Rosangela Caetano

Estimates of thyroid cancer incidence in Brazil: an approach using polynomial models

This study aimed to estimate thyroid cancer incidence in Brazil in 2006 using polynomial models that take age and birth cohort effects into account in the estimation process. Estimates were based on new cases of thyroid cancer in nine Brazilian cities (Manaus, Palmas, Natal, Recife, Cuiabá, Belo Horizonte, São Paulo, Porto Alegre, and Curitiba) and the Federal District from 1997 to 2001. We estimated 6,066 new cases, of which 1,065 in men and 5,001 in women. The incidence rates were, respectively, 1.16 and 5.27 per 100,000 inhabitants. Rates increased with age in both genders, especially after 30 years. The size and profile of rates according to age and gender indicate that the method yields plausible estimates.

Dispensação de medicamentos do componente especializado em polos no Estado do Rio de Janeiro

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.

Ações voltadas para o tabagismo: análise de sua implementação na Atenção Primária à Saúde

This survey examined the status of the implementation of policies for tobacco control in a medium-sized municipality through an assessment of actions recommended by the National Tobacco Control Program (NTCP) promoted by Primary Health Care (PHC) units. The coordinator of the local NTCP and professionals from 44 PHC units of Juiz de Fora in the state of Minas Gerais were interviewed, between May and July 2011. It was observed that the actions of treatment and health promotion were being duly executed, the highlight being the training of professionals to implement treatment in PHC. In 40.9%, there is the provision of treatment for smokers, and in 88.6% the actions are concentrated in activities in waiting rooms, groups and individual consultations. Limitations identified are probably not restricted to the municipality, such as inadequate structuring of units, high turnover, the varying degree of involvement of professionals in implementing the service and also the lack of mechanisms to enable them to implement and give continuity to care among their other responsibilities. The major challenge for tobacco control is to conduct intersectoral actions and in primary health care. The results can serve for the formulation of strategic health actions in other parts of the country.

Análise dos custos do procedimento PET-TC com 18 F-FDG na perspectiva do SUS provedor: estudo em uma unidade pública de saúde do Rio de Janeiro, Brasil

Positron emission tomography (PET) has been introduced recently in Brazil and requires costs analysis to support economic evaluation studies on its use. The current study analyzed the use of 18 F-FDG PET-CT and estimated its costs from the perspective of a public healthcare provider. The micro-costing technique was used, identifying, quantifying, and valuing all the inputs used to perform the procedure. Cost estimates considered 85 tests performed at the Brazilian National Cancer Institute from March to June 2012. Reference cases were defined as adult cancer patients, output of five tests per day, and one dose of 18 F-FDG per patient. Unit cost for the procedure was BRL 3,150.30 based on career wages under the Ministry of Science and Technology and BRL 2,927.19 based on Ministry of Health career wages. The factor with the heaviest cost impact was daily output of tests. Other factors that could impact the tests cost in public healthcare institutions were also examined.A tomografia de emissao de positrons (PET) e de uso recente no Brasil e ha necessidade de se estimar os custos do procedimento, de forma a subsidiar estudos de avaliacao economica sobre a tecnologia. O trabalho analisou o processo de producao da PET-TC utilizando 18 F-FDG e estimou seus custos na perspectiva de um provedor publico de servicos de saude. Utilizou- se a tecnica de microcustos, com identificacao, quantificacao e valoracao de todos os insumos consumidos na producao do procedimento. As estimativas de custo consideraram a observacao de 85 exames realizados no Instituto Nacional de Câncer, de marco/julho de 2012. O caso de referencia considerou pacientes oncologicos adultos, volume de producao de 5 exames/dia e uso de uma dose de 18 F-FDG por paciente. Os custos unitarios do procedimento foram de R

Caracterização e custos de acidentes de motocicleta com vítimas atendidas em regime de hospitalização no município de Paranavaí-PR no ano de 2007

3.150,30, na perspectiva salarial da carreira de Ciencia & Tecnologia, e de R

Um exame dos fluxos financeiros do Ministério da Saúde em pesquisa e desenvolvimento (2003-2005), segundo a Agenda Nacional de Prioridades de Pesquisa em Saúde

2.927,19 na do Ministerio da Saude. O elemento de maior impacto nos custos correspondeu ao volume diario de producao dos exames. Foram explorados elementos que podem impactar no custo do exame nas instituicoes publicas de saude.

Paradigmas e trajetórias do processo de inovação tecnológica em saúde

O objetivo deste estudo foi caracterizar os acidentes de motocicletas ocorridos no municipio de Paranavai-PR, em 2007, com enfoque nos custos decorrentes das vitimas que necessitaram de internacao, na perspectiva do Sistema Unico de Saude e para o seguro obrigatorio que cobre danos pessoais causados por veiculos automotores de via terrestre, o DPVAT. Compos-se de um estudo baseado em buscas e analises das bases de dados do Servico Integrado de Atendimento ao Trauma e Emergencia, do DPVAT e do Sistema de Informacoes sobre Internacoes do SUS. A populacao constou de 655 vitimas (440 homens e 215 mulheres), media de 29,5 anos, sendo que 598 (91,3%) sairam lesionadas e 11 (1,7%) morreram. A frequencia da internacao hospitalar foi, em media, de 27%. As internacoes pelo DPVAT corresponderam a 82% dos custos, sendo que o custo medio foi de R

Estimativa de custo da asma em tratamento ambulatorial: estudo com dados de mundo real

1.608,60 e as internacoes do SUS, 18%, com custo medio de R

Cost-effectiveness analysis comparing companion diagnostic tests for EGFR, ALK and ROS-1 versus next-generation sequence (NGS) in advanced adenocarcinoma lung cancer patients.

450,44 por AIH e de R

The medicine selection process in four large university hospitals in Brazil: Does the DTC have a role?

596,37 por paciente. O custo medio da internacao dos acidentes analisados foi de R