Performance of a pharmaceutical services regionalization strategy policy in Minas Gerais, Brazil: Pre-post analysis from ERAF project

Detalhes bibliográficos
Autor(a) principal: Luz, Tatiana Chama Borges
Data de Publicação: 2022
Outros Autores: Castro, Ana Karine Sarvel de, Marques, Isabela Cristina, Cota, Betania Barros, Alves, Jèssica de Castro, Law, Michael Robert
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/56537
Resumo: Fundação Oswaldo Cruz. Instituto René Rachou. Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente. Belo Horizonte, MG, Brazil/Strathclyde Institute of Pharmacy and Biomedical Sciences. Strathclyde University. Glasgow, United Kingdom.
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spelling Luz, Tatiana Chama BorgesCastro, Ana Karine Sarvel deMarques, Isabela CristinaCota, Betania BarrosAlves, Jèssica de CastroLaw, Michael Robert2023-01-20T16:58:20Z2023-01-20T16:58:20Z2022LUZ, Tatiana Chama Borges et al. Performance of a pharmaceutical services regionalization strategy policy in Minas Gerais, Brazil: Pre-post analysis from ERAF Project. Front Pharmacol., v. 13, :953990, 2022. doi: 10.3389/fphar.2022.953990.1663-9812https://www.arca.fiocruz.br/handle/icict/56537engFrontiers MediaPerformance of a pharmaceutical services regionalization strategy policy in Minas Gerais, Brazil: Pre-post analysis from ERAF projectinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto René Rachou. Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente. Belo Horizonte, MG, Brazil/Strathclyde Institute of Pharmacy and Biomedical Sciences. Strathclyde University. Glasgow, United Kingdom.Fundação Oswaldo Cruz. Instituto René Rachou. Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente. Belo Horizonte, MG, Brazil.Fundação Oswaldo Cruz. Instituto René Rachou. Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente. Belo Horizonte, MG, Brazil.Fundação Oswaldo Cruz. Instituto René Rachou. Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente. Belo Horizonte, MG, Brazil.Fundação Oswaldo Cruz. Instituto René Rachou. Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente. Belo Horizonte, MG, Brazil.Centre for Health Services and Policy Research. School of Population and Public Health.The University of British Columbia. Vancouver, CO, CanadaBackground: In 2016, the Brazilian state of Minas Gerais (∼20 million people), implemented the ERAF policy ("Regionalization Strategy of Pharmaceutical Services") in an effort to improve medicine procurement and distribution within primary care. We evaluated the impact of the policy on three main goals: price reductions, volume increases, and expansion of therapeutic options. Methods: We analyzed the procurement data from the Integrated System of Management of Pharmaceutical Services database in 2012 and 2018. We estimated the volume, drug mix, and expenditure indicators for all major therapeutic classes, and, in detail, for cardiovascular and nervous system drugs. We evaluated the expenditure drivers using decomposition analyses. Results: Overall, the expenditure increased by 14.5%, drug mix almost doubled, while the volume decreased by a third. Cardiovascular and neurological system drugs followed similar patterns. Decomposition analyses showed that prices and drug mix had positive effects while the volume had negative effects, resulting in an overall increase in expenditure. Conclusion: Our findings suggest that the ERAF policy cannot be considered effective as it has not fulfilled its intended purposes so far. Strategies to address the identified problems and to build a platform for a more sustainable long-lasting policy should be put in place by the government.decomposition analysismedicinespharmaceutical policypre-post studyprocurementinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/56537/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALPerformance of a pharmaceutical services.pdfPerformance of a pharmaceutical services.pdfapplication/pdf703633https://www.arca.fiocruz.br/bitstream/icict/56537/2/Performance%20of%20a%20pharmaceutical%20services.pdfc88b8f6a72b35b502af7c0ef246b574dMD52icict/565372023-01-20 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dc.title.en_US.fl_str_mv Performance of a pharmaceutical services regionalization strategy policy in Minas Gerais, Brazil: Pre-post analysis from ERAF project
title Performance of a pharmaceutical services regionalization strategy policy in Minas Gerais, Brazil: Pre-post analysis from ERAF project
spellingShingle Performance of a pharmaceutical services regionalization strategy policy in Minas Gerais, Brazil: Pre-post analysis from ERAF project
Luz, Tatiana Chama Borges
decomposition analysis
medicines
pharmaceutical policy
pre-post study
procurement
title_short Performance of a pharmaceutical services regionalization strategy policy in Minas Gerais, Brazil: Pre-post analysis from ERAF project
title_full Performance of a pharmaceutical services regionalization strategy policy in Minas Gerais, Brazil: Pre-post analysis from ERAF project
title_fullStr Performance of a pharmaceutical services regionalization strategy policy in Minas Gerais, Brazil: Pre-post analysis from ERAF project
title_full_unstemmed Performance of a pharmaceutical services regionalization strategy policy in Minas Gerais, Brazil: Pre-post analysis from ERAF project
title_sort Performance of a pharmaceutical services regionalization strategy policy in Minas Gerais, Brazil: Pre-post analysis from ERAF project
author Luz, Tatiana Chama Borges
author_facet Luz, Tatiana Chama Borges
Castro, Ana Karine Sarvel de
Marques, Isabela Cristina
Cota, Betania Barros
Alves, Jèssica de Castro
Law, Michael Robert
author_role author
author2 Castro, Ana Karine Sarvel de
Marques, Isabela Cristina
Cota, Betania Barros
Alves, Jèssica de Castro
Law, Michael Robert
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Luz, Tatiana Chama Borges
Castro, Ana Karine Sarvel de
Marques, Isabela Cristina
Cota, Betania Barros
Alves, Jèssica de Castro
Law, Michael Robert
dc.subject.en.en_US.fl_str_mv decomposition analysis
medicines
pharmaceutical policy
pre-post study
procurement
topic decomposition analysis
medicines
pharmaceutical policy
pre-post study
procurement
description Fundação Oswaldo Cruz. Instituto René Rachou. Grupo de Estudos Transdisciplinares em Tecnologias em Saúde e Ambiente. Belo Horizonte, MG, Brazil/Strathclyde Institute of Pharmacy and Biomedical Sciences. Strathclyde University. Glasgow, United Kingdom.
publishDate 2022
dc.date.issued.fl_str_mv 2022
dc.date.accessioned.fl_str_mv 2023-01-20T16:58:20Z
dc.date.available.fl_str_mv 2023-01-20T16:58:20Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv LUZ, Tatiana Chama Borges et al. Performance of a pharmaceutical services regionalization strategy policy in Minas Gerais, Brazil: Pre-post analysis from ERAF Project. Front Pharmacol., v. 13, :953990, 2022. doi: 10.3389/fphar.2022.953990.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/56537
dc.identifier.issn.en_US.fl_str_mv 1663-9812
identifier_str_mv LUZ, Tatiana Chama Borges et al. Performance of a pharmaceutical services regionalization strategy policy in Minas Gerais, Brazil: Pre-post analysis from ERAF Project. Front Pharmacol., v. 13, :953990, 2022. doi: 10.3389/fphar.2022.953990.
1663-9812
url https://www.arca.fiocruz.br/handle/icict/56537
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/56537/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/56537/2/Performance%20of%20a%20pharmaceutical%20services.pdf
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repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
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