Título:	Análise de eixos estratégicos da politica nacional de assistência farmacêutica em regiões de saúde no SUS
Autor(es):	Chaves, Elton da Silva
E-mail do autor:	eltonchaves@gmail.com
Orientador(es):	Tavares, Noemia Urruth Leão
Assunto:	Medicamentos Assistência farmacêutica Regionalização Saúde coletiva
Data de publicação:	3-Fev-2024
Data de defesa:	26-Jul-2019
Referência:	CHAVES, Elton da Silva. Análise de eixos estratégicos da politica nacional de assistência farmacêutica em regiões de saúde no SUS. 2019. 131 f., il. Tese (Doutorado em Saúde Coletiva) — Universidade de Brasília, Brasília, 2019.
Abstract:	Brazil has been experiencing important changes in its public health system with the creation of the Unified Health System (SUS), ensuring health and access to medicines as a law. The development of Pharmaceutical Services (PS) actions centered on service needs, without proper articulation in the Health Care Network, does not seem to be sufficient to meet health needs, with uncertainties about the strategic axes of the National Pharmaceutical Assistance Policy (PNAF) being implemented in line with SUS requirements in the field of regional diversity and specificity. This thesis analyzes the execution of three PNAF strategic axes in SUS health municipalities and regions. The study was cross-sectional, with data collection from December 2013 to July 2015, through structured interviews with professionals responsible for pharmaceutical care in 417 municipalities and the Federal District in 42 health regions of the country. In article 1, the selection of medicines in Brazilian health regions was characterized and the regional compatibility between the lists offered in the municipalities was analyzed. In order to analyze the compatibility of the lists of the drugs offered, an item-by-list analysis of the last acquisition was performed and the percentage of compatibility of the cast among the municipalities of the regions was verified. Of the total municipalities 54.9% said they have municipal lists of drugs formally instituted and about half that they have a drug that is not in the National List of Essential Medicines. Only 11.5% reported having a formally constituted Committee on Pharmacy and Therapeutics and 51.8% use as main criterion for the composition of the list of medicines the demand of municipal health services. The average number of drugs purchased at the last purchase among the health regions analyzed ranged from 52 to 104 drugs, and only two of these regions had percentages of compatible drugs between 50 - 60%. In article 2, it was characterized the decentralization of actions related to the execution of PA, its financing and the agreement of the responsibilities of the different managing bodies, in municipalities of the analyzed health regions. Of the total, 77.6% reported knowing current legislation regarding the financial execution of the Basic Pharmaceutical Assistance Component (CBAF) at the federal level, and 65.9% at the state level. In 50.5% of the municipalities, budgeted resources for drug procurement were fully utilized in the previous year; Regarding the allocation of the total amount of CBAF counterpart funds, 57.3% allocated it in the previous year and reported that the states allocated 38.3% of the funds in the same period. Difficulties are found in implementing the standardized guidelines, with weaknesses in most regions analyzed, although few regions and some municipalities appear to have established mature processes in structuring and organizing PS locally. There are weaknesses in the drug selection process, with low compatibility of drug lists, weaknesses in the process of decentralization of PS management and its financing in the municipalities of the regions analyzed, and weaknesses in the agreement of responsibilities in the different managing instances. Strengthening health regions, inter-managerial colleges and integrated regional planning is recommended.
Unidade Acadêmica:	Faculdade de Ciências da Saúde (FS)
Informações adicionais:	Tese (doutorado) — Universidade de Brasília, Faculdade de Ciências da Saúde, Programa de Pós-Graduação em Saúde Coletiva, 2019.
Programa de pós-graduação:	Programa de Pós-Graduação em Saúde Coletiva
Aparece nas coleções:	Teses, dissertações e produtos pós-doutorado

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