Free access to medicines among older adults in primary care: a cross-sectional study.

Autor:	Pinto IVL; Municipal Health Department, Municipal Government of Belo Horizonte, Belo Horizonte, MG, Brazil., Lima MG; School of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Pantuzza LLN; School of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Ceccato MDGB; School of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Silveira MR; School of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Reis AMM; School of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Jazyk:	angličtina
Zdroj:	Sao Paulo medical journal = Revista paulista de medicina [Sao Paulo Med J] 2020 Jun; Vol. 138 (3), pp. 235-243. Date of Electronic Publication: 2020 Jun 22.
DOI:	10.1590/1516-3180.2019.0541.r1.19022020
Abstrakt:	Background: Access to medicines is an important indicator of healthcare system quality and capacity to resolve problems. The healthcare system needs to ensure free access to medicines for elderly people, in order to provide greater effectiveness of disease control, thus reducing morbidity and mortality, and improving health and quality of life. Objectives: To analyze the frequency of free access to medication among older adults within primary care and determine the factors associated with free access. Design and Setting: Cross-sectional study at two primary care units. Methods: Free access was defined as provision of all medicines through pharmacies within the Brazilian National Health System and through the Brazilian program for free medicines in private pharmacies. We investigated the sociodemographic, clinical, functional and pharmacotherapeutic characteristics of older adults. Multivariate logistic regression was performed to identify factors associated with free access to medicines. Results: This study included 227 older adults, among whom 91 (40.1%) had free full access to prescription drugs. A direct association with age ≤ 70 years and indirect associations with polypharmacy and multimorbidity (P < 0.05) were found. Conclusions: Age ≤ 70 years increases the likelihood of having free full access to medicines, and older adults with multimorbidity and polypharmacy use have a lower likelihood of access. Identification of factors associated with free access to medicines among elderly people provides elements to guide the Brazilian National Health System in implementing access improvement actions.
Databáze:	MEDLINE
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