Access to high-priced medicines: inequalities in the organization and the results among Brazilian states

Ciencia e Saude Coletiva

article

Rover, Marina Raijche Mattozo¹  Faraco, Emília Baierle¹  Vargas-Peláez, Claudia Marcela²  Colussi, Claudia Flemming¹  Storpirtis, Sílvia³  Farias, Mareni Rocha¹  Leite, Silvana Nair¹ 

[1] Universidade Federal de Santa Catarina;Fundação IFARMA;Universidade de São Paulo

关键词: Pharmaceutical care;    Access to health services;    High-cost technology;    Essential medicines;   

DOI  :  10.1590/1413-812320212611.27402020

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

This case study aimed to characterize the Specialized Component of Pharmaceutical Services (CEAF) organization in four Brazilian states from diverse regions of the country. Data were collected with representatives of CEAF management from states in different regions, who answered a 21-question questionnaire on scope, organization, financing, hurdles, and facilitators. This information was complemented with data from national health surveys, DataSUS, the applied resources, and socioeconomic indicators. Differences were observed between states on issues such as the proportion of users and the decentralization of services. These characteristics seem to be related to the level of development concerning the socioeconomic indicators used. Advances in access to medicines were highlighted, despite the difficulties complying with the CEAF’s objectives, such as insufficient resources, the qualification of human resources, and the provision of necessary visits and exams. The results point to advances, different forms of organization and highlight the need for more in-depth studies on the clinical and economic outcomes achieved as a strategy to outline solutions to achieve the comprehensive and equal care for users.

【 授权许可】

CC BY