Economic evaluation of the Programs Rede Farmácia de Minas do SUS versus Farmácia Popular do Brasil

• Published in: Ciência & saude coletiva Vol. 22; no. 1; pp. 221 - 233
• Main Authors: Garcia, Marina Morgado, Guerra, Júnior, Augusto Afonso, Acúrcio, Francisco de Assis
• Format: Journal Article
• Language: English; Portuguese
• Published: Brazil Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO 01-01-2017; Associação Brasileira de Saúde Coletiva
• Subjects: Brazil; Delivery of Health Care - economics; Delivery of Health Care - organization & administration; Humans; Models, Economic; Monte Carlo Method; National Health Programs - economics; Pharmaceutical Preparations - economics; Pharmaceutical Services - economics; Pharmaceutical Services - organization & administration; Pharmaceuticals; Pharmacists; Public health; Public Health - economics; Brasil
• ISSN: 1413-8123; 1678-4561
• DOI: 10.1590/1413-81232017221.15912015

We conducted an economic assessment of the Pharmaceutical Assistance - Rede Farmácia de Minas Gerais-RFMG and Farmácia Popular do Brasil-FPB to ascertain which of the two models stands out as the most efficient. To do this, a model, which consisted of a study of incurred costs in both programs, up to the dispensing of medicine to citizens, was developed. The uncertainties of the proposed model were tested using the Monte Carlo method. If the entire population initially estimated in the RFMG were attended in the FPB, there would be an additional cost of R$ 139,324,050.19. The sensitivity analysis appeared to be favorable to the RFMG. A total of 10000 simulations were carried out, resulting in a median value of R$ 114,053,709.99 for the RFMG and R$ 254,106,120.65 for the FPB. The current National Drug Policy emphasizes the need to strengthen pharmaceutical services beyond the mere acquisition and delivery of pharmaceutical products. The public healthcare service model, consistent with the principles and guidelines of the SUS, seems to be more appropriate in ensuring complete and universal quality healthcare services to the citizens. The economic study conducted reinforces this fact, as it appears to be a more efficient alternative of the direct use of resources in the public health network.