Access to high-cost medications for psoriatic arthritis in the National Health System in Brazil: the long path up to dispensation

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dc.creatorMichael Ruberson Ribeiroda Silva
dc.creatorJéssica Barreto Ribeiro Dos Santos
dc.creatorAlessandra Maciel Almeida
dc.creatorJuliana Alvares Teodoro
dc.creatorAdriana Maria Kakehasi
dc.creatorFrancisco de Assis Acurcio
dc.date.accessioned2023-07-18T16:47:29Z
dc.date.accessioned2025-09-08T23:31:14Z
dc.date.available2023-07-18T16:47:29Z
dc.date.issued2019
dc.identifier.issn2523-3106
dc.identifier.urihttps://hdl.handle.net/1843/56586
dc.languagepor
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofAdvances in Rheumatology
dc.rightsAcesso Aberto
dc.subjectArtrite
dc.subjectAgentes anti-reumaticos
dc.subjectServiços farmaceuticos
dc.subject.otherPsoriatic arthritis
dc.subject.otherAntirheumatic agents
dc.subject.otherHealth policy
dc.subject.otherPharmaceutical services
dc.titleAccess to high-cost medications for psoriatic arthritis in the National Health System in Brazil: the long path up to dispensation
dc.typeArtigo de periódico
local.citation.epage9
local.citation.issue48
local.citation.spage1
local.citation.volume59
local.description.resumoBackground: 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 66days (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 12months. 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.
local.identifier.orcidhttps://orcid.org/0000-0003-2550-7249
local.identifier.orcidhttps://orcid.org/0000-0002-5528-0658
local.identifier.orcidhttps://orcid.org/0000-0003-0138-9401
local.identifier.orcidhttps://orcid.org/0000-0002-0210-0721
local.identifier.orcidhttps://orcid.org/0000-0001-9411-7493
local.identifier.orcidhttps://orcid.org/0000-0002-5880-5261
local.publisher.countryBrasil
local.publisher.departmentFAR - DEPARTAMENTO DE FARMÁCIA SOCIAL
local.publisher.departmentMED - DEPARTAMENTO DE APARELHO LOCOMOTOR
local.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICA
local.publisher.initialsUFMG
local.url.externahttps://advancesinrheumatology.biomedcentral.com/articles/10.1186/s42358-019-0091-7

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