High-Cost Drugs: Understanding the Management and Failures of Dispensation in Five Brazilian States

Authors

  • Simone Aquino Universidade Nove de Julho/ Programa de Mestrado Profissional em Administração - Gestão em Sistemas de Saúde (PMPA-GSS) da Universidade Nove de Julho (UNINOVE).
  • Marcia Cristina Zago Novaretti Universidade Nove de Julho

DOI:

https://doi.org/10.21118/apgs.v7i3.4695

Keywords:

Medicamentos de alto custo, Judicialização, Gestão em Saúde

Abstract

Some medications are classified as high cost, with monthly expenses exceeding R$ 200,000.000. For the distribution of such drugs, the Ministry of Health publishes lists called exceptional dispensing drugs, federally funded with cash transfers to states and municipalities. However the access to medicines, under the Health System, presents various administrative obstacles. To understand the reasons for the failures of exceptional drugs distribution as well as the consequences for management in public health it was the objective of this survey. A documental analysis of official lists of five Brazilian states and other ordinances related to the dispensing of high-cost drugs was performed, in addition to content analysis of secondary sources as the lawsuits brought by patients with rare diseases, with the Public Prosecutor. The paper also discusses new proposals and guidelines for the management of the list of high-cost medicines state.

Keywords: High-cost, drugs, failure, dispensation, health management.

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Author Biographies

Simone Aquino, Universidade Nove de Julho/ Programa de Mestrado Profissional em Administração - Gestão em Sistemas de Saúde (PMPA-GSS) da Universidade Nove de Julho (UNINOVE).

Professora Doutora do Programa de Mestrado Profissional em Administração - Gestão em Sistemas de Saúde (PMPA-GSS). Líder da Linha de pesquisa 2 do curso de Mestrado Profissional em Gestão de Sistemas de Saúde da UNINOVE. Membro do NDE do curso de farmácia da UNINOVE. Área do Projeto eixo: Vigilância em Saúde.

Marcia Cristina Zago Novaretti, Universidade Nove de Julho

Professora Doutora do Programa de Mestrado Profissional em Administração - Gestão em Sistemas de Saúde (PMPA-GSS). Líder da linha de pesquisa 1 do curso de Mestrado em Gestão de Saúde. Editora da Revista Gestão em Sistemas de Saúde da Universidade Nove de Julho. Membro do NDE do Curso de medicina da UNINOVE. Área do projeto-eixo: Gestão estratégica em serviços de saúde, medicamentos e segurança do paciente.

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Published

2015-07-23

How to Cite

Aquino, S., & Novaretti, M. C. Z. (2015). High-Cost Drugs: Understanding the Management and Failures of Dispensation in Five Brazilian States. Administração Pública E Gestão Social, 7(3), 138–147. https://doi.org/10.21118/apgs.v7i3.4695

Issue

July-september 2015: 7(3), 108-167

Section

Articles

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