Comparative analysis of pharmaceutical assistance policies between Brazil and Cuba: an integrative review

Introduction: Brazil and Cuba have universal health systems, heavily financed and regulated by the public sector. This study aims to compare the national health systems of Brazil and Cuba, focusing on the respective Pharmaceutical Assistance Policies. Methodology: this is an integrative review of th...

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Detalles Bibliográficos
Autores: Paladini, Sheyla Velasques, Rocha, Cristianne Maria Famer, Petersen, Leticia Lassen
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:Brasil
Institución:Fundação Oswaldo Cruz (FIOCRUZ)
Repositorio:Cadernos Ibero-Americanos de Direito Sanitário (Online)
Idioma:portugués
OAI Identifier:oai:ojs.cadernos.prodisa.fiocruz.br:article/407
Acceso en línea:https://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/407
Access Level:acceso abierto
Palabra clave:Assistência Farmacêutica
Políticas de Saúde
Saúde Pública
Pharmaceutical Assistance
Health Policies
Public Health
Asistencia Farmacéutica
Políticas de Salud
Salud Pública
Descripción
Sumario:Introduction: Brazil and Cuba have universal health systems, heavily financed and regulated by the public sector. This study aims to compare the national health systems of Brazil and Cuba, focusing on the respective Pharmaceutical Assistance Policies. Methodology: this is an integrative review of the literature. Results: 48 Cuban articles and 171 Brazilian articles were found. After analysis, 5 Cuban articles on Pharmaceutical Assistance Policies in Cuba and 21 Brazilian articles on Pharmaceutical Assistance Policy in Brazil were selected. Discussion: despite of the cultural, historical, geographical, etc, differences both are developing countries with national health systems whose purpose is universal and the access is free . Nevertheless, these systems have sound  differences in economic and governance aspects, which may explain Cuba's superior results in indicators of public health and quality of life. Conclusion: In Cuba, medicines are provided by the State. In Brazil, medicines can be directly supplied under the terms of the respective National Drug Policy and Pharmaceutical Assistance Policy, or purchased in private pharmacies subsidized by programs such as the Popular Pharmacy. In this sense, the Brazilian system is more complex, which makes it more susceptible to governance failures and market failures.