Abstract
The study evaluated free access to hypertension and diabetes medicines and the reasons reported for lack of access. The sample included 4,003 elderly people living in Primary Care Unit coverage areas from 41 Southern and Northeastern Brazilian cities. Free access was higher in the Northeast (62.4%). The strategy of the Family Health Program (Programa Saúde da Família - PSF) was more effective in providing access than the traditional model, with higher results in the Northeast (61.2%) than in the South (39.6%). Around 20% of medicines included in the Hypertension and Diabetes Program and 26% of those included in the National Essential Medicines List (RENAME) were paid out of pocket. In the Northeast, 25% of insulin and 32% of oral antidiabetics were paid out of pocket. Unavailability in the public sector and a lack of money determined the lack of access. Although the PSF, Hypertension and Diabetes Program and RENAME expanded free access, supplies were insufficient. A greater connection between programs and a clear definition of responsibilities can improve medicine acquisition process, increasing the effectiveness of pharmaceutical assistance.
References
Jan 19, 2002·Revista de saúde pública·UNKNOWN Brazillian National Strategy for the Reorganization of Care for Arterial Hipertension and Diabetes Mellitus
Jul 16, 2002·Cadernos de saúde pública·Carmen Phang Romero
Jun 14, 2003·Cadernos de saúde pública·Maria Fernanda Lima-CostaLuana Giatti
Apr 21, 2004·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Augusto Afonso GuerraCristiana Leite Carvalho
Sep 29, 2004·American Journal of Public Health·John D PietteTodd H Wagner
Dec 21, 2004·Revista de saúde pública·Vania dos Santos, Sandra M Ottati Oliveira Nitrini
Feb 3, 2005·Journal of Public Health Policy·Margô Gomes de Oliveira KarnikowskiLynn Dee Silver
May 17, 2005·Revista de saúde pública·Janeth de Oliveira Silva Naves, Lynn Dee Silver
Feb 8, 2006·Cadernos de saúde pública·Marcelo Felga de CarvalhoCélia Landmann Szwarcwald
Feb 28, 2006·Cadernos de saúde pública·Daniela Cristina Profitti de PaivaMaria Mercedes L Escuder
Jun 5, 2007·Cadernos de saúde pública·Marina Guimarães LimaCarlos Henrique Klein
Feb 19, 2008·Cadernos de saúde pública·Vera Maria Vieira PanizMaria Aparecida Rodrigues
May 27, 2008·BMC Health Services Research·Fabrizio TediosiKaspar Wyss
Jul 29, 2008·Cadernos de saúde pública·Luiz Augusto FacchiniAlessander Osório
Aug 30, 2008·Health Policy·Andréa Dâmaso BertoldiPedro Curi Hallal
Citations
Dec 5, 2013·Globalization and Health·Andréa D BertoldiMaria Inês Schmidt
Jul 18, 2014·BMC Public Health·Maria Lea Correa LeiteMaria Fernanda Lima-Costa
Dec 17, 2016·Revista de saúde pública·Vera Lucia LuizaAndréa Dâmaso Bertoldi
Dec 17, 2016·Revista de saúde pública·Maria Auxiliadora OliveiraAndréa Dâmaso Bertoldi
Dec 17, 2016·Revista de saúde pública·Noemia Urruth Leão TavaresAndréa Dâmaso Bertoldi
Apr 21, 2016·Cadernos de saúde pública·Vera Maria Vieira PanizLuiz Augusto Facchini
Dec 8, 2016·Ciência & saúde coletiva·Airton José PetrisMaira Sayuri Sakay Bortoletto
May 12, 2016·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Camila Nascimento MonteiroMoisés Goldbaum
Mar 24, 2016·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Sotero Serrate MengueJarbas Barbosa da Silva Júnior
Jun 18, 2015·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Maria Nelly Sobreira de Carvalho BarretoAnnick Fontbonne
May 20, 2020·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Sylvia Fortes RestrepoAylene Bousquat
Oct 28, 2011·Cadernos de saúde pública·Marina Meneses AzizEleonora d'Orsi
Aug 9, 2018·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Elislene Dias DrummondFabíola Bof de Andrade
Aug 16, 2012·Cadernos de saúde pública·Vinícius Oliveira de Moura PereiraMariangela Leal Cherchiglia
Jul 29, 2017·International Journal of Hypertension·Rafael V PiconSandra C Fuchs
Jun 5, 2014·Cadernos de saúde pública·Reginara Alves FerreiraLuana Giatti
Mar 15, 2014·Cadernos de saúde pública·Felipe Assan RemondiRegina Kazue Tanno de Souza
Nov 9, 2019·International Journal of Environmental Research and Public Health·Ying WangXin Li