{"id":2076,"date":"2024-02-26T09:36:51","date_gmt":"2024-02-26T12:36:51","guid":{"rendered":"https:\/\/pequenoprincipe.org.br\/newsano8\/en\/?p=2076"},"modified":"2024-02-27T09:55:53","modified_gmt":"2024-02-27T12:55:53","slug":"law-sanctioned-in-january-provides-for-annual-readjustment-of-services-provided-by-the-sus-brazilian-public-health-system","status":"publish","type":"post","link":"https:\/\/pequenoprincipe.org.br\/newsano8\/en\/1\/law-sanctioned-in-january-provides-for-annual-readjustment-of-services-provided-by-the-sus-brazilian-public-health-system\/","title":{"rendered":"Law sanctioned in January provides for annual readjustment of services provided by the SUS (Brazilian Public Health System)"},"content":{"rendered":"\n

In January, the federal government sanctioned Law 14,820, which establishes the annual readjustment of services provided to the Brazilian Public Health System (SUS, abbreviation in Portuguese). Under the new legislation, proposed by congressman Antonio Brito (from the PSD party, Bahia state), in December of each year, the Ministry of Health must define the percentage of correction that will come into force over the following 12 months. These values will be discussed and approved by the National Health Council, a body made up of representatives of users, workers, SUS managers and service providers. The change in the law is a historic achievement, especially for philanthropic hospitals, which provide the majority of care via SUS in Brazil and face many financial difficulties due to healthcare underfunding.<\/p>\n\n\n\n

In the country, around 75% of the population depends on the SUS to have their rights to health and life guaranteed. Alone, public hospitals cannot assist the more than 150 million Brazilians who depend on the public system. And that\u2019s where philanthropic hospitals, like Pequeno Pr\u00edncipe, come in.<\/p>\n\n\n\n

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Under valuation<\/strong><\/p>\n\n\n\n

Despite its unquestionable relevance to the health sector, philanthropic organizations face serious financial problems due to the large delay in SUS payments. From 1994 to date, the fee table has had an average adjustment of 94%, while the National Consumer Price Index was adjusted by 636%, according to the Confederation of Santas Casas de Miseric\u00f3rdia<\/em>, Hospitals and Philanthropic Entities.<\/p>\n\n\n\n

In addition to the discrepancy in prices charged, the reference values were established in the 1980s and are based on the average cost of medicine practiced at that time. But medicine has advanced, and many new medications and procedures that have emerged since then have not been considered in the composition of these values. In other words, even if the transfers had received adequate inflationary correction, they would not be in accordance with the medicine practiced today, which has incorporated new technologies, making its practice more expensive.<\/p>\n\n\n\n

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Additional costs<\/strong><\/p>\n\n\n\n

Considering pediatric care, there are other elements that contribute to increased costs and are fundamental. Children are entitled to be hospitalized with a companion by their side. This person, however, needs to eat while in the Hospital. The companion also needs to maintain hygiene, needs a suitable environment to rest, and often requires psychological support. All these needs are not fully included in the amounts offered by SUS.<\/p>\n\n\n\n

Another example is the manipulation of medication doses. While in a hospital for adults it is possible, for example, to offer medication in the dosage in which it is made available by the pharmaceutical industry, for children it is usually necessary to divide it, adapting the dose to the patient\u2019s weight. Pequeno Pr\u00edncipe caters for children with weights ranging from less than 1kg to more than 100kg. The dose of each medication is calculated and prepared in the pharmacy for each child, thus ensuring safety in supply. Each month, an average of 800,000 doses are prepared, requiring the Hospital\u2019s pharmacy to have a greater number of employees, meaning more costs for the institution.<\/p>\n\n\n\n

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Challenge<\/strong><\/p>\n\n\n\n

This reality, added to other difficulties faced by the sector, such as the health insurance crisis, has made closing the accounts of philanthropic institutions increasingly challenging. And it is in this scenario that the new law presents itself as a positive perspective for the financial recovery of services provided via SUS. A historic achievement that represents the realization of a joint effort involving the mobilization of sector representatives and the commitment of parliamentarians from the National Congress and the federal government to minimize the chronic problem caused by SUS underfunding.<\/p>\n\n\n\n

\u201cI read the new rule as an opportunity for organizations that have a deep commitment to quality, especially for nationally renowned teaching and research hospitals,\u201d assesses the CEO of Pequeno Pr\u00edncipe Complex, Jos\u00e9 \u00c1lvaro da Silva Carneiro.<\/p>\n\n\n

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Historic achievement minimizes delay in transfers to philanthropic hospitals, such as Pequeno Pr\u00edncipe<\/p>\n","protected":false},"author":2,"featured_media":2093,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[1],"tags":[],"class_list":["post-2076","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-1","entry"],"acf":[],"_links":{"self":[{"href":"https:\/\/pequenoprincipe.org.br\/newsano8\/en\/wp-json\/wp\/v2\/posts\/2076","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pequenoprincipe.org.br\/newsano8\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pequenoprincipe.org.br\/newsano8\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pequenoprincipe.org.br\/newsano8\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pequenoprincipe.org.br\/newsano8\/en\/wp-json\/wp\/v2\/comments?post=2076"}],"version-history":[{"count":2,"href":"https:\/\/pequenoprincipe.org.br\/newsano8\/en\/wp-json\/wp\/v2\/posts\/2076\/revisions"}],"predecessor-version":[{"id":2105,"href":"https:\/\/pequenoprincipe.org.br\/newsano8\/en\/wp-json\/wp\/v2\/posts\/2076\/revisions\/2105"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pequenoprincipe.org.br\/newsano8\/en\/wp-json\/wp\/v2\/media\/2093"}],"wp:attachment":[{"href":"https:\/\/pequenoprincipe.org.br\/newsano8\/en\/wp-json\/wp\/v2\/media?parent=2076"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pequenoprincipe.org.br\/newsano8\/en\/wp-json\/wp\/v2\/categories?post=2076"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pequenoprincipe.org.br\/newsano8\/en\/wp-json\/wp\/v2\/tags?post=2076"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}