Abstract

ALMEIDA, Daniel Emílio da Silva; CECCATO, Maria das Graças Braga; GUERRA JUNIOR, Augusto Afonso  and  ACURCIO, Francisco de Assis. Normative evaluation of the immunosuppressive drug prescription and dispensing process for renal transplant patients in the state of Minas Gerais, Brazil, 2008. Epidemiol. Serv. Saúde [online]. 2013, vol.22, n.4, pp.651-660. ISSN 1679-4974.  http://dx.doi.org/10.5123/S1679-49742013000400011.

OBJECTIVE: to evaluate the process of immunosuppressive drug prescription and dispensing for kidney transplant patients in view of the recommendations of the Clinical Protocols and Therapeutic Guidelines (CPTG, 2002 and 2012). METHODS: normative evaluation of requisitions for immunosuppressive drugs made to the Minas Gerais State Department of Health in 2008, based on computerized administrative data files. RESULTS: we analyzed 915 requisitions relating to 687 patients. With regard to CPTG 2002, most of the drugs delivered were classified as second choice, representing increased cost of at least 301%. With the inclusion of Tacrolimus as first choice in CPTG 2012 this percentage has decreased second choice/mixed requests still prevail. Belo Horizonte Regional Health Management dispensed 35 times more second choice drugs and showed a shorter time for requisition process evaluation. CONCLUSION: there was discordance between therapeutic guidelines and immunosuppressive drug dispensing. Health technology and epidemiological assessments contribute to improved health services.

Keywords : Kidney Transplantation; Immunosuppressive Drugs; Health Evaluation; Health Expenditures.

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