Governance of pharmaceutical care |
|
“I filed (the process). A long time passed and they returned the process to me... I had to change (the prescription) for the simple one. There in the office they were not serving private prescriptions and my prescription was from Ipasgo (health plan)... and I already had it here (by administrative process) and I was accredited by Ipasgo. It’s the same doctor, who has never changed... this business of changing the prescription is very difficult. You go, you have to call, make an appointment... and the doctor will only repeat the prescription.” Public-G “This question of prescription I think is impractical. Why?... People go to the Cais, take up space, waste time, waste the doctor’s time... take the place of someone who could be doing that there... wandering often cause such inconvenience to the patient as for the government... If it was modernized, less money would be spent, there would be more doctors.” Private-G “She received it fast... The problem I found was that when she was admitted there, the Ursacol she uses couldn’t be just that name. The presription had to be changed, it had to be ursacoluso (ursodeoxycholic acid).” Public-G “The drug is for continuous use... it is forever, it’s until you die!... That this record exists, for example, in the units, so that you know that... at the beginning of every month, so-and-so, so-and-so, so-and-so, will be here looking for medication... So be ready! Now send the report!... As soon as you type there... Ok, your medication is here, it’s reserved, almost with your name on the box.” Public-G “If they would make it easier... this distribution, because it’s all in the municipality... For example, here there are times when we can’t get syringes. And there are syringes at the municipal health unit, but they don’t give syringes because I don’t take NPH insulin there... I think it’s so lacking to do everything in one place, to organize, even to save money, save time, save employees.” Private-G “I think it’s wrong for everyone to get (medication) here at this pharmacy. It could make it easier for all patients to transport them to the health posts, pick up at the health posts closest to our residence.” Private-G “They should decentralize this (administrative supply of medication), have more units... We live reasonably close, but there are certainly people who live farther away.” Public-G |
Governance of the health sector |
|
“I need the medical report, but I can’t because there’s no doctor where we live... You have to make an appointment at 0800... If you call from a normal cell phone, you can’t. Look for a pay phone, don’t you think. Understood? We face a lot of difficulty.” Public-G “The girl said I needed a recent prescription and I don’t have it. So I think I won’t be able to get the medicine... it’s going to be very difficult... and that’s where the medicines they gave are gone.” Public-G “If they asked for the prescription, but kept giving the medicine until you brought it, you wouldn’t be without the medicine. Sometimes I make an appointment for my mother in six months. Three months without taking the medicine... she can’t stop taking it for one day!” Public-G “Both the SUS and private prescriptions should be accepted to get medication. Because? Because many times you see your relative, your father dying there and you don’t have the care. You get there to make an appointment, make an appointment for three, four months, a surgery in a year... At the time, everyone pays, the family gets together to pay for a private appointment. Then you get the prescription and you can’t afford to buy a medication.” Private-G “They make it very clear, it has to be a SUS prescription... I think it’s wrong because we often pay for a plan, it’s not because we want to be better than others, it’s because the person really needs it... if (father) get sick and goes to SUS he will die. So we do everything, we give up a lot to be able to have this plan.” Private-G “I used to do my son’s private treatment, but it started to be very expensive. I started and went back to the public network... but it wasn’t as effective as being in private, so we decided to go back again... Not very satisfied, I thought: There must be some way for me to get this treatment for my son... which is borne by the government.” Private-G “If the person pays for a health plan, it is a sign that the Unified System is not working, at least on the part of doctors. Many people prefer to get the drug in the Unified System which, despite taking a long time, you can do it.” Private-G “With this PSF (Family Health Program) business, either you are assisted at that health center or you are not assisted. I think that’s bad, because if a person left one place and is going to another, it’s for practicality, it’s because it’s emptier, because of the education of those who are serving you, because of the quality of the professional who is working there... The government took away this possibility of the person choosing.” Private-G “Here (Pharmacy) there are days when... it’s crowded... there’s no employee... There’s a competition, but they don’t call people. Then there is a lack of employees and they have to split into ten to do everything here. We see that it’s not them... I’ve never been underserved here... I think what’s needed is for the government to invest more. Just like the time it flooded... it’s a place that stores medicine, you have to be more affectionate, because these medicines are very expensive... They have to do their best, but when they try to do it, they don’t have the means. Then it gets hard!” Private-G “My (private) doctor every month... gives a lecture... on a new subject... This week we had a lecture by a dentist talking about what care a diabetic has to take with their mouth. So, it’s something the government has available, there’s a doctor who knows about this, there’s a dentist who knows how to talk about what we have to have... We need to look for the private service.” Private-G “Who owns the money? Us. Who is managing the money that so-and-so and so-and-so come to get these medications every month? Will it cost a hundred thousand? So every month there has to be a hundred thousand for these people, apart from the new ones.” Public-G “We are very abandoned by the government... the doctors’ business, all that stuff, health in general... We watch it on television every day.” Public-G “As much from diabetes as it should have from any other health problem, having the diabetes sector. Where there are people who are giving lectures, bringing knowledge, because one thing is for the mother to say, another thing is for the child to hear from a professional... it is important for us to have quality of life, there would be fewer people who would be sick... problem of gums, speech therapist, cardiovascular has several consequences. People that once a month wouldn’t be difficult, it wouldn’t be any aberration for the government.” Private-G |
|
“The Unified Health System, the program itself, in theory, on paper, it’s very beautiful, in practice it’s not... Doctors won’t work, when you start to create... the bond.... disappears, doesn’t gives justification... They disappear with the files... the fault of poorly prepared, rude attendants.” Public-G “Unfortunately, today, things work like this: there are things, there are places you go that work very well and there are places you go that unfortunately I think the government doesn’t look at what’s happening there... I think the big question is that. You see it’s two organs, it’s the same thing and it works completely different. It’s a matter of administration.” Private-G “One question I have is when a patient is underserved by the SUS, that he or she will complain. I never heard that there was a result in that complaint, because if you go, the same doctor is still there today, a thousand people complain about him, but he is still there. I don’t see any improvement, where are our complaints going?” Private-G “I tried calling that 0800 number to complain, who said we can talk? Nobody answered.” Private-G |