Resumo

ALMEIDA, Daniel Emílio da Silva; CECCATO, Maria das Graças Braga; GUERRA JUNIOR, Augusto Afonso  e  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.

Palavras-chave : Kidney Transplantation; Immunosuppressive Drugs; Health Evaluation; Health Expenditures.

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