Access to high-cost medications for psoriatic arthritis in the National Health System in Brazil: the long path up to dispensation
Abstract Background: Pharmaceutical Assistance (PA) is a dynamic and multidisciplinary process that aims to supply health systems, programs or services with quality medicines, enabling access and health care, in an efficient and timely manner. The objective of the study was to evaluate the profile of administrative processes for the treatment of PsA, identify the time elapsed in the flow of processes and its associated factors. Methods: A cross-sectional study of medication requests for the treatment of PsA was carried out between November 2014 and December 2016. Linear regression was used to verify the factors associated with time to delivery. Results: A total of 218 cases containing 250 drugs were analyzed. The median time between the medical appointment and the first dispensation was 66 days (interquartile range, 44-90). The State proceedings, which includes requesting the drug until the authorization of treatment, was the stage that most contributed to the total time spent. The factors associated with the longer time to delivery of medications were prescriptions coming from clinics and specialty centers, from dermatologists, non-authorized processes and non-persistent patients in the treatment in 12 months. Conclusion: The median time to receive medicines for the PsA treatment in Belo Horizonte health region after a medical prescription was higher than 2 months. The time between the solicitation of the medicines and the authorization of the treatment in the SUS (State administrative procedure) was the main component of the total time spent.
Main Authors: | , , , , , |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Sociedade Brasileira de Reumatologia
2019
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2523-31062019000100234 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
oai:scielo:S2523-31062019000100234 |
---|---|
record_format |
ojs |
spelling |
oai:scielo:S2523-310620190001002342019-11-26Access to high-cost medications for psoriatic arthritis in the National Health System in Brazil: the long path up to dispensationSilva,Michael Ruberson Ribeiro daSantos,Jéssica Barreto Ribeiro dosAlmeida,Alessandra MacielAlvares-Teodoro,JulianaKakehasi,Adriana MariaAcurcio,Francisco de Assis Psoriatic arthritis Antirheumatic agents Health policy Pharmaceutical services Abstract Background: Pharmaceutical Assistance (PA) is a dynamic and multidisciplinary process that aims to supply health systems, programs or services with quality medicines, enabling access and health care, in an efficient and timely manner. The objective of the study was to evaluate the profile of administrative processes for the treatment of PsA, identify the time elapsed in the flow of processes and its associated factors. Methods: A cross-sectional study of medication requests for the treatment of PsA was carried out between November 2014 and December 2016. Linear regression was used to verify the factors associated with time to delivery. Results: A total of 218 cases containing 250 drugs were analyzed. The median time between the medical appointment and the first dispensation was 66 days (interquartile range, 44-90). The State proceedings, which includes requesting the drug until the authorization of treatment, was the stage that most contributed to the total time spent. The factors associated with the longer time to delivery of medications were prescriptions coming from clinics and specialty centers, from dermatologists, non-authorized processes and non-persistent patients in the treatment in 12 months. Conclusion: The median time to receive medicines for the PsA treatment in Belo Horizonte health region after a medical prescription was higher than 2 months. The time between the solicitation of the medicines and the authorization of the treatment in the SUS (State administrative procedure) was the main component of the total time spent.info:eu-repo/semantics/openAccessSociedade Brasileira de ReumatologiaAdvances in Rheumatology v.59 20192019-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2523-31062019000100234en10.1186/s42358-019-0091-7 |
institution |
SCIELO |
collection |
OJS |
country |
Brasil |
countrycode |
BR |
component |
Revista |
access |
En linea |
databasecode |
rev-scielo-br |
tag |
revista |
region |
America del Sur |
libraryname |
SciELO |
language |
English |
format |
Digital |
author |
Silva,Michael Ruberson Ribeiro da Santos,Jéssica Barreto Ribeiro dos Almeida,Alessandra Maciel Alvares-Teodoro,Juliana Kakehasi,Adriana Maria Acurcio,Francisco de Assis |
spellingShingle |
Silva,Michael Ruberson Ribeiro da Santos,Jéssica Barreto Ribeiro dos Almeida,Alessandra Maciel Alvares-Teodoro,Juliana Kakehasi,Adriana Maria Acurcio,Francisco de Assis Access to high-cost medications for psoriatic arthritis in the National Health System in Brazil: the long path up to dispensation |
author_facet |
Silva,Michael Ruberson Ribeiro da Santos,Jéssica Barreto Ribeiro dos Almeida,Alessandra Maciel Alvares-Teodoro,Juliana Kakehasi,Adriana Maria Acurcio,Francisco de Assis |
author_sort |
Silva,Michael Ruberson Ribeiro da |
title |
Access to high-cost medications for psoriatic arthritis in the National Health System in Brazil: the long path up to dispensation |
title_short |
Access to high-cost medications for psoriatic arthritis in the National Health System in Brazil: the long path up to dispensation |
title_full |
Access to high-cost medications for psoriatic arthritis in the National Health System in Brazil: the long path up to dispensation |
title_fullStr |
Access to high-cost medications for psoriatic arthritis in the National Health System in Brazil: the long path up to dispensation |
title_full_unstemmed |
Access to high-cost medications for psoriatic arthritis in the National Health System in Brazil: the long path up to dispensation |
title_sort |
access to high-cost medications for psoriatic arthritis in the national health system in brazil: the long path up to dispensation |
description |
Abstract Background: Pharmaceutical Assistance (PA) is a dynamic and multidisciplinary process that aims to supply health systems, programs or services with quality medicines, enabling access and health care, in an efficient and timely manner. The objective of the study was to evaluate the profile of administrative processes for the treatment of PsA, identify the time elapsed in the flow of processes and its associated factors. Methods: A cross-sectional study of medication requests for the treatment of PsA was carried out between November 2014 and December 2016. Linear regression was used to verify the factors associated with time to delivery. Results: A total of 218 cases containing 250 drugs were analyzed. The median time between the medical appointment and the first dispensation was 66 days (interquartile range, 44-90). The State proceedings, which includes requesting the drug until the authorization of treatment, was the stage that most contributed to the total time spent. The factors associated with the longer time to delivery of medications were prescriptions coming from clinics and specialty centers, from dermatologists, non-authorized processes and non-persistent patients in the treatment in 12 months. Conclusion: The median time to receive medicines for the PsA treatment in Belo Horizonte health region after a medical prescription was higher than 2 months. The time between the solicitation of the medicines and the authorization of the treatment in the SUS (State administrative procedure) was the main component of the total time spent. |
publisher |
Sociedade Brasileira de Reumatologia |
publishDate |
2019 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2523-31062019000100234 |
work_keys_str_mv |
AT silvamichaelrubersonribeiroda accesstohighcostmedicationsforpsoriaticarthritisinthenationalhealthsysteminbrazilthelongpathuptodispensation AT santosjessicabarretoribeirodos accesstohighcostmedicationsforpsoriaticarthritisinthenationalhealthsysteminbrazilthelongpathuptodispensation AT almeidaalessandramaciel accesstohighcostmedicationsforpsoriaticarthritisinthenationalhealthsysteminbrazilthelongpathuptodispensation AT alvaresteodorojuliana accesstohighcostmedicationsforpsoriaticarthritisinthenationalhealthsysteminbrazilthelongpathuptodispensation AT kakehasiadrianamaria accesstohighcostmedicationsforpsoriaticarthritisinthenationalhealthsysteminbrazilthelongpathuptodispensation AT acurciofranciscodeassis accesstohighcostmedicationsforpsoriaticarthritisinthenationalhealthsysteminbrazilthelongpathuptodispensation |
_version_ |
1756441899727585280 |