Prices paid for primary health care medicines by Brazilian municipalities

  • 0Universidade de Brasília. Faculdade de Ciências da Saúde, Programa de Pós-graduação em Ciências Farmacêuticas. Brasília, DF, Brazil.

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Summary

This summary is machine-generated.

Vulnerable Brazilian municipalities pay higher medicine prices, impacting healthcare access. Purchasing medicines through consortia can reduce these costs and promote equitable distribution.

Area Of Science

  • Health Economics
  • Pharmaceutical Policy
  • Public Health

Background

  • Inequitable medicine pricing in Brazil affects healthcare access.
  • Socioeconomic factors and regional disparities influence pharmaceutical costs.
  • Understanding price variations is crucial for Unified Health System efficiency.

Purpose Of The Study

  • To analyze medicine prices paid by Brazilian municipalities in 2016, 2018, and 2020.
  • To compare prices based on municipal human development index, size, region, and purchase modality.
  • To identify factors contributing to price inequalities in pharmaceutical procurement.

Main Methods

  • Utilized an Economic Ratio indicator adapted from World Health Organization methodologies.
  • Analyzed data provided by municipalities to the National Database of Pharmaceutical Assistance Actions and Services.
  • Compared medicine prices across different municipal characteristics and purchase strategies.

Main Results

  • Socially and economically vulnerable municipalities, particularly in the North and Northeast regions, paid higher prices for medicines.
  • Associated purchasing (consortia) was linked to lower medicine prices.
  • Price disparities can compromise access to medicines and the efficiency of the Unified Health System.

Conclusions

  • Proposed regulatory, economic, and negotiation strategies to mitigate medicine price inequalities.
  • Emphasized the potential of consortia as a strategy to reduce pharmaceutical procurement costs.
  • Advocated for equitable medicine distribution across Brazilian municipalities.

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