巴西市政府的药品融资:这是谁的责任?
Wendell Rodrigues Oliveira da Silva1, Rodrigo Fonseca Lima1, Ivanessa Thaiane do Nascimento Cavalcanti1
1Universidade de Brasília. Programa de Pós-graduação em Ciências Farmacêuticas. Brasília, DF, Brasil.
自2016年至2020年,市政府增加了医药投资,但区域差异扩大,影响了巴西获得基本药物的机会. 由于这些日益增长的不平等,脆弱地区面临更大的风险.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 制药政策 制药政策
背景情况:
- 分析药品投资对于了解医疗保健准入至关重要.
- 联邦实体的财政捐款在巴西统一卫生系统 (SUS) 中显著影响了药品的可用性.
- 投资差异可能会加剧健康不平等.
研究的目的:
- 检查巴西联邦实体在2016年至2020年期间的医药投资情况.
- 识别和分析这些投资中的不对称性.
- 评估对苏联境内药品供应和获取的潜在影响.
主要方法:
- 探索性,回顾性研究设计.
- 在市级确定主要投资主体的初级保健药物.
- 分析2016年至2020年的投资演变,对应物和区域差异.
主要成果:
- 市政府对药品的支出始终超过了卫生部 (MS) 和MS+州的贡献.
- 联邦资金转移和市政支出显示区域差异.
- 人均药品投资增加,特别是受益于人类发展指数 (MHDI) 分数较低的市政当局.
- 农业人气计划主要服务于更大,MHDI更高的市政当局,未能减轻获得不平等的情况.
结论:
- 在确保医药获取的市政能力方面扩大不平等.
- 由于初级保健敏感疾病的差异,脆弱的市政当局的疾病和死亡风险增加.
- 目前的投资格局加剧了苏联境内的健康不平等.
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