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首页> 外文期刊>Journal of Young Pharmacists >Availability and Accessibility to Medicines in Primary Health Care in a Brazilian Region
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Availability and Accessibility to Medicines in Primary Health Care in a Brazilian Region

机译：巴西地区初级卫生保健中药物的可获得性和可及性

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Objective: The aim with the present study was to evaluate availability and accessibility to medicines in Primary Health Care in Northeast Health District, Belo Horizonte, Brazil. Method: It was an epidemiological, descriptive and cross-sectional study, conducted in the central warehouse and in twenty Primary Health Care units. The data was collected through direct observation, in information systems and in a survey with patients. Indicators proposed by World Health Organization were used to analyze the availability and accessibility. Results: The average availability of essential medicines from a key list in stock observed in visits in Primary Health Care units was 98,3 ± 3,7% and in the past 12 months was 42,5 ± 13,6%. One thousand and three hundred eighty-three medicines were prescribed to patients and 1066 (77,1%) of them were actually dispensed. An association of the presence of medicine in Essential Medicine List with dispensing of medicine was observed (p=0,00). It was observed that 93,2% of patients spent until 30 min in the way from their residence to Primary Health Care unit. Conclusion: The conditions of availability of medicines in stock in visits and the accessibility to services in PHC were satisfactory; however, limitations were observed in yearly availability of medicines and in the attendance of patient`s needs for prescribed medicines. Actions are recommended to improve availability of medicines such as the adoption of the Essential Medicine List.
机译：目的：本研究的目的是评估巴西贝洛哈里桑塔（Belo Horizo​​nte）东北健康区初级卫生保健机构中药物的可获得性和可及性。方法：这是一项流行病学，描述性和横断面研究，在中央仓库和二十个初级卫生保健部门进行。数据是通过直接观察，信息系统和患者调查收集的。世界卫生组织提出的指标用于分析可用性和可及性。结果：在初级卫生保健部门就诊时观察到的关键清单中基本药物的平均可利用率为98,3±3,7％，而在过去的12个月中为42,5±13.6％。为患者开出了183种药物，实际分配了1066种（占77.1％）。观察到基本药物清单中药物的存在与药物分配之间的关联（p = 0,00）。据观察，有93.2％的患者在从住所到初级卫生保健部门的途中花费了30分钟。结论：初级卫生保健中查访时库存药品的可获得性和获得服务的条件令人满意;但是，在每年的药品供应和患者对处方药的需求方面存在局限性。建议采取行动以提高药物的利用率，例如通过基本药物清单。

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