BUDGETARY CONSTRAINTS IN PUBLIC HEALTH POLICIES AND THEIR IMPACT ON THE CONTINUITY OF PATIENT TREATMENT

Authors

  • Márcio Egídio Pieretti Author
  • Igor Cesar da Silva Albanez Author
  • Livia Moreira da Silva Author
  • Alexandre Vendrame Bertucci Author
  • Thiago Gomes Figueira Author
  • André Wilian Lozano Author
  • Thaisa Silva de Sousa Author
  • Vinicius de Lima Lovadini Author

DOI:

https://doi.org/10.56238/arev8n2-095

Keywords:

Assistance Programs, Public Health, Health Management, Access to Medicines

Abstract

This study analyzes the management of healthcare assistance programs in Brazil, focusing on operational and administrative challenges that compromise the effectiveness of population care. The choice of theme is justified by the need to understand bottlenecks that prevent equitable access to health services, especially in contexts of health emergencies and chronic diseases. The main objective is to examine factors influencing the efficiency of pharmaceutical assistance programs and the economic impact of public health interventions. The methodology adopts an exploratory bibliographic approach, analyzing studies published between 2020 and 2025, prioritizing research addressing public policy evaluation, treatment costs, and access to medicines. Results show that service fragmentation, insufficient resources, and absence of standardized protocols compromise care continuity. It is concluded that reorganization of care flows and strengthening of primary care represent fundamental strategies to expand coverage and reduce inequities in the Brazilian health system.

Downloads

Download data is not yet available.

References

Aguiar, L., Frias, P., Quinino, L., & Miranda-Filho, D. (2021). Avaliação da implantação da resposta à emergência de saúde pública de microcefalia no Estado de Pernambuco, Brasil. Cadernos De Saúde Pública, 37(8). https://doi.org/10.1590/0102-311x00271020

Aquino, T. and Martinez, L. (2023). Programas assistenciais para medicamentos no Brasil nos últimos três anos (2019–2021): uso compassivo, acesso expandido e fornecimento de medicamento pós-estudo / Drug assistance programs in Brazil over the past three years (2019–2021): compassionate use, expanded access, and post-study drug supply. Arquivos Médicos Dos Hospitais E Da Faculdade De Ciências Médicas Da Santa Casa De São Paulo. https://doi.org/10.26432/1809-3019.2023.68.019

Bastos, P. and Vieira, R. (2021). Impacto Econômico do Tratamento de Pacientes com Dengue no Brasil: uma Revisão Sistemática. Ensaios E Ciência C Biológicas Agrárias E Da Saúde, 24(5-esp.), 678-683. https://doi.org/10.17921/1415-6938.2020v24n5-esp.p678-683

Cavallet, S. (2025). A intervenção do assistente social no apoio a familiares de dependentes químicos e no acesso a direitos. Revista Visão Gestão Organizacional, e3787-e3787. https://doi.org/10.33362/visao.v14i2.3787

Fernandes, V., Lima, V., Cesar, L., Damasceno, T., & Silva, C. (2021). COVID-19 – Plano de Enfrentamento para Serviços de Terapia Assistida em Doenças Autoimunes. Uniciências, 24(1), 71-74. https://doi.org/10.17921/1415-5141.2020v24n1p71-74

Gugulethu, J. (2024). Impact of a Mindfulness-Based Intervention on Stress and Burnout among Physical Education Teachers in South Africa. IJPERS, 2(1), 25-37. https://doi.org/10.47604/ijpers.2279

Hesswani, C., Avolio, P., Rompré‐Brodeur, A., Ghai, S., Anidjar, M., Kinnaird, A., … & Sánchez-Salas, R. (2025). Navigating Focal Therapy for Prostate Cancer: Contemporary Perspectives and Future Trajectories in the Canadian Context. Journal of Endourology, 39(S2), S29-S37. https://doi.org/10.1089/end.2024.0619

Kithuka, P., Kithuka, B., Mekala, E., Mutua, I., Idris, A., & Omondi, E. (2025). Health System Factors Influencing the Effectiveness of Mobile Phone Platforms in Promoting Treatment Compliance among Patients with Non-Communicable Diseases in LMICs: A Systematic Review. International Journal of Research and Scientific Innovation, XII(XV), 1269-1280. https://doi.org/10.51244/ijrsi.2025.1215000105p

Niyang, M., Gobir, B., Dave-Agboola, I., Shallangwa, J., Zaharaddeen, M., Zubayr, B., … & Ogundehin, D. (2025). Establishing effective partnerships among case managers and clinicians to improve linkage to and engagement in HIV care: A scoping review. https://doi.org/10.1101/2025.05.10.25327371

Oliveira, V. and Carnut, L. (2021). Eficiência administrativa relacionada à condução do paciente oncológico desde o diagnóstico ao tratamento no Sistema Único de Saúde. JMPHC | Journal of Management & Primary Health Care | Issn 2179-6750, 12(spec), 1-2. https://doi.org/10.14295/jmphc.v12.1082

Robinson, T., Govan, L., Bradley, C., & Rossiter, R. (2024). Transforming health care delivery: The role of primary health care nurses in rural and remote Australia. Australian Journal of Rural Health, 32(3), 592-596. https://doi.org/10.1111/ajr.13120

Santos, C., Gonçalves, C., Tsuha, D., Souza, A., & Barbieri, A. (2020). Relação entre internações, óbitos por doenças do aparelho circulatório e estrutura dos serviços. Cadernos Saúde Coletiva, 28(2), 211-222. https://doi.org/10.1590/1414-462x202000020476

Santos, K., Ramos, A., Pinto, L., Amate, C., & Fontenele, R. (2023). Formação em medicina de família e comunidade: avanço ou desafio para a saúde coletiva no Brasil?. Revista Recien - Revista Científica De Enfermagem, 13(41), 854-863. https://doi.org/10.24276/rrecien2023.13.41.854-863

Silva, M. (2023). Editorial – Revista Ambiente Contábil – Volume 15 – Número 1 – Ano 2023 (Jan./Jun. 2023). Revista Ambiente Contábil - Universidade Federal Do Rio Grande Do Norte - Issn 2176-9036, 15(1). https://doi.org/10.21680/2176-9036.2023v15n1id31203

Silva, M., Santana, I., Silva, E., & Pereira, K. (2025). Entre direitos fundamentais e limitações estatais. Unifunec Científica - Multidisciplinar, 14(16), 1-8. https://doi.org/10.24980/ucm.v14i16.6327

Thapaliya, S. (2025). Evaluating the Role of Community Awareness and Screening Programs in Reducing the Breast Cancer Mortality Rates in Nepal. Barun J., 2, 26-35. https://doi.org/10.3126/barunj.v2i01.78306

Published

2026-02-09

Issue

Section

Articles

How to Cite

PIERETTI, Márcio Egídio; ALBANEZ, Igor Cesar da Silva; DA SILVA, Livia Moreira; BERTUCCI, Alexandre Vendrame; FIGUEIRA, Thiago Gomes; LOZANO, André Wilian; DE SOUSA, Thaisa Silva; LOVADINI, Vinicius de Lima. BUDGETARY CONSTRAINTS IN PUBLIC HEALTH POLICIES AND THEIR IMPACT ON THE CONTINUITY OF PATIENT TREATMENT. ARACÊ , [S. l.], v. 8, n. 2, p. e12084, 2026. DOI: 10.56238/arev8n2-095. Disponível em: https://periodicos.newsciencepubl.com/arace/article/view/12084. Acesso em: 15 apr. 2026.