Infrastructure of pharmacies of the primary health care in the Brazilian Unified Health System: Analysis of PNAUM – Services data

ABSTRACT OBJECTIVE To characterize the infrastructure of the primary health care pharmacies of the Brazilian Unified Health System, aiming at humanizing the offered services. METHODS This is a cross-sectional study, of quantitative approach, from data obtained in the Pesquisa Nacional de Acesso,...

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Main Authors: Silvana Nair Leite, Fernanda Manzini, Juliana Álvares, Augusto Afonso Guerra Junior, Ediná Alves Costa, Francisco de Assis Acurcio, Ione Aquemi Guibu, Karen Sarmento Costa, Margô Gomes de Oliveira Karnikowski, Orlando Mário Soeiro, Mareni Rocha Farias
Format: Article
Language:English
Published: Universidade de São Paulo 2017-11-01
Series:Revista de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000300311&lng=en&tlng=en
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author Silvana Nair Leite
Fernanda Manzini
Juliana Álvares
Augusto Afonso Guerra Junior
Ediná Alves Costa
Francisco de Assis Acurcio
Ione Aquemi Guibu
Karen Sarmento Costa
Margô Gomes de Oliveira Karnikowski
Orlando Mário Soeiro
Mareni Rocha Farias
author_facet Silvana Nair Leite
Fernanda Manzini
Juliana Álvares
Augusto Afonso Guerra Junior
Ediná Alves Costa
Francisco de Assis Acurcio
Ione Aquemi Guibu
Karen Sarmento Costa
Margô Gomes de Oliveira Karnikowski
Orlando Mário Soeiro
Mareni Rocha Farias
author_sort Silvana Nair Leite
collection DOAJ
description ABSTRACT OBJECTIVE To characterize the infrastructure of the primary health care pharmacies of the Brazilian Unified Health System, aiming at humanizing the offered services. METHODS This is a cross-sectional study, of quantitative approach, from data obtained in the Pesquisa Nacional de Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015). Information on 1,175 pharmacies/dispensing units were gathered from direct observation and assessment of dispensing units installations conducted by trained researchers who used a standardized form. The analyzed variables refer to the physical structure of pharmacies or medicine dispensing units of the health units under research. RESULTS The pharmacy area was greater than 14 m2 in 40.3% of the sampled units, highlighting those from Midwest (56.9%) and Southeast (56.2%) regions and those of Northeast, with only 23.3%. About 80.2% units had waiting rooms with chairs for patients, 31.8% of them had dispensing areas inferior to 5m2, while in 46.2% these areas were superior to 10m2. Bars were found in service counters in 23.8% of health units, thus separating the patient from the professional; 44.1% had internet access. In most units, the area of medicine storage had no refrigerator or freezer for their exclusive storage and 13.7% had a specific room for pharmaceutical consultation. CONCLUSION Aiming at achieving care humanization and improving working conditions for professionals, the structuring of the environment of pharmacy services is necessary. This would contribute to the better qualification of pharmacy services, comprising more than medicine delivery. Data on the Northeast region indicated less favorable conditions to the development of adequate dispensing services. Based on the panorama pointed out, we suggest the expansion of stimulus concerning the physical structure of pharmaceutical services, considering regional specificities.
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spelling doaj.art-9746f326202c410abe5ede319e2bbae82022-12-21T18:43:07ZengUniversidade de São PauloRevista de Saúde Pública1518-87872017-11-0151suppl 210.11606/s1518-8787.2017051007120S0034-89102017000300311Infrastructure of pharmacies of the primary health care in the Brazilian Unified Health System: Analysis of PNAUM – Services dataSilvana Nair LeiteFernanda ManziniJuliana ÁlvaresAugusto Afonso Guerra JuniorEdiná Alves CostaFrancisco de Assis AcurcioIone Aquemi GuibuKaren Sarmento CostaMargô Gomes de Oliveira KarnikowskiOrlando Mário SoeiroMareni Rocha FariasABSTRACT OBJECTIVE To characterize the infrastructure of the primary health care pharmacies of the Brazilian Unified Health System, aiming at humanizing the offered services. METHODS This is a cross-sectional study, of quantitative approach, from data obtained in the Pesquisa Nacional de Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015). Information on 1,175 pharmacies/dispensing units were gathered from direct observation and assessment of dispensing units installations conducted by trained researchers who used a standardized form. The analyzed variables refer to the physical structure of pharmacies or medicine dispensing units of the health units under research. RESULTS The pharmacy area was greater than 14 m2 in 40.3% of the sampled units, highlighting those from Midwest (56.9%) and Southeast (56.2%) regions and those of Northeast, with only 23.3%. About 80.2% units had waiting rooms with chairs for patients, 31.8% of them had dispensing areas inferior to 5m2, while in 46.2% these areas were superior to 10m2. Bars were found in service counters in 23.8% of health units, thus separating the patient from the professional; 44.1% had internet access. In most units, the area of medicine storage had no refrigerator or freezer for their exclusive storage and 13.7% had a specific room for pharmaceutical consultation. CONCLUSION Aiming at achieving care humanization and improving working conditions for professionals, the structuring of the environment of pharmacy services is necessary. This would contribute to the better qualification of pharmacy services, comprising more than medicine delivery. Data on the Northeast region indicated less favorable conditions to the development of adequate dispensing services. Based on the panorama pointed out, we suggest the expansion of stimulus concerning the physical structure of pharmaceutical services, considering regional specificities.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000300311&lng=en&tlng=enPharmaceutical Services, supply & distributionInfrastructurePrimary Health CareHealth Services ResearchUnified Health System
spellingShingle Silvana Nair Leite
Fernanda Manzini
Juliana Álvares
Augusto Afonso Guerra Junior
Ediná Alves Costa
Francisco de Assis Acurcio
Ione Aquemi Guibu
Karen Sarmento Costa
Margô Gomes de Oliveira Karnikowski
Orlando Mário Soeiro
Mareni Rocha Farias
Infrastructure of pharmacies of the primary health care in the Brazilian Unified Health System: Analysis of PNAUM – Services data
Revista de Saúde Pública
Pharmaceutical Services, supply & distribution
Infrastructure
Primary Health Care
Health Services Research
Unified Health System
title Infrastructure of pharmacies of the primary health care in the Brazilian Unified Health System: Analysis of PNAUM – Services data
title_full Infrastructure of pharmacies of the primary health care in the Brazilian Unified Health System: Analysis of PNAUM – Services data
title_fullStr Infrastructure of pharmacies of the primary health care in the Brazilian Unified Health System: Analysis of PNAUM – Services data
title_full_unstemmed Infrastructure of pharmacies of the primary health care in the Brazilian Unified Health System: Analysis of PNAUM – Services data
title_short Infrastructure of pharmacies of the primary health care in the Brazilian Unified Health System: Analysis of PNAUM – Services data
title_sort infrastructure of pharmacies of the primary health care in the brazilian unified health system analysis of pnaum services data
topic Pharmaceutical Services, supply & distribution
Infrastructure
Primary Health Care
Health Services Research
Unified Health System
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000300311&lng=en&tlng=en
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