| Free access to hypertension and diabetes medicines among the elderly: a reality yet to be constructed. | |
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MedLine Citation:
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PMID: 20657981 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Vera Maria Vieira Paniz; Anaclaudia Gastal Fassa; Luiz Augusto Facchini; Roberto Xavier Piccini; Elaine Tomasi; Elaine Thumé; Denise Silva da Silveira; Maria Aparecida Rodrigues; Marlos Rodrigues Domingues; Andréa Dâmaso Bertoldi |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Cadernos de saúde pública / Ministério da Saúde, Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Volume: 26 ISSN: 1678-4464 ISO Abbreviation: Cad Saude Publica Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-07-26 Completed Date: 2011-01-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8901573 Medline TA: Cad Saude Publica Country: Brazil |
Other Details:
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Languages: eng Pagination: 1163-74 Citation Subset: IM |
Affiliation:
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Universidade Federal de Pelotas, Pelotas, Brasil. vpvieira@terra.com.br |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Antihypertensive Agents / supply & distribution* Brazil Chronic Disease Cross-Sectional Studies Diabetes Mellitus / drug therapy Drugs, Essential / supply & distribution* Health Services Needs and Demand Humans Hypertension / drug therapy Hypoglycemic Agents / supply & distribution* Interviews as Topic National Health Programs Primary Health Care / statistics & numerical data* |
| Chemical | |
Reg. No./Substance:
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0/Antihypertensive Agents; 0/Drugs, Essential; 0/Hypoglycemic Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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