Abastecimiento de medicamentos en unidades de primer nivel de atención de la Secretaría de Salud de México
Fuente:
Redalyc
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Artículo científico |
| Sprache: | en |
| Veröffentlicht: |
Instituto Nacional de Salud Pública
2001
|
| Schlagworte: | |
| Online-Zugang: | |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| _version_ | 1876464372924022784 |
|---|---|
| author | Francisco Garrido |
| author_facet | Francisco Garrido |
| contents | Abastecimiento de medicamentos en unidades de primer nivel de atención de la Secretaría de Salud de México Francisco Garrido Dolores Ramírez Laura Leticia Tirado Octavio Gómez Claudia Macías Salud Mexico availability Key words: essential drugs Objective. To identify the availability of some essential drugs(ED) at primary health care units of the Mexican Ministryof Health (SSA), using data from a research work conductedin 1996 and 1997. Materials and methods. A randomsample of the 18 sanitary jurisdictions of states participatingin the Extension of Coverage Program (ECP) was drawn.All primary care units from selected jurisdictions were evaluatedthrough an inspection visit, using a checklist that included36 ED. In phase I of the analysis, the absolute numberand proportion of units without a single item of any of the36 drugs were calculated. In the units with available drugs,the median of the distribution was also calculated. In phaseII, the medians according to the type of health unit andstate was obtained. The statistic utilized for the comparisonof the medians was the Scheffé test with one wayvariance anlysis. In addition, the drugs were classified accordingto their therapeutic indication and the medians andproportion of available drugs were calcultaed. The differencesin proportion were evaluated with the statistic c2.Results. During the visits, on average, 18 of the 36 drugsincluded in the list of the study were found in the healthunits. The availability of antibiotics, antituberculosis drugs,and antimalarial drugs was particularly poor. In contrast,oral rehydration salts, family planning methods and vaccineswere usually available. In general, the PAC3 statespresented the best availability figures. Conclusions. The Ministry of Health of México will have to develop an enormouseffort to overcome the obstacles related to the supplyof essential drugs in primary health care units. Otherwise,all other efforts directed to meet the needs of the noninsuredpopulation will end up being useless, and enormousamounts of the already scarce resources of the health sectorwill be wasted since drugs are a vital component of thelong chain of health care. The English version of this paper isavailable at: http://www.insp.mx/salud/index.html 2001 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10643310 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.3 Vol.43 |
| format | Artículo científico |
| id | redalyc_10643310 |
| institution | Redalyc |
| language | en |
| publishDate | 2001 |
| publisher | Instituto Nacional de Salud Pública |
| spellingShingle | Abastecimiento de medicamentos en unidades de primer nivel de atención de la Secretaría de Salud de México Francisco Garrido Salud Mexico availability Key words: essential drugs Abastecimiento de medicamentos en unidades de primer nivel de atención de la Secretaría de Salud de México Francisco Garrido Dolores Ramírez Laura Leticia Tirado Octavio Gómez Claudia Macías Salud Mexico availability Key words: essential drugs Objective. To identify the availability of some essential drugs(ED) at primary health care units of the Mexican Ministryof Health (SSA), using data from a research work conductedin 1996 and 1997. Materials and methods. A randomsample of the 18 sanitary jurisdictions of states participatingin the Extension of Coverage Program (ECP) was drawn.All primary care units from selected jurisdictions were evaluatedthrough an inspection visit, using a checklist that included36 ED. In phase I of the analysis, the absolute numberand proportion of units without a single item of any of the36 drugs were calculated. In the units with available drugs,the median of the distribution was also calculated. In phaseII, the medians according to the type of health unit andstate was obtained. The statistic utilized for the comparisonof the medians was the Scheffé test with one wayvariance anlysis. In addition, the drugs were classified accordingto their therapeutic indication and the medians andproportion of available drugs were calcultaed. The differencesin proportion were evaluated with the statistic c2.Results. During the visits, on average, 18 of the 36 drugsincluded in the list of the study were found in the healthunits. The availability of antibiotics, antituberculosis drugs,and antimalarial drugs was particularly poor. In contrast,oral rehydration salts, family planning methods and vaccineswere usually available. In general, the PAC3 statespresented the best availability figures. Conclusions. The Ministry of Health of México will have to develop an enormouseffort to overcome the obstacles related to the supplyof essential drugs in primary health care units. Otherwise,all other efforts directed to meet the needs of the noninsuredpopulation will end up being useless, and enormousamounts of the already scarce resources of the health sectorwill be wasted since drugs are a vital component of thelong chain of health care. The English version of this paper isavailable at: http://www.insp.mx/salud/index.html 2001 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10643310 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.3 Vol.43 |
| title | Abastecimiento de medicamentos en unidades de primer nivel de atención de la Secretaría de Salud de México |
| topic | Salud Mexico availability Key words: essential drugs |
| url | https://www.redalyc.org/articulo.oa?id=10643310 |