title: Pharmaceutical services in Rio de Janeiro Municipality, Brazil: development regarding selected aspects from 2008 to 2014.
abstract: This article aims to analyze the development of pharmaceutical services in the context of the primary health care (PHC) in the period 2008- 2014, focusing on selection, procurement and financing of medicines. A retrospective study was undertaken, using as data sources administrative documents of Rio de Janeiro Municipality Health Secretariat (SMS-RJ) as well as secondary database. We found a growth of numbers medicines offered for PHC of 57 items in 2008 to 222 in 2014. Actual spending on drugs paid by the city has grown 38% in the period, with a reversal from 2010, of the proportion of PHC related to tertiary care drugs, reaching 2.4 times in 2014, the year that public spending on medicines per capita of PHC was 9% greater than the value agreed between the three federal levels. It can be concluded that there have been important changes in pharmaceutical services in Rio de Janeiro Municipality in the period following the reform of PHC held in this territory, with increasing the conditions for therapeutic coverage and increased drug funding. The growth of per capita public spending on medicines above the agreed value raises the need to strengthen the rationalization of management measures.
authors.affiliation: Escola Nacional de Saúde Pública Sérgio Arouca, Fiocruz, Rio de Janeiro, RJ, Brasil.
authors.forename: Rondineli Mendes da
authors.initials: RM
authors.lastname: Silva
authors.affiliation: Secretaria Municipal de Saúde do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
authors.forename: Nathalia Cano
authors.initials: NC
authors.lastname: Pereira
authors.affiliation: Escola Nacional de Saúde Pública Sérgio Arouca, Fiocruz, Rio de Janeiro, RJ, Brasil.
authors.forename: Luiz Villarinho Pereira
authors.initials: LV
authors.lastname: Mendes
authors.affiliation: Escola Nacional de Saúde Pública Sérgio Arouca, Fiocruz, Rio de Janeiro, RJ, Brasil.
authors.forename: Vera Lucia
authors.initials: VL
authors.lastname: Luiza
mesh_terms: D001938:Brazil; D002947:Cities; D016208:Databases, Factual; D006801:Humans; D008137:Longitudinal Studies; D004364:Pharmaceutical Preparations / Q000008:administration & dosage / Q000191:economics*; D010593:Pharmaceutical Services / Q000191:economics / Q000458:organization & administration*; D011320:Primary Health Care / Q000191:economics / Q000458:organization & administration*; D012189:Retrospective Studies
chemical_list: D004364:Pharmaceutical Preparations