaluative study composed of an information survey in a representative sample of cities, stratified by Brazilian regions. Access was defined based on the acquisition of medicines reported by the patient, ranging between: total, partial, or null. The institutionalization of pharmaceutical services was analyzed based on information provided by pharmaceutical services providers and by those responsible for medicines delivery. Chi-square test and multinomial logistic regression were used in the statistical analysis.

resultsFull access to medicines was greater when professionals affirmed there were the following aspects of the dimensions: "management tools," "participation and social control," "financing," and "personnel structure," with significant associations in the bivariate analysis. The "pharmaceutical care" dimension did not achieve such an association. After multinomial logistic regression, full access was more prevalent when those in charge of pharmaceutical services stated that: they always or repeatedly attend meetings of the Municipal Health Council, OR = 3.3 (95%CI 1.5-7.3); there are protocols for medicines delivery, OR = 2.7 (95%CI 1.2-6.1); there is computerized system for managing pharmaceutical services, OR = 3.9 (95%CI 1.9-8.0); those responsible for medicines delivery reported having participated in a course or training for professionals in the past two years, OR = 2.0 (95%CI 1.1-3.5); there is computerized system for pharmaceutical services management, OR = 4.3 (95%CI 2.4-7.5).

conclusionsAspects related to the institutionalization of pharmaceutical services have been strongly related to access to medicines. Our results indicate the need to prioritize its implementation, contributing to its consolidation in Brazil and to the effectiveness of health services regarding the purposes of pharmaceutical services policies.

Indexed as

BrazilCross-Sectional StudiesHealth Services AccessibilityHealth SurveysHumansNational Health ProgramsPharmaceutical PreparationsPharmaceutical ServicesPrimary Health CareSocioeconomic FactorsWorkforcePharmaceutical Preparations

Identifiers

PMID29160462
PMCPMC5676401
OpenAlexW2763846256

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.