0163/2017 - Impacto de intervenções para promoção do uso de medicamentos genéricos: revisão sistemática Impact of interventions to promote the use of generic medicines: a systematic review
A necessidade de aumento do acesso aos medicamentos, aliada à limitada aceitação dos genéricos, tem suscitado a busca de intervenções eficazes para a sua promoção. Esta revisão sistemática realizou levantamento de intervenções voltadas à promoção do uso dos medicamentos genéricos e seus impactos. Foram incluídos ensaios randomizados, ensaios controlados não randomizados, estudos tipo antes e depois e séries temporais interrompidas. As análises quanto ao impacto das intervenções e qualidade das evidências seguiram as orientações da Cochrane. A classificação do impacto das intervenções variou de muito grande a muito pequeno e da qualidade da evidência de alta a muito baixa. Selecionou-se 17 artigos com público alvo de prescritores, farmacêuticos e usuários. As intervenções utilizadas foram educativas, de incentivo financeiro, uso de prescrição eletrônica e gerencial. Intervenções aplicadas aos prescritores tiveram impacto pequeno a médio, com qualidade muito baixa a baixa; aos farmacêuticos, impacto pequeno e qualidade muito baixa; aos usuários mostraram impacto médio e grande com qualidade muito baixa e baixa. São necessários mais estudos de boa qualidade abordando as intervenções.
Palavras-chave:
Revisão SistemáticaMedicamentos GenéricosIntervençõesSubstituição de Medicamentos
Abstract:
The need to increase access to medicines, coupled with the limited acceptance of generics, has sparked the search for effective interventions to promote it. This systematic review aimed conduct survey about interventions to promote the use of generic drugs, aiming to assess their impact. Randomized clinical trials, no randomized controlled trials, controlled before and after studies type and interrupted time series were included. The analysis for the impact of interventions and overall quality of evidence followed the Cochrane guidelines. Impact of interventions was classified“very large to small” and the quality of evidence was rated“high to very low”. Fulfilled the inclusion criteria 17 articles addressing prescribers, pharmacists and users. The interventions comprised educational, financial incentives and use of electronic and managerial prescription strategies. Interventions applied to prescribers had little to medium impact, with very low-to-low quality evidence. The intervention applied to pharmacists was classified as of small impact and of very low quality. The interventions applied to users showed medium and large impact with very low and low quality. Further studies with good quality are necessary to addressing interventions.
Impact of interventions to promote the use of generic medicines: a systematic review
Resumo (abstract):
The need to increase access to medicines, coupled with the limited acceptance of generics, has sparked the search for effective interventions to promote it. This systematic review aimed conduct survey about interventions to promote the use of generic drugs, aiming to assess their impact. Randomized clinical trials, no randomized controlled trials, controlled before and after studies type and interrupted time series were included. The analysis for the impact of interventions and overall quality of evidence followed the Cochrane guidelines. Impact of interventions was classified“very large to small” and the quality of evidence was rated“high to very low”. Fulfilled the inclusion criteria 17 articles addressing prescribers, pharmacists and users. The interventions comprised educational, financial incentives and use of electronic and managerial prescription strategies. Interventions applied to prescribers had little to medium impact, with very low-to-low quality evidence. The intervention applied to pharmacists was classified as of small impact and of very low quality. The interventions applied to users showed medium and large impact with very low and low quality. Further studies with good quality are necessary to addressing interventions.
Guttier, Marília Cruz, Silveira, M.P.T, Bertoldi, A.D, Luiza, VL. Impacto de intervenções para promoção do uso de medicamentos genéricos: revisão sistemática. Cien Saude Colet [periódico na internet] (2017/abr). [Citado em 22/01/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/impacto-de-intervencoes-para-promocao-do-uso-de-medicamentos-genericos-revisao-sistematica/16209?id=16209&id=16209
