Organização dos serviços farmacêuticos no Sistema Único de Saúde em regiões de saúde

Araújo, Suetônio Queiroz de; Costa, Karen Sarmento; Luiza, Vera Lúcia; Lavras, Carmen; Santana, Eucilene Alves; Tavares, Noêmia Urruth Leão

doi:10.1590/1413-81232017224.27042016

Cited by 34 publications

(54 citation statements)

References 13 publications

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“…It is usual to observe in the reports issued by the Committee mentions to the lack of real-world data for Brazilian patients, which could support decision-making 24 . Despite the truth of the argument, the difficulties in carrying out these studies can not be denied, due to, the breaches in the care network, the lack of reliable information on therapies used in the institutions and on the non-existent measurement of clinical results stemming from practice 4,18 .…”

Section: Technologiesmentioning

confidence: 99%

“…Pharmaceutical services in Brazilian municipalities have maintained their focus on the logistics process 4 . Even considering the limitation of this approach, cancer patients Interface (Botucatu) https://doi.org/10.1590/Interface.…”

Section: Work Processesmentioning

confidence: 99%

“…The activities of PS should be carried out in a multiprofessional, interdisciplinary and intersectoral way, articulating and integrating actions and services, in their multiple dimensions, at different levels of health care 4 . In the macropolitical context, the activities are directed to the establishment of principles and guidelines that seek to guarantee access and rational use of antineoplastic drugs.…”

Section: Introductionmentioning

confidence: 99%

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Organização e práticas da assistência farmacêutica em oncologia no âmbito do Sistema Único de Saúde

Silva

Osório-de-Castro

2019

Interface (Botucatu)

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Este artigo, fundamentado na Teoria da Estruturação de Giddens, buscou analisar a organização e as práticas da assistência farmacêutica em oncologia em cinco municípios brasileiros por meio de um estudo de casos múltiplos, tendo o câncer de mama como condição marcadora. A subunidade de análise foram as unidades habilitadas de atenção oncológica. Foram entrevistados dez gestores e quinze profissionais de saúde. Complementarmente, foram considerados documentos e dados da observação direta da ação dos profissionais. Os resultados foram analisados segundo quatro eixos: estrutura organizacional, financiamento, tecnologias e processos de trabalho. Destacaram-se: a baixa articulação das ações de assistência farmacêutica realizadas entre os níveis de atenção à saúde, problemas estruturais nos serviços, insuficiência de financiamento, atrasos nos processos de avaliação e incorporação de tecnologias, e falhas nos processos de trabalho. Os aspectos destacados contribuem para a precariedade do funcionamento do sistema.

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Section: Technologiesmentioning

confidence: 99%

Section: Work Processesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Organização e práticas da assistência farmacêutica em oncologia no âmbito do Sistema Único de Saúde

Silva

Osório-de-Castro

2019

Interface (Botucatu)

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“…• Pelas diretrizes pactuadas em 2010, a assistência farmacêutica foi descrita como um dos elementos fundamentais para sua estruturação, figurando um sistema de apoio, caracterizado pela prestação de ações e serviços comuns, transversais, a todas as RAS (16,89).…”

Section: -Validação Do Modelo Lógicounclassified

“…A Transição demográfica acelerada, caracterizada por baixas taxas de fecundidade, continuidade do crescimento da população como resultado dos padrões de fecundidade anteriores, e envelhecimento populacional, sendo estimado para 2015 que o número de pessoas maiores de 65 anos ultrapasse o número de jovens (22, 23). logístico em detrimento da clínica, para ampliar e qualificar o acesso da população aos medicamentos, e qualificar o cuidado em saúde ofertado aos usuários do sistema" e sugerem a necessidade de revisão da Portaria nº 4.279/2010, que apresenta as diretrizes para estruturação das RAS(89). http://www.saude.sp.gov.br/ses/legislacao/informe-eletronico-de-legislacaoem-saude/) e enviado por e-mail a quem manifestar interesse(28).O primeiro IELS disponível é datado de 16 de maio de 2006, fundamentando o início do período de coleta de dados.…”

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Assistência farmacêutica no Sistema Único de Saúde: responsabilidade compartilhada por União, Estado e Municípios

Medeiros¹

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This thesis aimed to understand pharmaceutical services regarding the responsibilities shared by Federal, State and Local Governments, based on Unified Health System (SUS) legal framework. It is a descriptive research, with qualitative approach. First, the construction and validation of a logical framework of pharmaceutical services in SUS was carried out. The logical framework was based on the elements of the evaluation model of pharmaceutical services proposed by Cosendey, Hartz and Bermudez (2003), interfederative responsibilities expressed in official documents and literature related to pharmaceutical services. For its validation, seven specialists were consulted, using Delphi method as a consensus technique. The logical framework of pharmaceutical services in SUS was composed by eight components (selection, financing, programming and acquisition, logistics, use, management, education and research), its objectives, and by an array of 54 responsibilities and 73 products that support the three expected outcomes of pharmaceutical services in SUS: access to essential medicines, rational use of medicines and structuring of pharmaceutical services. Then, it was held the characterization of pharmaceutical services in São Paulo State, according to health responsibilities and expected products of state government, described in the logical framework. The definition of the aspects considered in this process was based on bibliographic research. Documents obtained from different sources were organized and critically analyzed. There were advances and challenges of pharmaceutical services in São Paulo State: the share of medicines in health spending, the counterpart for basic care and fund-to-fund transfers to municipalities were higher than national parameters; on average, there was 83.5% availability and 59.5 days/year of drug shortages in the "Farmácias de Medicamentos Especializados", which served 3.09% of the population; the State Drug Policy was instituted in 2006 and there was integration of pharmaceutical services in management instruments; the need to reorient selection of medicines and the promotion of rational use, integration to social control and greater investment in monitoring / evaluation, training and research were identified. In conclusion, the logical framework of pharmaceutical services in SUS allows an understanding of the role of SUS managers in a comprehensive way, serving as a reference for the definition of strategies to implement and operationalize pharmaceutical services in health care networks, as well as for the construction of theoretical evaluation models of pharmaceutical services as shared responsibility within SUS.

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Integration of clinical pharmacy services into the Brazilian health system using Problematization with Maguerez Arc

Júnior

Onozato

Rocha

et al. 2019

Research in Social and Administrative Pharmacy

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Organização dos serviços farmacêuticos no Sistema Único de Saúde em regiões de saúde

Abstract: This study aimed to describe and characterize the pharmaceutical services provided in Brazil's Unified Health System (SUS)

Cited by 34 publications

References 13 publications

Organização e práticas da assistência farmacêutica em oncologia no âmbito do Sistema Único de Saúde

Organização e práticas da assistência farmacêutica em oncologia no âmbito do Sistema Único de Saúde

Assistência farmacêutica no Sistema Único de Saúde: responsabilidade compartilhada por União, Estado e Municípios

Integration of clinical pharmacy services into the Brazilian health system using Problematization with Maguerez Arc

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