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  1. Emendas parlamentares ao orçamento federal do SUS
    método para estimação dos repasses a cada município favorecido, segundo áreas de alocação dos recursos (2015-2020)
    Erschienen: janeiro de 2022
    Verlag:  Instituto de Pesquisa Econômica Aplicada, Brasília

    The allocation of federal resources through parliamentary amendments (PA) to the Unified Health System (SUS) has been growing since the budget execution of these resources became mandatory, contributing to the reduction of the share of resources... mehr

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    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    DS 194
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    The allocation of federal resources through parliamentary amendments (PA) to the Unified Health System (SUS) has been growing since the budget execution of these resources became mandatory, contributing to the reduction of the share of resources allocated to public health actions and services (ASPS) by the Ministry of Health (MS) programming. In addition, deficits in transparency in the budgetary-financial execution of these resources have made it difficult to account the expenses by areas of operation of the SUS. So, the objective of this text is to propose a method for estimating expenditure on public health actions and services (ASPS) through parliamentary amendments (PA) of the Ministry of Health (MoH), with each municipality favored, according to areas of resource allocation, from 2015 to 2020. It is a contribution to future studies on financing and public spending on health in Brazil. To this end, the methodological investigation was based on an exploratory analysis of the MoH budget-financial execution reports from 2015 to 2020. Three sources of information were used: i) Siga Brasil: information system on the Union budget, which is maintained by the Federal Senate; ii) an electronic spreadsheet provided by the National Health Fund (NHF), obtained from a request for access to information, containing data on execution by PA; and iii) the NHF Parliamentary Amendments Panel, which provides data on PA execution by the MoH on the internet. The procedures for identifying expenses by PA in Siga Brasil were detailed. The result of the report analysis of each these three sources was that, according to the criteria of accessibility, methodological clarity, coverage, and consistency, Siga Brasil is the most adequate source for obtaining information on expenses by PA of the MoH with each favored municipality. Procedures for estimating expenditure on primary and medium and high-complexity care for the period from 2015 to 2018 were proposed, obtaining, in the end, the expenditure by PA of the MoH with each municipality, according to these and other areas of resource allocation, for the entire period investigated (2015 to 2020). It is concluded that the proposed method is feasible and reproducible, but that problems in the registration of expenditures by the federal public administration affect the transparency and quality of information, especially for the years 2015 and 2016.

     

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    Quelle: Verbundkataloge
    Sprache: Portugiesisch
    Medientyp: Buch (Monographie)
    Format: Online
    Weitere Identifier:
    hdl: 10419/261047
    Schriftenreihe: Texto para discussão / Ipea ; 2732
    Schlagworte: health expenditures; budgets; health care rationing; federal government; Unified Health System
    Umfang: 1 Online-Ressource (circa 51 Seiten), Illustrationen
  2. Modelos de organização da assistência farmacêutica na atenção ambulatorial
    uma análise comparada
    Erschienen: fevereiro de 2022
    Verlag:  Instituto de Pesquisa Econômica Aplicada, Rio de Janeiro

    The objective of this text is to identify different models of organization of pharmaceutical services (PS) in outpatient care and factors that influence this organization. A comparative analysis of the forms of PS organization in outpatient care... mehr

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    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    DS 194
    keine Fernleihe

     

    The objective of this text is to identify different models of organization of pharmaceutical services (PS) in outpatient care and factors that influence this organization. A comparative analysis of the forms of PS organization in outpatient care adopted by 25 countries was carried out. To do so, the theoretical model proposed by the Pan American Health Organization (Paho) was based on the factors that influence its organization. For the characterization of the models, a table was elaborated that summarizes the relations between the main functions to be performed and the structures, policies and processes commonly used by the countries. Two factors that influence the models were investigated for being considered more relevant and for the availability of information, health policy and financing. The relationship between having a cooperation agreement with the World Health Organization (WHO) and the implementation of a specific model was also analyzed. Public documents and data were used to prepare the description of the PS organization in each country. These descriptions were processed with the support of the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (Iramuteq) software, enabling the identification of three different models of PS organization. A logistic regression analysis was performed using the RStudio software, finding as a predictor variable of one of the models the national per capita income in dollars per purchasing power parity (PPP). It is concluded that there are similarities in the execution by countries of various functions related to PS. However, differences related to the financing of medicines, the management of the logistics and the dispensation of medicines generate the three identified models, with the country’s income being a relevant factor in determining the adoption of one of them.

     

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    Quelle: Verbundkataloge
    Sprache: Portugiesisch
    Medientyp: Buch (Monographie)
    Format: Online
    Weitere Identifier:
    hdl: 10419/261049
    Schriftenreihe: Texto para discussão / Ipea ; 2734
    Schlagworte: pharmaceutical services; health systems; organizational models; international cooperation
    Umfang: 1 Online-Ressource (circa 74 Seiten), Illustrationen
  3. Políticas de fomento ao desenvolvimento de fármacos e medicamentos no Brasil
    panorama de 1998 a 2020
    Erschienen: julho de 2022
    Verlag:  Instituto de Pesquisa Econômica Aplicada, Rio de Janeiro

    The recent health crisis installed around the world because of the covid-19 pandemic has once again brought the debate on issues related to the development, production, and access to health technologies to the center of the government agenda. In... mehr

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    Verlag (kostenfrei)
    Resolving-System (kostenfrei)
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    Universitätsbibliothek Braunschweig
    keine Fernleihe
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    DS 194
    keine Fernleihe

     

    The recent health crisis installed around the world because of the covid-19 pandemic has once again brought the debate on issues related to the development, production, and access to health technologies to the center of the government agenda. In Brazil, it exposed the national vulnerability due to its dependence on the importation of various technologies in this area, particularly drugs and medicines. Considering this situation, the objective of this text is to present an overview of the policies implemented from 1998 to 2020 to promote the development of drugs and medicines in Brazil, directly or indirectly, to identify aspects to be improved in the formulation of a new policy for that purpose. For that, the methodological framework of the executive evaluation of public policies was used. The justification for the implementation of policies and/or the purpose stated in their formal texts were used to capture the main problem addressed and the objective related to the pharmaceutical sector, which have been common to all of them. Results of studies on the pharmaceutical sector in Brazil were used to elaborate the explanation of the problem (problem tree) and the analysis of the policies implementation. Policies documents constituted the basic references for the identification of its specific objectives and for the elaboration of a logical model for the set of initiatives. Studies on policies available in the technical and scientific literature, as well as indicators defined considering the logical model developed, were used to analyze the intermediate and final results of government action. It was found that a series of measures were implemented to promote the development of drugs and medicines in the country in the analyzed period, but that the results of these measures to reduce the Brazilian dependence on the importation of these products were limited. Three main factors were identified as possible determinants of this situation: i) the little innovative profile of Brazilian companies; ii) the emergence of new products of biotechnological origin of high added value, and the increase in their importance in therapeutics; and iii) insufficient State action to leverage significant structural change in the pharmaceutical sector due to the fragmentation of initiatives and discontinuities in the governmental effort. Finally, it is recommended to formulate a new policy, focusing on the pharmaceutical sector, resulting from a medium and long-term state planning, aiming at the implementation of actions and the resources allocation sustained over time, and that considers the particularities and requirements of this sector in the fields of industrial and foreign trade policy, science, technology and innovation policy, and health policy.

     

    Export in Literaturverwaltung   RIS-Format
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    Quelle: Verbundkataloge
    Sprache: Portugiesisch
    Medientyp: Buch (Monographie)
    Format: Online
    Weitere Identifier:
    hdl: 10419/269151
    Schriftenreihe: Texto para discussão / Ipea ; 2783
    Schlagworte: drug development; drug industry; public policy; federal government; National Science; Technology and Innovation Policy; Unified Health System
    Umfang: 1 Online-Ressource (circa 90 Seiten), Illustrationen