Accessibility and acquisition of medicines in a long-stay institution for the elderly in Brazil <b>[Abstract in English]</b>

  • Letícia Farias Gerlack PUCRS
  • Ângelo José Gonçalves Bós PUCRS
  • Divaldo Lyra Júnior
  • Margô Gomes de Oliveira Karnikowski
Keywords: AGING, LONG-STAY INSTITUTION FOR THE ELDERLY, HOMES FOR THE AGED, DRUG UTILIZATION, PHARMACEUTICAL SERVICES, HEALTH ECONOMICS.

Abstract

AIMS: To describe the strategies of access to medicines and the cost of its acquisition in a long-stay institution for the elderly in Brazil. METHODS: A semi-structured interview was performed to investigate what means were used by the institution to purchase prescription drugs for the elderly. The amount spent for purchase in drugstores was compared to what could have been spent if the drugs were obtained by accessing viable strategies provided by the public health sector in the same period of time. RESULTS: During the study period, 107 different types of medicines were purchased by the institution, among which 22 (20.6%) could have been accessed through the public health sector, which equates to a savings of R$7,721.52. Bureaucratic barriers to enrollment of elderly in basic health units were identified, which prevented free access to essential medicines. CONCLUSIONS: The difficulty of access medicines through strategies offered by the public health sector for its distribution meant higher costs for the elderly institution. These data can help managers to identify avoidable expenses and to better understand the possibilities of access to medicines, as well as lead to a reflection on the existence of a possible dissociation between public policies on access to medicines and long-stay institutions for elderly in Brazil.

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Author Biographies

Letícia Farias Gerlack, PUCRS
Farmacêutica. Mestre em Gerontologia Biomédica. Programa de pós-graduação em Gerontologia Biomédica, Pontifícia Universidade Católica do Rio Grande do Sul, Brasil.
Ângelo José Gonçalves Bós, PUCRS
Geriatra. Docente do Instituto de Geriatria e Gerontologia, Pontifícia Universidade Católica do Rio Grande do Sul, Brasil.
Divaldo Lyra Júnior
Farmacêutico. Docente no Laboratório de Ensino e Pesquisa em Farmácia Social, Universidade Federal de Sergipe, Brasil.
Margô Gomes de Oliveira Karnikowski
Farmacêutica. Docente do Programa de Pós-graduação em Ciências e Tecnologias em Saúde, Universidade de Brasília, Brasil.
Published
2013-07-20
How to Cite
Gerlack, L. F., Bós, Ângelo J. G., Lyra Júnior, D., & Karnikowski, M. G. de O. (2013). Accessibility and acquisition of medicines in a long-stay institution for the elderly in Brazil <b>[Abstract in English]</b>. Scientia Medica, 23(2), 90-95. Retrieved from https://revistaseletronicas.pucrs.br/ojs/index.php/scientiamedica/article/view/12973
Section
Original Articles