A utilização dos serviços de internação no SUS e o programa Aqui Tem Farmácia Popular
Data
2024-10-23
Autores
Silva, Laurentino Elias da 
Orientadores
Zucchi, Paola
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Objetivo: Este estudo teve como finalidade avaliar a relação entre a evolução do número de farmácias conveniadas ao programa Aqui Tem Farmácia Popular e a utilização dos serviços de internação no SUS por Unidade Federativa, além de analisar a evolução do número de farmácias e dos repasses para as farmácias da rede conveniada ao programa Aqui Tem Farmácia Popular, de 2006 a 2022. Métodos: Trata-se de um estudo observacional, descritivo, analítico, retrospectivo, com dados extraídos do Fundo Nacional de Saúde e do portal Fala.BR, analisados com abordagem quantitativa por meio da descrição da evolução das variáveis ao longo do tempo e dos pontos de inflexão pelo método Joinpoint e da correlação cruzada entre as séries temporais da taxa de internação por doenças tratáveis com os medicamentos do programa Aqui Tem Farmácia Popular. Resultados: Os valores repassados do Fundo Nacional de Saúde às farmácias conveniadas aumentaram progressivamente de 2006 até 2016, com um ligeiro decréscimo até 2022. Os estados das regiões Sul e Sudeste receberam os maiores valores de repasse, enquanto a região Norte teve repasses próximos a zero em comparação com as demais regiões. Houve aumento do número de farmácias conveniadas entre 2006 e 2022, sobretudo nas regiões Sudeste e Sul. As taxas de internação por doenças atendidas com os medicamentos do programa Aqui Tem Farmácia Popular variaram ao longo do tempo nas Unidades Federativas. As séries temporais das taxas de internações por 100.000 habitantes e a série temporal do número de farmácias conveniadas ao Aqui Tem Farmácia Popular apresentaram correlações cruzadas negativas, demonstrando que, quanto maior o número de farmácias, menor foi a taxa de internações por diabetes nos estados do Ceará e do Paraná, por glaucoma no Mato Grosso, por doença de Parkinson no Piauí e por osteoporose no Tocantins. Conclusões: Os repasses do Fundo Nacional de Saúde às farmácias, bem como o número de farmácias conveniadas ao programa Aqui Tem Farmácia Popular, aumentaram entre os anos 2006 e 2022, apresentando variações no período. Contudo, há diferenças tanto nos repasses quanto na quantidade de farmácias entre as regiões e estados da Federação, evidenciando maior repasse de recursos para as regiões Sudeste, Sul e Centro Oeste. A evolução das taxas de internações variou de estado para estado ao longo do tempo e, na correlação cruzada com o número de farmácias, a hipótese de que quanto maior o acesso ao medicamento, menor será a utilização dos serviços de internação se confirmou para diabetes, glaucoma, doença de Parkinson e osteoporose, respectivamente, no Ceará e Paraná, Mato Grosso, Piauí e Tocantins, sendo necessário mais estudos sobre o impacto do programa Aqui Tem Farmácia Popular.
Objective: The purpose of this study was to evaluate the relationship between the evolution of the number of pharmacies affiliated with the Aqui Tem Farmácia Popular program and the use of hospitalization services in the SUS (Unified Health Systems of Brazil) by Federative Units, in addition to analyzing the evolution of the number of pharmacies and transfers to pharmacies in the network affiliated with the Aqui Tem Farmácia Popular program, from 2006 to 2022. Methods: This is an observational, descriptive, analytical, retrospective study, with data extracted from the National Health Fund and the Fala.BR portal, analyzed using a quantitative approach by describing the evolution of the variables over time and the inflection points using the Joinpoint method. and the cross-correlation between the time series of hospitalization rates for treatable diseases and the medicines in the Aqui Tem Farmácia Popular program. Results: The amounts passed on from the National Health Fund to partner pharmacies increased progressively from 2006 to 2016, with a slight decrease by 2022. The states in the South and Southeast received the highest amounts, while the North had close to zero transfers compared to the other regions. There was an increase in the number of partner pharmacies between 2006 and 2022, especially in the Southeast and South. Hospitalization rates for diseases treated with medicines from the Aqui Tem Farmácia Popular program have varied over time in the Federative Units. The time series of hospitalization rates per 100,000 inhabitants and the time series of the number of pharmacies affiliated with Aqui Tem Farmácia Popular showed negative crosscorrelations, showing that the higher the number of pharmacies, the lower the hospitalization rate for diabetes in the states of Ceará and Paraná, for glaucoma in Mato Grosso, for Parkinson's disease in Piauí and for osteoporosis in Tocantins. Conclusions: The transfers from the National Health Fund to pharmacies, as well as the number of pharmacies affiliated with the Aqui Tem Farmácia Popular program, increased between the years 2006 and 2022, showing variations over the period. However, there are differences in both the transfers and the number of pharmacies between the regions and states of the Federation, showing greater transfers of resources to the Southeast, South and Center West regions. The evolution of hospitalization rates varied from state to state over time and, in the cross-correlation with the number of pharmacies, the hypothesis that the greater the access to medication, the lower the use of hospitalization services was confirmed for diabetes, glaucoma, Parkinson's disease and osteoporosis, respectively, in Ceará and Paraná, Mato Grosso, Piauí and Tocantins, requiring further studies on the impact of the Aqui Tem Farmácia Popular program.
Objective: The purpose of this study was to evaluate the relationship between the evolution of the number of pharmacies affiliated with the Aqui Tem Farmácia Popular program and the use of hospitalization services in the SUS (Unified Health Systems of Brazil) by Federative Units, in addition to analyzing the evolution of the number of pharmacies and transfers to pharmacies in the network affiliated with the Aqui Tem Farmácia Popular program, from 2006 to 2022. Methods: This is an observational, descriptive, analytical, retrospective study, with data extracted from the National Health Fund and the Fala.BR portal, analyzed using a quantitative approach by describing the evolution of the variables over time and the inflection points using the Joinpoint method. and the cross-correlation between the time series of hospitalization rates for treatable diseases and the medicines in the Aqui Tem Farmácia Popular program. Results: The amounts passed on from the National Health Fund to partner pharmacies increased progressively from 2006 to 2016, with a slight decrease by 2022. The states in the South and Southeast received the highest amounts, while the North had close to zero transfers compared to the other regions. There was an increase in the number of partner pharmacies between 2006 and 2022, especially in the Southeast and South. Hospitalization rates for diseases treated with medicines from the Aqui Tem Farmácia Popular program have varied over time in the Federative Units. The time series of hospitalization rates per 100,000 inhabitants and the time series of the number of pharmacies affiliated with Aqui Tem Farmácia Popular showed negative crosscorrelations, showing that the higher the number of pharmacies, the lower the hospitalization rate for diabetes in the states of Ceará and Paraná, for glaucoma in Mato Grosso, for Parkinson's disease in Piauí and for osteoporosis in Tocantins. Conclusions: The transfers from the National Health Fund to pharmacies, as well as the number of pharmacies affiliated with the Aqui Tem Farmácia Popular program, increased between the years 2006 and 2022, showing variations over the period. However, there are differences in both the transfers and the number of pharmacies between the regions and states of the Federation, showing greater transfers of resources to the Southeast, South and Center West regions. The evolution of hospitalization rates varied from state to state over time and, in the cross-correlation with the number of pharmacies, the hypothesis that the greater the access to medication, the lower the use of hospitalization services was confirmed for diabetes, glaucoma, Parkinson's disease and osteoporosis, respectively, in Ceará and Paraná, Mato Grosso, Piauí and Tocantins, requiring further studies on the impact of the Aqui Tem Farmácia Popular program.
Descrição
Citação
SILVA, Laurentino Elias da. A utilização dos serviços de internação no SUS e o programa Aqui Tem Farmácia Popular. 2024. 187 f. Dissertação (Mestrado em Medicina Translacional) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP). São Paulo, 2024.