药品护理的专业化组成部分:国家组织和获得药物的机会
Ana Liani Beisl Oliveira1, Mônica Rodrigues Campos1, Mareni Rocha Farias2
1Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil. analiani18@gmail.com.
Ciencia & saude coletiva
|January 30, 2026
概括
巴西的药物护理专业组件 (CEAF) 主要使用集中药物发行,特别是类风湿关节炎药物. 不一致的数据库阻碍了有效的药物获取决策.
科学领域:
- 健康科学 卫生科学 卫生科学
- 制药科学 制药科学
- 公共卫生 公共卫生
背景情况:
- 医药护理的专业化组成部分 (Componente Especializado da Assistência Farmacêutica - CEAF) 对于巴西获得基本药物至关重要.
- 了解CEAF的组织结构和发行策略对于改善药物护理至关重要.
- 类风湿性关节炎 (RA) 治疗依赖于昂贵的药物,通常通过CEAF管理.
研究的目的:
- 描述CEAF在巴西的组织情况.
- 将CEAF发行策略分类为集中或分散的.
- 在CEAF内确定药物获取的挑战和机会,重点关注RA治疗.
主要方法:
- 从2023年开始,CEAF对巴西所有州和联邦区的药物发行数据进行了回顾性定量分析.
- 使用了来自高成本程序授权 (Autorização de Procedimento de Alto Custo - APAC) 系统的数据.
- 开发了一套指标来分析5,086个市政区的210,640名用户的数据.
主要成果:
- CEAF的发行主要集中,特别是在巴西北部和东北部地区.
- 东南地区约占CEAF中RA药物使用者的一半.
- 仅在189个 (3.4%) 的市镇中进行了豁免,这表明了重要的地理集中.
- 分析了来自5,086个市镇的210,640名用户的数据.
结论:
- 巴西的CEAF模式在很大程度上是集中化的,这对公平的医疗准入构成了潜在的挑战.
- 在通过CEAF分配RA药物方面存在显著的区域差异.
- 不完整和分歧的数据库是明智决策和改善药物护理提供的主要障碍.
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