Analysis of pharmaceutical assistance in planning: participation of professionals and qualification of management

Abstract Background The development of Pharmaceutical Assistance, as well as all areas of action of the SUS, is the responsibility of the three managing instances (municipal, state and federal). In this context, the participation of the actors responsible for its management in the forecast planning budget resources for allocation in this area is fundamental, according to their capacity and priority, taking into account the scarcity of resources and the needs verified. Objective To describe the participation of the ones involved in the pharmaceutical assistance, regarding instruments development for budgeting and health planning for their municipalities. Method This paper has analyzed information produced by the project “A assistência farmacêutica nas Redes de Atenção à Saúde: um recorte nas regiões do Projeto QualiSUS-Rede”, where data gathering, conducted from December 2013 to July 2015, in 485 municipalities and the Federal District, was handled through the interview of those in charge of the Pharmaceutical Assistance in the municipalities. The study was cross-sectional and analyzed variables related to the profile of the professionals responsible for Pharmaceutical Assistance regarding professional training, workload and work relationship, as well as the participation of these professionals in the elaboration of the budget planning (PPA, LOA, LDO) and health instruments (PS, PAS, RAG). Complimentarily, we verified the insertion of the planning instruments related to the study period in the SARGSUS System. Results Pharmaceutical assistance (n=417) was low as in the elaboration of the budget planning and health instruments, with a greater participation in the elaboration of PPP (24.0%) and PS (52.0%). Regarding PAS and RAG, there was a greater knowledge of the presence of actions related to pharmaceutical assistance by those who participated in its elaboration (67.0% and 68.8%, respectively). Conclusion The data depict unsatisfactory engagement of the actors responsible for Pharmaceutical Assistance in elaboration and awareness of the actions foreseen at the municipalities’ planning tools and suggests the produced planning instruments may not be linked with the real situation of the health services as well as with the rational use of financing for the Pharmaceutical Assistance.**背景** 药学服务（Pharmaceutical Assistance）以及巴西统一卫生系统（SUS）的所有业务领域的发展，均由三级管理主体（市级、州级与联邦级）负责。在此背景下，负责该领域管理的相关主体参与本领域资源分配的预算规划预测工作至关重要，该工作需结合各主体自身能力与优先级，并充分考虑资源稀缺性与已核实的民生需求。 **目的** 阐述参与药学服务的相关主体，在其所属市域内参与预算编制与卫生规划工具开发的参与情况。 **方法** 本研究分析了题为《卫生服务网络中的药学服务：QualiSUS-Rede项目区域子研究》的项目所产生的资料。该项目于2013年12月至2015年7月期间，在485个市级行政区及联邦特区开展，通过访谈各市政药学服务负责人完成数据采集。本研究为横断面研究，分析了与药学服务负责人相关的多维度变量，包括专业培训背景、工作量与劳动关系，以及这些负责人参与预算规划（PPA、LOA、LDO）与卫生工具（PS、PAS、RAG）编制的情况。此外，本研究还核查了研究周期内相关规划工具在SUS管理与跟踪报告系统（SARGSUS）中的录入情况。 **结果** 本研究共纳入417份药学服务相关样本，其在预算规划与卫生工具编制中的参与度普遍偏低，仅在多年期规划（PPA）与卫生规划（PS）的编制中参与度稍高，分别为24.0%与52.0%。在卫生援助项目（PAS）与综合活动报告（RAG）方面，参与过相关工具编制的主体对药学服务相关行动的知晓率更高，分别达67.0%与68.8%。 **结论** 本研究数据显示，负责药学服务的相关主体在市域规划工具的编制与相关行动知晓度方面参与度均不理想，这表明现有规划工具可能未与卫生服务的实际现状及药学服务资金的合理使用相匹配。