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将药品纳入统一卫生系统(SUS):肿瘤学与药物治疗专业部分的比较。

Incorporation of medicines in the Unified Health System (SUS): comparison between oncology and the specialized component of pharmaceutical care.

机构信息

Departamento de Farmácia, Universidade de Brasília. Asa Norte s/n, Campus Universitário Darcy Ribeiro. 70910-900 Brasília DF Brasil.

Secretaria de Estado da Saúde do Distrito Federal. Brasília DF Brasil.

出版信息

Cien Saude Colet. 2022 Jun;27(6):2471-2479. doi: 10.1590/1413-81232022276.16282021. Epub 2021 Nov 5.

Abstract

Compliance with legal deadlines for the assessment and incorporation of technologies in Brazil's Unified Health System (SUS) is essential to ensure public access to essential medicines. The scope of this paper was to analyze the compliance with legal deadlines for incorporation and availability of medicines in the SUS, comparing Oncology and the Specialized Component of Pharmaceutical Assistance (SCPA). A comparison was made of the drugs incorporated that were submitted to Conitec in the period from January 1, 2017, to April 30, 2020. A total of 85 drugs were recommended for incorporation by Conitec, of which 15 (17.64%) were for Oncology and 70 (82.36%) were for SCPA. The time between analysis and recommendation by Conitec until the publication of the decision by the Ministry of Health was, on average, 86 days longer for oncological drugs and the availability timeframe of technologies incorporated in the oncology area was, on average, 389 days longer than for SCPA. The major progress achieved with the creation of Conitec in Brazil is acknowledged, but the results of this study point to a pressing need to improve the process of making available technologies incorporated into the SUS, especially in oncology.

摘要

遵守巴西统一卫生系统(SUS)评估和纳入技术的法律期限对于确保公众获得基本药物至关重要。本文的范围是分析 SUS 中纳入和供应药物的法律期限的遵守情况,比较肿瘤学和药物援助专门组成部分(SCPA)。比较了在 2017 年 1 月 1 日至 2020 年 4 月 30 日期间提交给 Conitec 的纳入药物。Conitec 建议纳入 85 种药物,其中 15 种(17.64%)用于肿瘤学,70 种(82.36%)用于 SCPA。从 Conitec 进行分析和推荐到卫生部发布决定之间的时间,肿瘤学药物的平均时间延长了 86 天,而纳入肿瘤学领域的技术的可用性时间框架平均延长了 389 天。巴西创建 Conitec 取得了重大进展,但这项研究的结果表明,迫切需要改进纳入 SUS 的技术的供应过程,特别是在肿瘤学领域。

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