Free access to medicines for the treatment of chronic diseases in brazil

Free access to medicines for the treatment of chronic diseases in brazil

Title: Free access to medicines for the treatment of chronic diseases in brazil;
Acesso gratuito a medicamentos para tratamento de doenças crônicas no Brasil
Author Leao Tavares, Noemia Urruth Google Scholar
Luiza, Vera Lucia Google Scholar
Oliveira, Maria Auxiliadora Google Scholar
Costa, Karen Sarmento Google Scholar
Mengue, Sotero Serrate Google Scholar
Dourado Arrais, Paulo Sergio Google Scholar
Ramos, Luiz Roberto Autor UNIFESP Google Scholar
Farias, Mareni Rocha Google Scholar
Dal Pizzol, Tatiane da Silva Google Scholar
Bertoldi, Andrea Damaso Google Scholar
Abstract OBJECTIVE: To analyze the free access to medicines for the treatment of chronic diseases in the Brazilian population, according to demographic and socioeconomic factors. We also analyzed the most used pharmacological groups, according to funding source: free-of-charge or out-of-pocket paid. METHODS: Analysis of data from the Pesquisa Nacional sobre Acesso, Utilizacao e Promocao do Uso Racional de Medicamentos (PNAUM - National Survey on Access, Use and Promotion of Rational Use of Medicines), a population-based household survey, of cross-sectional design, based on probabilistic sample of the Brazilian population. We analyzed as outcome the prevalence of free access (free-of-charge) to all medicines for treatment of the reported chronic diseases, in the last 30 days. We studied the following independent variables: sex, age group, education in complete years of school, economic class, health plan, and geographical region of residence. We estimated the prevalences and 95% confidence intervals (95% CI) and applied the Pearson's Chi-squared test to assess the differences between the groups, considering a 5% significance level. RESULTS: About half of adults and older adults who have had full access to the treatment of chronic diseases in Brazil obtained all needed medicines for free (47.5%

95% CI 45.1-50.0). The prevalences of free access were higher among men (51.4%

95% CI 48.1-54.8), age group of 40-59 years (51.1%

95% CI 48.1-54.2), and in the poorest social classes (53.9%

95% CI 50.2-57.7). The majority of medicines that act on the cardiovascular system, such as diuretics (C03) (78.0%

95% CI 75.2-80.5), beta-blockers (C07) (62.7%

95% CI 59.4-65.8), and the agents that work in the renin-angiotensin system (C09) (73.4%

95% CI 70.8-75.8), were obtained for free. Medicines that act on the respiratory system, such as agents against obstructive airway diseases (R03) (60.0%

95% CI 52.7-66.9) were mostly paid with own resources. CONCLUSIONS: Free access to medicines for treatment of chronic diseases occurs to a considerable portion of the Brazilian population, especially for the poorest ones, indicating decreased socioeconomic inequalities, but with differences between regions and between some classes of medicines.
Keywords Minas-Gerais State
Health-Care
Southern Brazil
Belo-Horizonte
Expenditures
Inequalities
Prevalence
Medication
System
Drugs
Language English
Sponsor Department of Pharmaceutical Services and Strategic Health Supplies (DAF) of the Secretariat of Science, Technology and Strategic Inputs (SCTIE) of the Ministry of Health (SCTIE/MS) [25000.111834/2011-31]
Department of Science and Technology (DECIT) of the Secretariat of Science, Technology and Strategic Inputs (SCTIE) of the Ministry of Health (SCTIE/MS) [25000.111834/2011-31]
Grant number SCTIE/MS: 25000.111834/2011-31
Date 2016
Published in Revista De Saude Publica. Sao paulo, v. 50, n. 2, p. 7s, 2016.
ISSN 0034-8910 (Sherpa/Romeo, impact factor)
Publisher Dove Medical Press Ltd
Extent 7s
Origin http://dx.doi.org/10.1590/s1518-8787.2016050006118
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000391447400003
SciELO ID S0034-89102016000300313 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/49282

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