Abstract:
OBJECTIVE:The expense of acquiring antiretroviral drugs in Brazil has given rise to debate about the sustainability of the policy of universal access to AIDS medications, despite the evident benefits. The objective of this study was to analyze the evolution of the Ministry of Health's spending on acquiring antiretroviral drugs from 1998 to 2005, the determining factors and the medium-term sustainability of this policy (2006-2008). METHODS:The study on the evolution of spending on antiretrovirals included analysis of their prices, the year-by-year expenditure, the number of patients utilizing the medication, the mean expenditure per patient and the strategies for reducing the prices maintained during this period. To analyze the sustainability of the policy for access to antiretrovirals, the cost of acquiring the drugs over the period from 2006 to 2008 was estimated, along with the proportion of gross domestic product and federal health expenditure represented by this spending. The data were collected from the Ministry of Health, the Brazilian Institute for Geography and Statistics (IBGE) and the Ministry of Planning. RESULTS:The expenditure on antiretrovirals increased by 66% in 2005, breaking the declining trend observed over the period from 2000 to 2004. The main factors associated with this increase were the weakening of the national generics industry and the unsatisfactory results from the process of negotiating with pharmaceutical companies. CONCLUSIONS:The Brazilian policy for universal access is unsustainable at the present growth rates of the gross domestic product, unless the country compromises its investments in other fields.
journal_name
Rev Saude Publicajournal_title
Revista de saude publicaauthors
Grangeiro A,Teixeira L,Bastos FI,Teixeira Pdoi
10.1590/s0034-89102006000800009subject
Has Abstractpub_date
2006-04-01 00:00:00pages
60-9eissn
0034-8910issn
1518-8787pii
S0034-89102006000700009journal_volume
40 Supplpub_type
杂志文章abstract:OBJECTIVE:To evaluate the effects of acute exposure to air pollutants (NO2 and PM10) on hospitalization of adults and older people with cardiovascular diseases in Western São Paulo. METHODS:Daily cardiovascular-related hospitalization data (CID10 - I00 to I99) were acquired by the Department of Informatics of the Braz...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S1518-8787.2017051006495
更新日期:2017-03-02 00:00:00
abstract:OBJECTIVE:To assess whether the incidence of hospital infection by a resistant microorganism decreased after the implementation of the restrictive measure of the National Health Surveillance Agency for the commercialization of antimicrobials. METHODS:A historical cohort study of medical records of adult patients admit...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2019053000879
更新日期:2019-08-19 00:00:00
abstract:OBJECTIVE:To assess the behavior of induced abortion as a function of certain demographic variables, for the population of fertile women (15 to 49 years old) residing in the Vila Madalena subdistrict S. Paulo (Brazil). MATERIAL AND METHOD:Two population samples were selected. One sample, with 996 women, investigated t...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101998000100002
更新日期:1998-02-01 00:00:00
abstract:OBJECTIVE:To analyze the association between dietary patterns and oral cancer. METHODS:The study, part of a Latin American multicenter hospital-based case-control study, was conducted in São Paulo, Southeastern Brazil, between November 1998 and March 2002 and included 366 incident cases of oral cancer and 469 controls...
journal_title:Revista de saude publica
pub_type: 杂志文章,多中心研究
doi:10.1590/s0034-89102007000100004
更新日期:2007-02-01 00:00:00
abstract:INTRODUCTION:Depression is the leading cause of disability around the world, and it has been increasingly affecting young people. This study evaluates the prevalence and factors associated with major depression in university students, with emphasis on the influence of the academic field, chosen study area and the envir...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2020054001540
更新日期:2020-01-31 00:00:00
abstract:OBJECTIVE:To evaluate the quality of information registered on fetal death certificates. METHODS:Records were reviewed from 710 fetal deaths registered in the consolidated database of deaths from the State System for Data Analysis and the São Paulo State Secretary of Health, for deaths in São Paulo municipality (South...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102011005000058
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVE:To study trends of dissertation and thesis production in workers' health in Brazil. METHODS:Observation units were dissertations and theses developed by Brazilian researchers in national and foreign graduate programs. Theses and dissertations were identified in previously compiled works, LILACS and Capes dat...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000400015
更新日期:2006-08-01 00:00:00
abstract::A preliminary note on an outbreak of dengue which occurred in the city of Ribeirão Preto, State of S. Paulo, Brazil, from November 1990 to March 1991, is given. One case of Level II Dengue Hemorrhagic Fever/Dengue Shock Syndrome (DHF/DSS) and two deaths associated with dengue related shock are described. Clinicians an...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101991000400011
更新日期:1991-08-01 00:00:00
abstract:OBJECTIVE:To describe the adaptation to Portuguese of the short version of the "job stress scale", originally in English. METHODS:We evaluate six aspects of equivalence between the original scale and the Portuguese version: conceptual, semantic, operational, item, measurement, and functional equivalences. A reliabilit...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102004000200003
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVES:To identify and measure the risk of malnutrition associated to determining indicators of mother's ability of childcare: familial structure, education level, work, maternal physical and mental health. METHODS:A case-control study was performed. Cases (101 children whose weight/age was below 5th percentile) a...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102002000200011
更新日期:2002-04-01 00:00:00
abstract::This article presents a systematic framework for modeling several classes of illness-sickness-disease named as Holopathogenesis. Holopathogenesis is defined as processes of over-determination of diseases and related conditions taken as a whole, comprising selected facets of the complex object Health. First, a conceptu...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2014048005196
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of hospitalizations and to identify characteristics associated with hospital admission. METHODS:We carried out a population-based cross-sectional study of subjects of both sexes, aged 20-69 years, and who lived in the urban area of Pelotas, Southern Brazil, between 1999 and 2000. S...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010005000026
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of the contraindicated use of oral contraceptives and the associated factors in Brazilian women. METHODS:20,454 women who answered the VIGITEL survey in 2008 also participated in this study, of which 3,985 reported using oral contraceptives. We defined the following conditions for ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S1518-8787.2017051006113
更新日期:2017-01-12 00:00:00
abstract:OBJECTIVE:The study aims to characterize and discuss the processes of patient and public involvement (PPI) in the Brazilian Health Regulatory Agency (Anvisa), the National Committee for Health Technology Incorporation (Conitec), and the National Agency for Supplementary Health (ANS) in Brazil. METHODS:This is an explo...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2020054002453
更新日期:2020-12-11 00:00:00
abstract:INTRODUCTION:Mortality data are important for monitoring violence, making it possible to assess the trends and the impact of interventions towards its reduction. The objective of the study is to assess the quality of the filling out and codification of the death certificates for unspecified accidents and events of unde...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101999000300008
更新日期:1999-06-01 00:00:00
abstract::This paper presents epidemiological and control characteristics of yellow fever in Brazil, taking its wild and urban transmission cycles into consideration. No urban cases have been reported in Brazil since 1942, but urban yellow fever cases were reported in Paraguay in 2008, after more than 50 years without registere...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010005000014
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVE:To assess spatial distribution of risks for work-related injuries controlled for nutritional variables and other covariables. METHODS:Hospital-based spatial case-control study with work-related injuries spatial distribution as the main variable of interest. A total of 794 workers were selected between May an...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102008000200014
更新日期:2008-04-01 00:00:00
abstract:OBJECTIVE:To examine the association between tooth loss and general and central obesity among adults. METHODS:Population-based cross-sectional study with 1,720 adults aged 20 to 59 years from Florianópolis, Southern Brazil. Home interviews were performed and anthropometric measures were taken. Information on sociodemo...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102012000500010
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVE:To identify the main socioeconomic, demographic, anthropometric and behavioral characteristics, and pregnancy outcomes of adolescent pregnancy and to assess health services used by pregnant adolescents. METHODS:Data were collected from a cross-section of 2,429 deliveries by women residing in the municipality...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102003000500003
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVE:To analyze adherence to the Food Guide for the Brazilian Population. METHODS:Sample composed of participants in the Health Survey for Sao Paulo (n = 1,661) who completed two non-consecutive 24-hour recalls. A bivariate mixed model was created for the ratio of energy from a food group and total energy intake....
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2013047004637
更新日期:2013-12-01 00:00:00
abstract::OBJECTIVE To describe drug consumption and the co-occurrence use of more than one illegal drug as well as associated factors in freshmen at a public university in Southern Brazil. METHODS Cross-sectional study with census of students entering undergraduate courses in 2017. A total of 1,788 university students answered...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2020054002176
更新日期:2020-01-01 00:00:00
abstract::The possible correlations between infant mortality statistics and those statistics related to the real value of the legal minimum salary and those on the extent of the public water supply system for the city of Sao Paulo, Brazil over the last 3 decades were studied with a view to determining the relationship between t...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101982000100002
更新日期:1982-02-01 00:00:00
abstract::The study aimed to apply the National Economic Indicator on data from a cross-sectional population-based study (nw =2,197) in the city of Ribeirão Preto, Southeastern Brazil, in 2006. Compared to Brazil, the indicator presented a concentration around the last five deciles and was similar to that of the municipality of...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010000600022
更新日期:2010-12-01 00:00:00
abstract::For the first time, preferential predation of larvae and pupae of Simuliidae by the crustacean, Aegla platensis Schmitt, 1942, was observed in the field and in the laboratory. Field observations and collections were done in the Carpintaria stream, Dois Irmãos, Country Rio Grande do Sul, Brazil. The possibility of usin...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101989000300012
更新日期:1989-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of the Family Health Strategy on infant mortality surveillance. METHODS:An ecologic study was performed with a multiple group design, and the unit of analysis was municipalities in Bahia state (Northeastern Brazil) in 2008. The 3,947 deaths analyzed were obtained from the Mortality Inf...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102011005000081
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVES:Psychiatric hospitalization though burdensome remains a very important therapeutic option for severely-ill psychiatric patients. Hospitalization in general hospital psychiatry units (GHPU) are often regarded as the best option. A study was carried out with the purpose of assessing socioeconomic and medical v...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102003000500013
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVE:To quantify the occurrence of deaths directly associated with urban violence among fatal work-related accidents. METHODS:Verbal autopsies were performed with the relatives and coworkers of residents of Campinas, state of São Paulo, Brazil, who died from external causes in 2015. We have also analyzed police r...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2017051000296
更新日期:2017-12-11 00:00:00
abstract::A rabbit kidney cell line RC-IAL, isolated in 1976 and at present at 150a passage, has had its characteristics analysed. The cells presented morphology similar to fibroblasts throughout their culture. The cellular growth proportion remained unaltered from its isolation, with a cloning efficiency of around 9%. The line...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101992000600004
更新日期:1992-12-01 00:00:00
abstract:OBJECTIVE:To assess job satisfaction and work impact among providers of a mental health service and their potential association with sociodemographic and job-related variables. METHODS:A cross-sectional study was carried out in 321 employees of a long-stay mental health service in Rio de Janeiro, Southeastern Brazil, ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102007000200011
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVE:To investigate the interrelationships between sociodemographic, behavioral and clinical factors associated with high blood pressure in a population of Brazilian adults. METHODS:Data from a cross-sectional population-based study conducted with adults were used. In the hypothetical model developed socioeconomi...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2020054002123
更新日期:2020-12-16 00:00:00