Garcia Marina Morgado, Guerra Augusto Afonso, Acúrcio Francisco de Assis
Faculdade de Farmácia, Universidade Federal de Minas Gerais. R. Professor Moacir Gomes de Freitas s/n, Pampulha. 31270-901 Belo Horizonte MG Brasil.
Cien Saude Colet. 2017 Jan;22(1):221-233. doi: 10.1590/1413-81232017221.15912015.
We conducted an economic assessment of the Pharmaceutical Assistance - Rede Farmácia de Minas Gerais-RFMG and Farmácia Popular do Brasil-FPB to ascertain which of the two models stands out as the most efficient. To do this, a model, which consisted of a study of incurred costs in both programs, up to the dispensing of medicine to citizens, was developed. The uncertainties of the proposed model were tested using the Monte Carlo method. If the entire population initially estimated in the RFMG were attended in the FPB, there would be an additional cost of R$ 139,324,050.19. The sensitivity analysis appeared to be favorable to the RFMG. A total of 10000 simulations were carried out, resulting in a median value of R$ 114,053,709.99 for the RFMG and R$ 254,106,120.65 for the FPB. The current National Drug Policy emphasizes the need to strengthen pharmaceutical services beyond the mere acquisition and delivery of pharmaceutical products. The public healthcare service model, consistent with the principles and guidelines of the SUS, seems to be more appropriate in ensuring complete and universal quality healthcare services to the citizens. The economic study conducted reinforces this fact, as it appears to be a more efficient alternative of the direct use of resources in the public health network.
我们对米纳斯吉拉斯州药品援助计划（RFMG）和巴西大众药房计划（FPB）进行了经济评估，以确定这两种模式中哪一种最为高效。为此，我们开发了一个模型，该模型包括对两个项目中直至向公民发放药品为止所产生成本的研究。使用蒙特卡洛方法对所提议模型的不确定性进行了测试。如果最初在RFMG中估计的全部人口都由FPB来服务，将会产生额外成本139,324,050.19雷亚尔。敏感性分析似乎有利于RFMG。总共进行了10000次模拟，得出RFMG的中位数为114,053,709.99雷亚尔，FPB的中位数为254,106,120.65雷亚尔。当前的国家药品政策强调，除了单纯采购和交付药品之外，还需要加强药品服务。与统一卫生系统（SUS）的原则和准则相一致的公共医疗服务模式，似乎更适合为公民确保全面和普遍的优质医疗服务。所进行的经济研究强化了这一事实，因为它似乎是在公共卫生网络中更有效地直接利用资源的一种选择。
