0264/2025 - Política Nacional de Assistência Farmacêutica e Covid-19: análise do enfrentamento da pandemia no estado de São Paulo. National Pharmaceutical Assistance Policy and COVID-19: analysis of the pandemic response in the state of São Paulo.
A Política Nacional de Assistência Farmacêutica (PNAF) é definida pelo Conselho Nacional de Saúde como fundamental para a concretização do direito constitucional à saúde. É uma política transversal e intersetorial, que atua articulando gestores estaduais e municipais nos diferentes níveis de atenção do Sistema Único de Saúde (SUS). O objetivo foi identificar e analisar os aspectos da Assistência Farmacêutica (AF) no enfrentamento da Covid-19 no estado de São Paulo na visão dos gestores locais e regionais do SUS, a partir da PNAF. É um estudo de método misto, de múltiplos casos, com questionários estruturados quantitativos e entrevistas qualitativas semiestruturadas. Obteve-se respostas de 255 gestores municipais (39,5%) representando 29.039.968 habitantes (65,4% da população), e 14 diretores regionais de saúde (82% dos DRS). O estudo identifica e analisa ‘Quais as contribuições da PNAF no enfrentamento da pandemia de Covid-19 no estado de São Paulo?’ Nos resultados, observou-se: atuação conjunta dos entes federados, descentralização de ações da AF, acesso e uso racional de medicamentos, uso irracional de medicamentos do kit covid, tensões entre gestores, prescritores, profissionais da AF e usuários, e dificuldades no abastecimento.
Palavras-chave:
política nacional de assistência farmacêutica, covid-19, SUS, política de saúde, assistência farmacêutica
Abstract:
The National Pharmaceutical Services Policy (PNAF) is defined by the National Health Council as fundamental to the realization of the constitutional right to health. It is a cross-cutting and intersectoral policy that coordinates state and municipal managers at different levels of care in the Unified Health System (SUS). The objective was to identify and analyze the aspects of Pharmaceutical Services (AF) in the fight against Covid-19 in the state of São Paulo from the perspective of local and regional SUS managers, based on the PNAF. This is a mixed-method, multiple-case study with structured quantitative questionnaires and semi-structured qualitative interviews. Responses were obtained from 255 municipal managers (39.5%) representing 29,039,968 inhabitants (65.4% of the state population), and 14 regional health directors (82% of the Health Regions). The study identifies and analyzes ‘What are the contributions of the PNAF to addressing the Covid-19 pandemic in the state of São Paulo?’ The results revealed: joint action by federal entities, decentralization of AF, access to and rational use of medicines, irrational use of medicines from the COVID kit, tensions between managers, prescribers, pharmaceutical professionals and users, and supply difficulties.
Keywords:
pharmaceutical policy, covid-19, unified health system, health policy, pharmaceutical services
National Pharmaceutical Assistance Policy and COVID-19: analysis of the pandemic response in the state of São Paulo.
Resumo (abstract):
The National Pharmaceutical Services Policy (PNAF) is defined by the National Health Council as fundamental to the realization of the constitutional right to health. It is a cross-cutting and intersectoral policy that coordinates state and municipal managers at different levels of care in the Unified Health System (SUS). The objective was to identify and analyze the aspects of Pharmaceutical Services (AF) in the fight against Covid-19 in the state of São Paulo from the perspective of local and regional SUS managers, based on the PNAF. This is a mixed-method, multiple-case study with structured quantitative questionnaires and semi-structured qualitative interviews. Responses were obtained from 255 municipal managers (39.5%) representing 29,039,968 inhabitants (65.4% of the state population), and 14 regional health directors (82% of the Health Regions). The study identifies and analyzes ‘What are the contributions of the PNAF to addressing the Covid-19 pandemic in the state of São Paulo?’ The results revealed: joint action by federal entities, decentralization of AF, access to and rational use of medicines, irrational use of medicines from the COVID kit, tensions between managers, prescribers, pharmaceutical professionals and users, and supply difficulties.
Palavras-chave (keywords):
pharmaceutical policy, covid-19, unified health system, health policy, pharmaceutical services
Bigal, AL, Tofani, LFN, Andreazza, R, Tureck, F, Freire, MP, Bragagnolo, LM, Chioro, A. Política Nacional de Assistência Farmacêutica e Covid-19: análise do enfrentamento da pandemia no estado de São Paulo.. Cien Saude Colet [periódico na internet] (2025/jul). [Citado em 27/01/2026].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/politica-nacional-de-assistencia-farmaceutica-e-covid19-analise-do-enfrentamento-da-pandemia-no-estado-de-sao-paulo/19740?id=19740&id=19740
