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vol.51 suppl.2Pharmaceutical care in Brazil’s primary health careInfrastructure of pharmacies of the primary health care in the Brazilian Unified Health System: Analysis of PNAUM – Services data author indexsubject indexarticles search
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Revista de Saúde Pública

On-line version ISSN 1518-8787

Abstract

CARVALHO, Marselle Nobre et al. Workforce in the pharmaceutical services of the primary health care of SUS, Brazil. Rev. Saúde Pública [online]. 2017, vol.51, suppl.2, 16s.  Epub Nov 13, 2017. ISSN 1518-8787.  http://dx.doi.org/10.11606/s1518-8787.2017051007110.

OBJECTIVE

To characterize the workforce in the pharmaceutical services in the primary care of the Brazilian Unified Health System (SUS). METHODS This is a cross-sectional and quantitative study, with data from the Pesquisa Nacional sobre 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). For the analysis, we considered the data stratification into geographical regions. We analyzed the data on workers in the municipal pharmaceutical services management and in the medicine dispensing units, according to the country’s regions. For the statistical association analysis, we carried out a Pearson correlation test for the categorical variables.

RESULTS

We analyzed 1,175 pharmacies/dispensing units, 507 phone interviews (495 pharmaceutical services coordinators), and 1,139 professionals responsible for medicine delivery. The workforce in pharmaceutical services was mostly constituted by women, aged from 18 to 39 years, with higher education (90.7% in coordination and 45.5% in dispensing units), having permanent employment bonds (public tender), being for more than one year in the position or duty, and with weekly work hours above 30h, working both in municipal management and in medicine dispensing units. We observed regional differences in the workforce composition in dispensing units, with higher percentage of pharmacists in the Southeast and Midwest regions.

CONCLUSIONS

The professionalization of municipal management posts in primary health care is an achievement in the organization of the workforce in pharmaceutical services. However, significant deficiencies exist in the workforce composition in medicine dispensing units, which may compromise the medicine use quality and its results in population health.

Keywords : Pharmaceutical Services, manpower; Patient Care Team; Workers; Primary Health Care; Health Services Research; Unified Health System.

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