{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T21:41:22Z","timestamp":1793396482748,"version":"4.5.0"},"reference-count":0,"publisher":"Universidade de Sao Paulo, Agencia USP de Gestao da Informacao Academica (AGUIA)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. sa\u00fade p\u00fablica"],"abstract":"<jats:p>OBJETIVE: To analyze the relationship between access to medicines by the population and the institutionalization of pharmaceutical services in Brazilian primary health care. METHODS: This study is part of the Pesquisa Nacional sobre Acesso, Utiliza\u00e7\u00e3o e Promo\u00e7\u00e3o do Uso Racional de Medicamentos \u2013 Servi\u00e7os 2015 (PNAUM \u2013 National Survey on Access, Use and Promotion of Rational Use of Medicines \u2013 Services 2015), a cross-sectional, exploratory, and evaluative study composed of an information survey in a representative sample of cities, stratified by Brazilian regions. Access was defined based on the acquisition of medicines reported by the patient, ranging between: total, partial, or null. The institutionalization of pharmaceutical services was analyzed based on information provided by pharmaceutical services providers and by those responsible for medicines delivery. Chi-square test and multinomial logistic regression were used in the statistical analysis. RESULTS: Full access to medicines was greater when professionals affirmed there were the following aspects of the dimensions: \u201cmanagement tools,\u201d \u201cparticipation and social control,\u201d \u201cfinancing,\u201d and \u201cpersonnel structure,\u201d with significant associations in the bivariate analysis. The \u201cpharmaceutical care\u201d dimension did not achieve such an association. After multinomial logistic regression, full access was more prevalent when those in charge of pharmaceutical services stated that: they always or repeatedly attend meetings of the Municipal Health Council, OR = 3.3 (95%CI 1.5-7.3); there are protocols for medicines delivery, OR = 2.7 (95%CI 1.2-6.1); there is computerized system for managing pharmaceutical services, OR = 3.9 (95%CI 1.9-8.0); those responsible for medicines delivery reported having participated in a course or training for professionals in the past two years, OR = 2.0 (95%CI 1.1-3.5); there is computerized system for pharmaceutical services management, OR = 4.3 (95%CI 2.4-7.5). CONCLUSIONS: Aspects related to the institutionalization of pharmaceutical services have been strongly related to access to medicines. Our results indicate the need to prioritize its implementation, contributing to its consolidation in Brazil and to the effectiveness of health services regarding the purposes of pharmaceutical services policies<\/jats:p>","DOI":"10.11606\/s1518-8787.2017051007138","type":"journal-article","created":{"date-parts":[[2017,10,23]],"date-time":"2017-10-23T19:15:02Z","timestamp":1508786102000},"page":"8s","source":"Crossref","is-referenced-by-count":36,"title":["Access to medicines:"],"prefix":"10.11606","volume":"51","author":[{"given":"Rafael Damasceno de","family":"Barros","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edin\u00e1 Alves","family":"Costa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Djanilson Barbosa dos","family":"Santos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gis\u00e9lia Santana","family":"Souza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana","family":"\u00c1lvares","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Augusto Afonso","family":"Guerra Junior","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco de Assis","family":"Acurcio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ione Aquemi","family":"Guibu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen Sarmento","family":"Costa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marg\u00f4 Gomes de Oliveira","family":"Karnikowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orlando Mario","family":"Soeiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvana Nair","family":"Leite","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4873","published-online":{"date-parts":[[2017,9,22]]},"container-title":["Revista de Sa\u00fade P\u00fablica"],"original-title":[],"link":[{"URL":"https:\/\/www.revistas.usp.br\/rsp\/article\/download\/139772\/135049","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.revistas.usp.br\/rsp\/article\/download\/139772\/148268","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.revistas.usp.br\/rsp\/article\/download\/139772\/135049","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,2]],"date-time":"2022-06-02T11:04:04Z","timestamp":1654167844000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.revistas.usp.br\/rsp\/article\/view\/139772"}},"subtitle":["relations with the institutionalization of pharmaceutical services"],"short-title":[],"issued":{"date-parts":[[2017,9,22]]},"references-count":0,"URL":"https:\/\/doi.org\/10.11606\/s1518-8787.2017051007138","relation":{},"ISSN":["1518-8787","0034-8910"],"issn-type":[{"value":"1518-8787","type":"electronic"},{"value":"0034-8910","type":"print"}],"subject":[],"published":{"date-parts":[[2017,9,22]]}}}