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Essential medicines and the selection process in management practices of pharmaceutical services in Brazilian states and municipalities

机译：基本药物和巴西国家和市政医药服务管理实践中的选择过程

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The selection of medicines is a skilled process that produces an essential medicines list (EML) and substantiates rational management of pharmaceutical services. This paper presents the selection of essential medicines in Brazilian states and municipalities. It discusses the perception of pharmaceutical services managers regarding the concept of essential medicines and strategies adopted for their implementation, in addition to investigating how the National Essential Medicines List was adopted and is supporting local pharmaceutical services actions. A nationwide study was carried out adopting a qualitative methodological approach in health. State and municipal managers from the five Brazilian regions were interviewed. The findings point to weaknesses in local selection procedures and in the use of the National Essential Medicines List (Rename). Barriers such as lack of formalization of pharmaceutical services at regional levels, difficulties in drafting and maintaining a pharmacy and therapeutics committee and the acritical incorporation of drugs on the EML were identified. States and municipalities have distortions that exclude the EML form the concept of essential medicines.
机译：药物的选择是一种熟练的方法，可产生基本的药物名单（EML），并证实了药物服务的合理管理。本文介绍了巴西国家和市政府的基本药物。它讨论了制药管理人员关于其实施的基本药物和战略概念的看法，除了调查国家必需药物清单如何采用并支持当地的药物服务行动。在全国范围内采用健康的定性方法论方法进行。从五个巴西地区的国家和市政管理人员进行了采访。调查结果指向当地选择程序中的弱点以及国家基本药物名单（重命名）。确定了区域一级药物服务缺乏正式化的障碍，起草和维护药房和治疗委员会的困难以及对EML上的药物合理融合。各国和市政当局对EML的扭曲形成了基本药物的概念。

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