Figueiredo Tatiana Aragão, Schramm Joyce Mendes de Andrade, Pepe Vera Lúcia Edais
Instituto de Tecnologia em Fármacos, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2017 Sep 28;33(9):e00179815. doi: 10.1590/0102-311X00179815.
: The public production of medicines in Brazil by Government Pharmaceutical Laboratories has once again become the object of incentives, and Industrial Development Partnerships are one of the mechanisms adopted for the production of strategic medicines for the Brazilian Unified National Health System (SUS). Considering that burden-of-disease studies have been used as a tool to define priority and essential medicines, the article compares the product portfolios of the country's Official Pharmaceutical Laboratories (OPL) and the list of strategic medicines for the SUS and burden of disease in Brazil in 2008. Of the 205 strategic medicines for the SUS and 111 from the portfolios, 73% and 89%, respectively, are on the National List of Essential Medicines (RENAME 2014). Some strategic medicines for the SUS are already produced by OPL and feature the selection of cancer drugs and biologicals. The current study contributes to the discussion on the public production of medicines in light of the country's current industrial policy and highlights the need to define priority drugs and the role of OPL in guaranteeing access to them.
巴西政府制药实验室的药品公共生产再次成为激励对象,产业发展伙伴关系是为巴西统一国家卫生系统(SUS)生产战略药品所采用的机制之一。鉴于疾病负担研究已被用作确定优先和基本药物的工具,本文比较了该国官方制药实验室(OPL)的产品组合与2008年巴西SUS战略药品清单及疾病负担情况。在205种SUS战略药品和产品组合中的111种药品中,分别有73%和89%列入了国家基本药物清单(2014年RENAME)。一些SUS战略药品已由OPL生产,其中包括抗癌药物和生物制品的选择。本研究根据该国当前的产业政策,为药品公共生产的讨论做出了贡献,并强调了确定优先药物的必要性以及OPL在保障获取这些药物方面的作用。