Socioeconomic impact of high-cost drugs in Brazilian dermatology. Legal and financial aspects, and impact on clinical practice
An. bras. dermatol
; 96(2): 200-209, Mar.-Apr. 2021. tab, graf
Artículo
en Inglés
| LILACS
| ID: biblio-1248753
Biblioteca responsable:
BR1.1
ABSTRACT
Abstract The technological advancement of the pharmaceutical industry, resulting from the techniques of molecular biology and expansion of the knowledge of immunopathogenesis, has modified the therapeutic arsenal used in dermatology. Scientific research and regulatory standards cause drug costs to rise, thus making their use impossible in most public policies. In order to make high-cost drugs viable in the public health network, the Specialized Pharmaceutical Assistance Component was created. However, despite the frequent incorporation of medications, the constant requirement of drugs through lawsuits leads to exorbitant costs to the state budget. The present work analyzed through a descriptive observational study, the current situation of the Specialized Component and the involvement of medicines used in dermatology, through legal reviews, financial analyses, and medical articles, aiming at future incorporations for the specialty. When assessing the legal demands for dermatological drugs in the state of São Paulo, the specialty still has a low participation and psoriasis is the main disease involved in requiring drugs through the judicial system in the state. New methods of access to raw materials must be created to reduce legal issues. Cost-effectiveness and public planning studies are mandatory for incorporating new dermatological therapies.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Contexto en salud:
Agenda de Salud Sostenible para las Américas
Problema de salud:
Objetivo 11: Desigualdades e inequidades en la salud
/
Objetivo 4: Financiamiento de la salud
/
Objetivo 5: Medicamentos, vacunas y tecnologías sanitarias
Base de datos:
LILACS
Asunto principal:
Preparaciones Farmacéuticas
/
Dermatología
Tipo de estudio:
Guía de práctica clínica
/
Evaluación económica en salud
/
Estudio observacional
Aspecto:
Determinantes sociales de la salud
/
Equidad y inequidad
Límite:
Humanos
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
An. bras. dermatol
Asunto de la revista:
Dermatologia
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Centro Universitário FMABC/BR
/
Universidade de São Paulo/BR