Clinical genetics and public policies : how should rare diseases be managed?
Autor(a) principal: | |
---|---|
Data de Publicação: | 2014 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/158343 |
Resumo: | The implementation of a specific policy for rare diseases in the Brazilian Unified Health System presents challenges in terms of its rationale. Recognizing the importance of rarity in the context of public health means understanding genetics as one of the dimensions of disease and accepting that Brazil is undergoing a period of transition in health indicators. Although most rare diseases lack pharmacological treatment and genetic counseling constitutes the best strategy for their prevention, the cost of “orphan drugs” and their consequent lack of cost-effectiveness are still claimed as hurdles to the implementation of public policies in this field. Epidemiological aspects should not be used as isolated criteria for prioritization in public policies. |
id |
UFRGS-2_aef8f80589791d9334c95832ce22bcb9 |
---|---|
oai_identifier_str |
oai:www.lume.ufrgs.br:10183/158343 |
network_acronym_str |
UFRGS-2 |
network_name_str |
Repositório Institucional da UFRGS |
repository_id_str |
|
spelling |
Schwartz, Ida Vanessa DoederleinSouza, Monica Vinhas deLeivas, Paulo Gilberto CogoFaccini, Lavinia Schuler2017-05-23T02:26:38Z20142357-9730http://hdl.handle.net/10183/158343000953674The implementation of a specific policy for rare diseases in the Brazilian Unified Health System presents challenges in terms of its rationale. Recognizing the importance of rarity in the context of public health means understanding genetics as one of the dimensions of disease and accepting that Brazil is undergoing a period of transition in health indicators. Although most rare diseases lack pharmacological treatment and genetic counseling constitutes the best strategy for their prevention, the cost of “orphan drugs” and their consequent lack of cost-effectiveness are still claimed as hurdles to the implementation of public policies in this field. Epidemiological aspects should not be used as isolated criteria for prioritization in public policies.application/pdfengClinical and Biomedical Research. Vol. 34, no. 2 (2014), p. 122-131Doenças rarasMedicamentos órfãosMedical geneticsOrphan drugsRare diseasesClinical genetics and public policies : how should rare diseases be managed?info:eu-repo/semantics/articleinfo:eu-repo/semantics/otherinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL000953674.pdf000953674.pdfTexto completo (inglês)application/pdf275089http://www.lume.ufrgs.br/bitstream/10183/158343/1/000953674.pdffa71025a2758604a05ed9aa1364006d0MD51TEXT000953674.pdf.txt000953674.pdf.txtExtracted Texttext/plain43863http://www.lume.ufrgs.br/bitstream/10183/158343/2/000953674.pdf.txt6e1f4289e5451f918852646ce75b669fMD52THUMBNAIL000953674.pdf.jpg000953674.pdf.jpgGenerated Thumbnailimage/jpeg1837http://www.lume.ufrgs.br/bitstream/10183/158343/3/000953674.pdf.jpg77f43c58bc4afaf8660c1bf16167ededMD5310183/1583432021-09-18 04:49:50.395536oai:www.lume.ufrgs.br:10183/158343Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2021-09-18T07:49:50Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Clinical genetics and public policies : how should rare diseases be managed? |
title |
Clinical genetics and public policies : how should rare diseases be managed? |
spellingShingle |
Clinical genetics and public policies : how should rare diseases be managed? Schwartz, Ida Vanessa Doederlein Doenças raras Medicamentos órfãos Medical genetics Orphan drugs Rare diseases |
title_short |
Clinical genetics and public policies : how should rare diseases be managed? |
title_full |
Clinical genetics and public policies : how should rare diseases be managed? |
title_fullStr |
Clinical genetics and public policies : how should rare diseases be managed? |
title_full_unstemmed |
Clinical genetics and public policies : how should rare diseases be managed? |
title_sort |
Clinical genetics and public policies : how should rare diseases be managed? |
author |
Schwartz, Ida Vanessa Doederlein |
author_facet |
Schwartz, Ida Vanessa Doederlein Souza, Monica Vinhas de Leivas, Paulo Gilberto Cogo Faccini, Lavinia Schuler |
author_role |
author |
author2 |
Souza, Monica Vinhas de Leivas, Paulo Gilberto Cogo Faccini, Lavinia Schuler |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Schwartz, Ida Vanessa Doederlein Souza, Monica Vinhas de Leivas, Paulo Gilberto Cogo Faccini, Lavinia Schuler |
dc.subject.por.fl_str_mv |
Doenças raras Medicamentos órfãos |
topic |
Doenças raras Medicamentos órfãos Medical genetics Orphan drugs Rare diseases |
dc.subject.eng.fl_str_mv |
Medical genetics Orphan drugs Rare diseases |
description |
The implementation of a specific policy for rare diseases in the Brazilian Unified Health System presents challenges in terms of its rationale. Recognizing the importance of rarity in the context of public health means understanding genetics as one of the dimensions of disease and accepting that Brazil is undergoing a period of transition in health indicators. Although most rare diseases lack pharmacological treatment and genetic counseling constitutes the best strategy for their prevention, the cost of “orphan drugs” and their consequent lack of cost-effectiveness are still claimed as hurdles to the implementation of public policies in this field. Epidemiological aspects should not be used as isolated criteria for prioritization in public policies. |
publishDate |
2014 |
dc.date.issued.fl_str_mv |
2014 |
dc.date.accessioned.fl_str_mv |
2017-05-23T02:26:38Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/other |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10183/158343 |
dc.identifier.issn.pt_BR.fl_str_mv |
2357-9730 |
dc.identifier.nrb.pt_BR.fl_str_mv |
000953674 |
identifier_str_mv |
2357-9730 000953674 |
url |
http://hdl.handle.net/10183/158343 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
Clinical and Biomedical Research. Vol. 34, no. 2 (2014), p. 122-131 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFRGS instname:Universidade Federal do Rio Grande do Sul (UFRGS) instacron:UFRGS |
instname_str |
Universidade Federal do Rio Grande do Sul (UFRGS) |
instacron_str |
UFRGS |
institution |
UFRGS |
reponame_str |
Repositório Institucional da UFRGS |
collection |
Repositório Institucional da UFRGS |
bitstream.url.fl_str_mv |
http://www.lume.ufrgs.br/bitstream/10183/158343/1/000953674.pdf http://www.lume.ufrgs.br/bitstream/10183/158343/2/000953674.pdf.txt http://www.lume.ufrgs.br/bitstream/10183/158343/3/000953674.pdf.jpg |
bitstream.checksum.fl_str_mv |
fa71025a2758604a05ed9aa1364006d0 6e1f4289e5451f918852646ce75b669f 77f43c58bc4afaf8660c1bf16167eded |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS) |
repository.mail.fl_str_mv |
|
_version_ |
1815447630626422784 |