Análise das rupturas de fornecimento de medicamentos nos hospitais públicos federais da Paraíba

Abstract

The process of purchasing medicines for brazilian public hospitals is carried out through public bids, which has as main legal framework the law 8.666/93. Despite being an important tool for the control and security of the acquisition of assets and services in public administration, the main organs of control and supervision of the government have pointed out the existence of several factors in this process, which has caused the shortage of public hospitals in the country, a situation that has caused great inconvenience to the users of public health services. Therefore, this case study seeks to identify the main causes in the bidding processes that may cause drug shortages in the public hospitals of Paraíba, considering the impacts generated in the drug supply chain (distributors and manufacturers), as well as the role of materials management and inventory management of public hospitals in this scenario. For this purpose, it was carried out, in the hospitals that served as the object of study, the evaluation of bidding x purchased quantities, the inventory management indicators, the resupply time of distributors and drug manufacturers, as well as the incidence of sanctions received by them. Finally, it was concluded that the main variables of the bidding processes that lead to the shortage of medicines are in the internal phase of the process and are connected to factors related to poor inventory management by public hospitals, as well as the opening of legislation, which has made it possible for public agencies to lack planning in procurement processes.