Title |
Access to medicines for Alzheimer's disease provided by the Brazilian Unified National Health System in Minas Gerais State, Brazil
|
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Published in |
Cadernos de Saúde Pública, July 2016
|
DOI | 10.1590/0102-311x00060615 |
Pubmed ID | |
Authors |
Celline Cardoso Almeida-Brasil, Juliana de Oliveira Costa, Viviane Celestino Ferreira dos Santos Aguiar, Daniela Pena Moreira, Edgar Nunes de Moraes, Francisco de Assis Acurcio, Augusto Afonso Guerra, Juliana Álvares |
Abstract |
This study evaluated barriers to access to treatment for Alzheimer's disease based on administrative cases involving cholinesterase inhibitors (ChEIs) and submitted to the Minas Gerais State Health Secretariat in Brazil in 2012 and 2013. Drawing on data from 165 randomly selected cases, the study addressed the following dimensions of access: geographic accessibility, accommodation, acceptability, availability, and affordability. The administrative processing to supply ChEIs took an average of 39 days and was influenced by characteristics of the path taken by the user. The majority of the prescribers met less than 80% of the required criteria in the Clinical Protocol and Therapeutic Guidelines (CPTG) for Alzheimer's disease. As a result, 38% of requests for medication were denied. Private treatment with ChEIs cost the equivalent of 21 days of the monthly minimum wage. In conclusion, bureaucratic administrative procedures and prescribers' difficulty in following the CPTG hindered access to treatment of Alzheimer's disease and imposed a heavy burden on patients' pockets. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 30 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 5 | 17% |
Student > Master | 5 | 17% |
Student > Postgraduate | 4 | 13% |
Student > Doctoral Student | 3 | 10% |
Student > Ph. D. Student | 2 | 7% |
Other | 2 | 7% |
Unknown | 9 | 30% |
Readers by discipline | Count | As % |
---|---|---|
Pharmacology, Toxicology and Pharmaceutical Science | 7 | 23% |
Medicine and Dentistry | 5 | 17% |
Nursing and Health Professions | 2 | 7% |
Business, Management and Accounting | 1 | 3% |
Biochemistry, Genetics and Molecular Biology | 1 | 3% |
Other | 4 | 13% |
Unknown | 10 | 33% |