El Ministerio de Salud de Argentina ha establecido un nuevo reglamento para la gestión de medicamentos de alto costo y tratamientos especiales destinados a personas con enfermedades terminales o patologías crónicas graves que se encuentren en situación de vulnerabilidad. La Dirección Nacional de Asistencia Directa y Compensatoria (DINADIC) asumirá la responsabilidad que antes recaía en la Dirección de Asistencia Directa por Situaciones Especiales (DADSE).
Este cambio busca aportar claridad, transparencia y eficiencia en la aprobación, compra y distribución de medicamentos esenciales para quienes no cuentan con cobertura médica, incluyendo obra social, medicina prepaga, PAMI o programas como Incluir Salud. La DINADIC trabajará de manera complementaria con las jurisdicciones provinciales. Asimismo, la solicitud de asistencia solo será considerada si ha sido rechazada previamente por la provincia y dicha negativa debe estar firmada por la máxima autoridad sanitaria de cada jurisdicción.
Criterios y modalidades de compra
El reglamento establece un circuito de compras flexible y adaptado a las necesidades específicas de los pacientes, con alternativas claras para asegurar el acceso oportuno a la medicación:
- Convenios con el PAMI: Para medicamentos incluidos en acuerdos preexistentes.
- Compra regular: Para casos que no impliquen riesgo inminente de vida.
- Compra por emergencia: Contratación directa en casos de urgencia sanitaria.
- Compra excepcional: Para situaciones de riesgo inminente de vida, donde la medicación debe ser provista en menos de 10 días hábiles.
Este modelo busca agilizar la administración de recursos y reducir los tiempos de espera para los pacientes, garantizando la efectividad en la entrega de medicamentos esenciales.
Criterios de evaluación y asistencia técnica
La DINADIC evaluará cada solicitud con base en el riesgo de vida y la efectividad clínica y sanitaria de la medicación requerida. Asimismo, podrá solicitar apoyo técnico de la Dirección Nacional de Medicamentos y Tecnología Sanitaria u otros organismos especializados para garantizar decisiones fundamentadas.
El Gobierno Nacional enmarca esta medida dentro de sus esfuerzos por reordenar y eficientizar el sistema de salud, derogando normativas previas y adecuando los procesos administrativos para garantizar un acceso más ágil a los medicamentos de alto costo.
Este nuevo reglamento representa un paso importante en la consolidación de un sistema de salud más justo, transparente y eficiente, asegurando que los recursos lleguen a quienes más lo necesitan en el menor tiempo posible.
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