Evidence map›Paper›PMID 35766787›Full record

Observational studyRevista de saude publica2022

Public policy coverage and access to medicines in Brazil.

Ricardo Montes de Moraes, Maria Angelica Borges Dos Santos, Fabiola Sulpino Vieira, Rosimary Terezinha de Almeida

Abstract readObservational Study
In one paragraph

Observational study in Revista de saude publica, 2022. 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
–field-weighted citation impact
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.

  1. Review
  2. Article
  3. Article
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

4 authors.

Ricardo Montes de MoraesInstituto Brasileiro de Geografia e Estatística. Rio de Janeiro, RJ, Brasil.ORCID http://orcid.org/0000-0003-4462-7190
Maria Angelica Borges Dos SantosFundação Oswaldo Cruz.Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.ORCID http://orcid.org/0000-0002-7547-3537
Fabiola Sulpino VieiraInstituto de Pesquisa Econômica Aplicada. Brasília, DF, Brasil.ORCID http://orcid.org/0000-0001-7377-7302
Rosimary Terezinha de AlmeidaUniversidade Federal do Rio de Janeiro.Instituto Alberto Luiz Coimbra de Pós-Graduação e Pesquisa em Engenharia. Programa de Engenharia Biomédica. Rio de Janeiro, RJ, Brasil.ORCID http://orcid.org/0000-0002-4196-2682

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDescribe consumption patterns for monetary and non-monetary acquisition of medicines according to age and income groups, highlighting pharmaceuticals associated with health programs with specific access guarantees.

methodsDescriptive observational study using microdata from the 2017-2018 Pesquisa de Orçamentos Familiares (Household Budget Survey, POF/IBGE). We initially reviewed programs/policies with specific guarantees of access to medicines in the SUS. Using the pharmaceutical product list of POF-4 (chart 29 of the questionnaire on individual expenditures), we selected the medicines related to these programs. We then described frequencies and percentages for not reporting medicine consumption and for reporting consumption (either through monetary or non-monetary acquisition) according to age and income groups. For medicines with distinctive access guarantees, we compared average monthly values of acquisitions and consumption patterns by age and income.

results63% of those in the ≤ 2 minimum wage (MW) household income group did not report consuming medicines in the last month. Among those earning > 25 MW, 44.3% did not report consumption. Non-monetary acquisitions of medicines were mainly reported for the < 10 MW group and for the elderly and accounted for 20.5% of the total consumption of medicines (in value). For policies with specific access guarantees, non-monetary acquisitions reached 33.6% of total consumption. This percentage varied for the various selected medicines: vaccines, 83.3%; cancer drugs, 70.3%; diabetes, 47.9%; hypertension, 35.9%; asthma and bronchitis, 29.2%; eye problems, 14%; prostate and urinary tract, 10.7%; gynecological, 11.6%; and contraceptives, 9.7%.

conclusionShares for non-monetary acquisitions of medicines are still low but benefit mainly lower-income and older age groups. Policies and programs with specific access guarantees to medicines have increased access. Results suggest the need to strengthen and expand pharmaceutical care policies.

Indexed as

Health ExpendituresPublic PolicyAgedBrazilCross-Sectional StudiesHealth Services AccessibilityHumansMaleSocioeconomic Factors

Identifiers

PMID35766787
PMCPMC9239427

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Registered trials

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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.