Challenges in the Clinical Protocol and Therapeutic Guidelines (PCDT) Implementation for Congestive Heart Failure (CHF): Access to Sacubitril/Valsartana After Incorporation Into Brazilian Unified Health System
Author(s)
Assunção-Costa L1, da Silva Barbosa L2, Machado JFF2
1Federal University of Bahia, Salvador, BA, Brazil, 2Instituto Nacional de Assistência Farmacêutica e Farmacoeconomia, Salvador, Brazil
Description: In 2022, a panel of experts and managers from Health Departments from four Brazilian states was held to discuss the challenges and perspectives for access to sacubril/valsartan in the new PCDT.
Lessons Learned: The main barriers pointed out by the panelists were: 1) the protocol inclusion criteria limits access to a large portion of patients due to the requirement of the BNP exam, which has a reimbursement valued by the Ministry of Health (R$27.00) much lower than the market value (R$650.00); 2) the age limitation up to 75 years; 3) differences in patient access to health services in each Brazilian state; 4) delay in the process for purchasing the pharmaceutical product; 5) excessive document requirements to receive the product; and 6) lack of dissemination and knowledge about PCDT for SUS physicians.
Stakeholder perspective: Panelists pointed out the main challenge is to equate these barriers and Improvement of communication in the implementation of PCDT in a country of continental dimensions.
Conference/Value in Health Info
Acceptance Code
CS2
Topic
Patient-Centered Research, Study Approaches
Topic Subcategory
Health State Utilities, Surveys & Expert Panels
Disease
sta-drugs