Impacts of implementing a reference center in special nutritional formulae
- Paulo Picon
- 1 de mar. de 2010
- 2 min de leitura
Atualizado: 31 de out. de 2022
Impactos da implementação de um centro de referência em fórmulas nutricionais especiais
Jaqueline da Silva Fink1,
Elza Daniel de Mello2,
Paulo Dornelles Picon3
Revista da AMRIGS, Porto Alegre, 54 (2): 133-140, jan.-mar. 2010
ABSTRACT
Introduction: In 2005, the Center of Reference (CR) for Consultancy in Nutritional Special Formulas was created in the State of Rio Grande do Sul in order to technically evaluate the requests for special nutritional formulas (SNF) made by SUS users to the State Department of Health. The aim of this study is to compare the characteristics of applications and users and to estimate costs in both periods after implementation of the CR in the state of RS.
Methods: The research unit was each requested SNF. The comparison groups were composed of all requests evaluated in the first (period 1 / n = 1077) and third (period 2 / n = 944) years of the CR.
Results: Increased proportion of court orders (p<0.001), improvement of the fulfillment of orders (p<0.001) and of the percentage of approvals of applications for SNF (p<0.001) for more users (p=0.004). There were increased requests for malnourished (p = 0.002) and elderly (p<0.001) and decreased duplications of requests in the period (p<0.001). The estimated cost per user declined from US$ 8,742 to US$ 6,297.
Conclusions: The implementation of this CR has helped to improve the process to request and review applications for SNF, reflecting more favorable ratings in the supply of formulas, to more users and at lower costs.
1 Mestre em Ciências Médicas, UFRGS.
2 Doutora em Pediatria, UFRGS. Professora da Faculdade de Medicina, UFRGS. Chefe do Serviço de Nutrologia do Hospital de Clínicas de Porto Alegre.
3 Doutor em Medicina, UFRGS. Professor da Faculdade de Medicina, UFRGS. Coordenador da Política de Assistência Farmacêutica da Secretaria Estadual de Saúde do Rio Grande do Sul.
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