SciELO - Scientific Electronic Library Online

vol.17 número9Práticas que integram a saúde mental à saúde pública: o apoio matricial e a interconsultaConhecimento, consumo e acesso à contracepção de emergência entre mulheres universitárias no sul do Estado de Santa Catarina índice de autoresíndice de assuntospesquisa de artigos
Home Page  

Serviços Personalizados




Links relacionados

  • Não possue artigos similaresSimilares em SciELO


Ciência & Saúde Coletiva

versão On-line ISSN 1678-4561versão impressa ISSN 1413-8123


LIMA-DELLAMORA, Elisangela da Costa; CAETANO, Rosangela  e  OSORIO-DE-CASTRO, Claudia Garcia Serpa. Dispensing specialized component medicines in areas of the State of Rio de Janeiro. Ciênc. saúde coletiva [online]. 2012, vol.17, n.9, pp.2387-2396. ISSN 1678-4561.

The Specialized Pharmaceutical Services Component (CEAF) ensures the dispensing of high-cost medicines for the treatment of specific diseases. The fact that these medicines are mandatory though access is only through legal injunctions, suggests flaws in the management of pharmaceutical services. This paper analyzed adherence to Clinical Protocols and Therapeutic Guidelines (PCDT) in the dispensing of these CEAF medicines. Qualitative research was also conducted in facilities with different characteristics in the State of Rio de Janeiro. It was noted that the lack of adequate structure in the units studied, including trained personnel, compromises the dispensing CEAF medicines in all facilities. The CEAF dispensing procedure, heavily dependent on interaction between prescribers and dispensers, is not carried out as would be expected. It is possible that inadequate performance is also linked to flaws in the planning and organization of services. The results indicate barriers in adherence to PCDT by health professionals, prejudicing health system users and possibly leading them to access medicines by legal means. It is believed that characteristics of the investigated facilities are similar to others in Brazil, and the barriers identified may be the same, compromising healthcare.

Palavras-chave : Pharmaceutical assistance; Clinical protocols; Evaluation of health services.

        · resumo em Português     · texto em Português     · Português ( pdf )