Cost-effectiveness analysis of a state funded programme for control of severe asthma

BMC Public Health
Ano: 2007
Volume: 7
Numero: 82

Authors: Rosana Franco, Andreia C Santos, Harrison F do Nascimento,
Carolina Souza-Machado, Eduardo Ponte, Adelmir Souza-Machado,
Sebastião Loureiro, Maurício L Barreto, Laura C Rodrigues and
Alvaro A Cruz

Background: Asthma is one of the most common chronic diseases and a major economical burden to families and health systems. Whereas efficacy of current therapeutical options has been clearly established, cost-effectiveness analysis of public health interventions for asthma control are scarce. Continue reading


Brazilian political proposal for asthma programs on primary dealth care

Jornal Brasileiro de Pneumologia
Ano: 2007
Volume: 33
Número: 2

Authors: Alcindo Cerci Neto, Mauro Musa Zamboni, Márcia Alcântara Holanda

The asthma programs discussion forum gathered several representative entities of patients, health administrators and specialists, on November 2nd of 2006, during the XXXIII Brazilian Pulmonology and Phthisiology Conference in Fortaleza, in order to discuss and propose suggestions that will improve the actions that have been carried out in asthma programs in Brazil. Currently, it is fundamental to encourage the creation of asthma programs in Brazil. This is due to favorable economic conditions, the increasing demand of the population, the morbidity and mortality rates found, the need to improve the quality of life of these patients and promote the proper current treatment for this disease, based on criteria of severity and incorporating current concepts for the control of this disease.

The decentralization of the programs (transfer of control to cities and regions) is fundamental to their improvement. Successful initiatives, although specific and isolated, have been carried out in Brazil. Finding a solution to the great difficulties encountered by the existing programs is hindered by a lack of support from the administrators, principally regarding qualified staff, well-trained and conscientious health professionals, and regularity in the supply of proper medication, as well as the establishment of a reference and counter-reference system that would integrate the various levels of attention involved. Continue reading