0137/2023 - Prescrição, oferta e acesso aos medicamentos para disfunção erétil: um paradoxo na saúde pública? Prescription, offer and access to medications for erectile dysfunction: a paradox in public health?
Trata-se de um artigo embasado em opinião que procura refletir sobre o antagonismo estabelecido entre a Política Nacional de Atenção Integral à Saúde do Homem - PNAISH com o recorte específico para DE (Disfunção Erétil) direcionado ao acesso de medicamentos. É notório que a PNAISH apresenta objetivos que vão além da saúde sexual e reprodutiva, sobretudo, mesmo após 13 anos de sua publicação, não houve incorporação de medicamentos para tratar DE no âmbito SUS. O artigo foi desenvolvido com base no cenário observado no dia a dia de atendimento aos pacientes que recebem cuidados no Serviço Ambulatorial da Saúde Masculina de um Hospital de Alta Complexidade. Isto por constatar a dificuldade dos médicos em prescreverem medicamentos para DE, por ausência de padronização no contexto SUS. Importante ressaltar, nesta perspectiva, que a prescrição de medicamentos no âmbito SUS deve seguir fidedignamente a Rename; conforme preconiza o Decreto 7508 e, se atentar à Resolução SS-83 de 2015, vigente no estado de São Paulo. Ela estabelece que o custo da dispensação de medicamentos não contemplados na Rename, por meio da judicialização, prescritos por médico da rede estadual de saúde, poderá ser custeado pela instituição ao qual este esteja vinculado.
Palavras-chave:
Disfunção Erétil, Prescrição de Medicamentos, Saúde do Homem, Política de Saúde
Abstract:
This is an opinion-based article that aims to reflect on the antagonism established between the National Policy of Integral Attention to Men\'s Health - PNAISH with specific focus on ED (Erectile Dysfunction), directed to access to medication. It is well-known that PNAISH presents objectives that go beyond sexual and reproductive health, especially, even after 13 years of its publication, since there was no incorporation of medications to treat ED within the SUS. This article was developed based on the scenario observed in the daily care of patients who undergo treatment in the Men\'s Health Outpatient Service of a High-Complexity Hospital. According to this perspective, it is important to emphasize, that the prescription of medications within the SUS should faithfully follow the Rename; as recommended by Decree 7508, observing the Resolution SS-83 of 2015, in the state of São Paulo. This establishes that the cost of dispensing medications not included in the SUS pharmaceutical assistance protocols, through judicialization, prescribed by a physician in the state health network, may be funded by the institution to which this physician is affiliated.
Keywords:
Erectile Dysfunction, Drug Prescriptions, Men´s Health, Health Policy
Prescription, offer and access to medications for erectile dysfunction: a paradox in public health?
Resumo (abstract):
This is an opinion-based article that aims to reflect on the antagonism established between the National Policy of Integral Attention to Men\'s Health - PNAISH with specific focus on ED (Erectile Dysfunction), directed to access to medication. It is well-known that PNAISH presents objectives that go beyond sexual and reproductive health, especially, even after 13 years of its publication, since there was no incorporation of medications to treat ED within the SUS. This article was developed based on the scenario observed in the daily care of patients who undergo treatment in the Men\'s Health Outpatient Service of a High-Complexity Hospital. According to this perspective, it is important to emphasize, that the prescription of medications within the SUS should faithfully follow the Rename; as recommended by Decree 7508, observing the Resolution SS-83 of 2015, in the state of São Paulo. This establishes that the cost of dispensing medications not included in the SUS pharmaceutical assistance protocols, through judicialization, prescribed by a physician in the state health network, may be funded by the institution to which this physician is affiliated.
Palavras-chave (keywords):
Erectile Dysfunction, Drug Prescriptions, Men´s Health, Health Policy
Godoi, A. L, Facio Junior, F.N. Prescrição, oferta e acesso aos medicamentos para disfunção erétil: um paradoxo na saúde pública?. Cien Saude Colet [periódico na internet] (2023/mai). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/prescricao-oferta-e-acesso-aos-medicamentos-para-disfuncao-eretil-um-paradoxo-na-saude-publica/18763?id=18763&id=18763
