Adesão às Listas de Medicamentos Essenciais por Médicos Brasileiros em Atuação no Sistema Único de Saúde
Adesão às Listas de Medicamentos Essenciais por Médicos Brasileiros em Atuação no Sistema Único de Saúde
Data
2014
Autores
Magarinos-Torres, Rachel
Esher, Ângela
Caetano, Rosângela
Pepe, Vera Lúcia Edais
Osorio-de-Castro, Claudia Garcia Serpa
Journal Title
Journal ISSN
Volume Title
Publisher
Revista Brasileira de Educação Médica
Resumo
Objetivo: Investigou-se a adesão de médicos brasileiros em atuação no SUS a listas de medicamentos essenciais
(LME), buscando conhecer o papel das LME na prática prescritiva e identificar a aceitação e barreiras para sua uti-
lização no Brasil. Métodos: O estudo, de âmbito nacional, entrevistou médicos da Atenção Primária e da hospita-
lar de 30 unidades públicas de saúde de municípios com e sem LME definida. Na análise dos dados foram utilizadas
técnicas da pesquisa qualitativa em saúde. As categorias finais de análise foram: (i) contato com diferentes LME;
(ii) utilização das LME na prática clínica; (iii) percepção do conceito de medicamentos essenciais. Resultados:
Foram ouvidos 58 médicos, sendo 11 do Nordeste e do Centro-Oeste e 12 do Sudeste, Norte e Sul. Apenas 17 dos
58 médicos entrevistados informaram contato anterior com uma LME, a maior parte referindo-se à lista municipal.
Quando perguntados se utilizavam a Rename em sua prática clínica, todos os entrevistados responderam que não.
Dentre os motivos citados, estão (i) a indisponibilidade dos medicamentos (da lista) no momento requerido; (ii) a
falta de orientação necessária para o uso; (iii) a impressão de que a composição da lista é inadequada à demanda
clínica. Conclusões: Os resultados das falas expõem desconhecimento e baixa adesão a LME. Ainda que tenham
tido algum contato prévio com uma LME, esta não é valorizada como fonte de informações para a prescrição ba-
seada em evidências.
Objective: To investigate the adherence to the essential medicines lists (EML) by Brazilian physicians practicing in the public health system and the role of the EML in prescribing practices, identifying barriers to their use in Bra- zil. Methods: A nationwide study interviewed physicians from diverse public healthcare settings in 30 facilities, in municipalities with different statuses in regard to the existence of EMLs. Research data was analyzed through content analysis and perception analysis techniques. The final analytical categories were (i) physician’s contact with different EMLs, (ii) use of EMLs in clinical practice and (iii) physician’s perceptions regarding the essential medicines concept. Results: A total of 58 physicians were interviewed, from all five Brazilian regions: eleven from the Northeast, eleven from the Mid-West, and twelve each from the Southeast, the North and the South. Seventeen of the 58 physicians reported previous contact with an EML, most of which had occurred with municipal lists. All physicians informed that they did not use the Brazilian Essential Medicines List (RENAME) in their clinical practices. Among the main reasons for this were: (i) unavailability of listed medicines at required moment, (ii) the lack of necessary information and training for adequate use of EML, and (iii) the perception that the composition of the EML is inadequate for clinical demands. Conclusions: Results from content analysis exposed low awareness regarding EMLs and the essential medicines concept, in addition to a low level of adherence to EMLs. Even thou- gh some physicians reported having previous contact with an EML, this tool is not valued as an evidence-based information source for writing prescriptions.
Objective: To investigate the adherence to the essential medicines lists (EML) by Brazilian physicians practicing in the public health system and the role of the EML in prescribing practices, identifying barriers to their use in Bra- zil. Methods: A nationwide study interviewed physicians from diverse public healthcare settings in 30 facilities, in municipalities with different statuses in regard to the existence of EMLs. Research data was analyzed through content analysis and perception analysis techniques. The final analytical categories were (i) physician’s contact with different EMLs, (ii) use of EMLs in clinical practice and (iii) physician’s perceptions regarding the essential medicines concept. Results: A total of 58 physicians were interviewed, from all five Brazilian regions: eleven from the Northeast, eleven from the Mid-West, and twelve each from the Southeast, the North and the South. Seventeen of the 58 physicians reported previous contact with an EML, most of which had occurred with municipal lists. All physicians informed that they did not use the Brazilian Essential Medicines List (RENAME) in their clinical practices. Among the main reasons for this were: (i) unavailability of listed medicines at required moment, (ii) the lack of necessary information and training for adequate use of EML, and (iii) the perception that the composition of the EML is inadequate for clinical demands. Conclusions: Results from content analysis exposed low awareness regarding EMLs and the essential medicines concept, in addition to a low level of adherence to EMLs. Even thou- gh some physicians reported having previous contact with an EML, this tool is not valued as an evidence-based information source for writing prescriptions.
Description
Palavras-chave
Medicamentos Essenciais, Educação Médica, Médicos de Atenção Primária, Médicos Hospitalares, Assistência Farmacêutica, Sistema Único de Saúde, Brasil, Essential Drugs, Medical Education, Primary Care Physicians, Hospitalists, Pharmaceutical Services, Brazilian Unified Health System, Brazil.
Citação
Magarinos-Torres R, Esher A, Caetano R, Pepe VLE, Osorio-de-Castro CGS. Adesão às Listas de Medicamentos Essenciais por Médicos Brasileiros em Atuação no Sistema Único de Saúde [Adherence to the Essential Medicines Lists by Brazilian Physicians in the Unified Health System]. Rev. Bras. Educ. med. 2014 set;38 (3) : 323-330. doi: 10.1590/S0100-55022014000300006.