Análise dos preços de OPME utilizados em procedimentos cirúrgicos do trato gastrointestinal no SUS

Abstract

The Brazilian Unified Health System (SUS) is the largest public health system in the world, founded on the principles of universality, equity, and comprehensiveness. The SIGTAP system standardizes and reimburses procedures, including the use of Orthoses, Prostheses, and Special Materials (OPME), which are essential in surgeries, although the reimbursement often does not cover their actual cost. Thus, the objective of this study was to analyze and compare the prices of OPME used in gastrointestinal surgical procedures with the reimbursement values established by SIGTAP. The data collected refers to the period of the year 2024 from the governmental platforms Painel de Preços, SIGTAP, and SIH/SUS. Gastrointestinal procedures with expected use of OPME were identified, and their acquisition costs were compared with the amounts established in SIGTAP, also correlating CATMAT and SIGTAP codes. The discussion highlighted discrepancies between reimbursements and average public acquisition prices, indicating that the transferred amount does not represent the total hospital cost. Variations between items and limitations in the standardization between SIGTAP and CATMAT were also observed, as well as specific differences in the materials analyzed. [resumo fornecido pelo autor]