Gestão da Assistência Farmacêutica e demandas judiciais em pequenos municípios brasileiros: um estudo em Mato Grosso do Sul

Santos-Pinto, Cláudia Du Bocage; Osório-de-Castro, Claudia Garcia Serpa

doi:10.5935/0103-1104.2015s005152

Cited by 10 publications

(9 citation statements)

References 6 publications

(10 reference statements)

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“…However, it represents a great challenge for SUS, as it puts at risk the achievement of the constitutional principles of the system and causes difficulties for PS management, which may compromise the quality of the use of medicines 17 . It is believed that this phenomenon is aggravated by the lack of trained human resources, which causes weaknesses in the management of the demands of the population, hindering the appropriate guidance to patients in the dispensing units, which ultimately start to operate to a limited extent, as a simple place to deliver medicines 18 . The fact that only 12% of the cities have registered investments in the training of professionals in PS can corroborate such understanding.…”

Section: Discussionmentioning

confidence: 99%

Financing of Pharmaceutical Services in the municipal management of the Brazilian Unified Health System

et al. 2017

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OBJECTIVE To discuss factors related to the financing of the Basic Component of Pharmaceutical Services within the municipal management of the Brazilian Unified Health System.METHODS The Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos no Brasil – Serviços (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services) is a cross-sectional, exploratory, and evaluative study that performed an information survey in a representative sample, stratified by Brazilian regions It considered different study populations in the sampling plan, which represent primary health care services in the cities. Data were collected in 2015 by two methods: in person, by applying direct observation scripts and interviews with users, physicians, and professionals responsible for the dispensing of medicines in primary care services; by telephone interviews with municipal health managers and municipal professionals responsible for Pharmaceutical Services. The results were extracted from the questionnaires applied by telephone.RESULTS Of the sample of 600 eligible cities, we collected 369 interviews (61.5%) with secretaries and 507 (84.5%) with pharmaceutical services managers. 70.8% of the cities have a computerized management system; and 11.9% have qualification/training of professionals. More than half (51.3%) of the cities received funds for the structuring of pharmaceutical services, and almost 60% of these cities performed this type of spending. In 35.4% of cases, municipal secretaries of health said that they use resources of medicines from the Componente Básico da Assistência Farmacêutica (CBAF – Basic Component of Pharmaceutical Services) to cover demands of other medicines, but only 9.7% believed that these funds were sufficient to cover the demands. The existence of a permanent bidding committee exclusively for acquiring medicines was reported in 40.0% of the cities.CONCLUSIONS We found serious deficiencies in the public financing of medicines, as well as little concern about the formality in the use of public resources, expenses that meet individual demands to the detriment of the community, insufficient resources allocated to the Basic Component of Pharmaceutical Services, and exhaustion of the financing model.

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Section: Discussionmentioning

confidence: 99%

Financing of Pharmaceutical Services in the municipal management of the Brazilian Unified Health System

et al. 2017

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“…The impossibility of predicting values, associated with the requirement of speed to act, compromises all planning and, consequently, the health budget 7 . The granting of almost all injunctions has been common in courts [8][9][10] , creating dangerous jurisprudence, in which the magistrate considers only the medical prescription to declare the urgency of the measure, disregarding any possibility of failure in the prescription or even external influence. When the merit of the action is finally judged, even if it is proved that a certain drug is not the most suitable treatment, the patient will have been using the drug for some time 11 .…”

Section: Discussionmentioning

confidence: 99%

Processos judiciais para obter medicamentos em Ribeirão Preto

Maduro

Pereira

2020

Rev. Bioét.

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Resumo O objetivo do trabalho é caracterizar ações judiciais pleiteando medicamentos em Ribeirão Preto/SP. Para isso, foi realizado estudo descritivo e transversal, que incluiu todos os processos desse tipo no município entre janeiro de 1999 e junho de 2014. Na maioria das vezes, agentes públicos foram responsáveis pela representação legal (81,8% dos casos), a maior parte das prescrições veio do sistema privado (50,10%) e apenas 3% dos prescritores concentraram quase 30% dos processos. As doenças prevalentes foram diabetes e transtorno do déficit de atenção com hiperatividade; insulinas análogas e o metilfenidato foram os fármacos mais requeridos. Conclui-se que, em média, 30% do orçamento da cidade destinado à compra de remédios é gasto com medicamentos obtidos por via judicial. Aprovação CEP-FCFRP/USP 2.598.720

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“…O sector da saúde é vital para a sociedade e requer muitos recursos para o seu pleno funcionamento. Entre esses recursos estão os medicamentos, que são os principais agentes nos processos de cura e cuidado de relevância financeira considerável; seus custos estão crescendo no Brasil devido à população (Pinto;Osorio-de-Castro, 2015). A gestão de todos os processos relacionados com drogas, incluindo o seu uso racional, é chamada Serviço Farmacêutico (SF), e a sua complexidade operacional pode gerar desperdício.…”

Section: Introductionunclassified

“…No Brasil, falhas que podem fazer com que a população não receba os medicamentos necessários têm contribuído para o agravamento das condições de saúde dos indivíduos, além de possibilitar um aumento das demandas judiciais por medicamentos. Tais fatos têm um impacto no aumento das despesas e contribuem para a quebra do serviço, gerando um efeito cíclico negativo (Machado et al, 2011;Pinto;Osorio-de-Castro, 2015;Catanheide et al, 2016).…”

Section: Introductionunclassified

Analysis of the lean healthcare utilization in the context of pharmaceutical services

Pontes

Paula

Campos

et al. 2020

S&G

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Background: Expenses with medicines are relevant and growing in health sector. Therefore, Pharmaceutical Services (PS) operations are designed to play a significant role in improving the social and economic contexts of health.Objective: This article aims to analyze if the Lean Healthcare (LH) practices have been contributing to the improvement of the PS processes.Methods: This study is based on PRISMA guidelines. The search was made in the literature through databases, such as Web of Science, Scopus, Medline (via PubMed), and Embase. In this study, 2878 identified papers were screened. Articles published up to the end of 2017 (and considering a 10-year period) were surveyed. In total, 43 studies met the pre-defined inclusion and exclusion criteria for data analysis in this work, 37 of which were published in 25 periodicals and six in congresses.Results: United States and United Kingdom concentrated 65% of the articles. A predominance of studies was observed in the context of the Hospital Pharmacy sector, emphasizing the LH practices in the Distribution and Use steps in the PS context.Conclusion: The literature on lean thinking applied in the specific context of the PS is relatively recent and scarce, highlighting a more pronounced growth in recent years. It was verified that LH practices in PS have been applied with more emphasis on reducing time and waste of resources, while contributing to process improvement and increased patient safety.

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Gestão da Assistência Farmacêutica e demandas judiciais em pequenos municípios brasileiros: um estudo em Mato Grosso do Sul

Cited by 10 publications

References 6 publications

Financing of Pharmaceutical Services in the municipal management of the Brazilian Unified Health System

Financing of Pharmaceutical Services in the municipal management of the Brazilian Unified Health System

Processos judiciais para obter medicamentos em Ribeirão Preto

Analysis of the lean healthcare utilization in the context of pharmaceutical services

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