Free access to hypertension and diabetes medicines among the elderly: a reality yet to be constructed

Cadernos de saúde pública
Vera Maria Vieira PanizAndréa Dâmaso Bertoldi

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

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Citations

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
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

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