POLÍTICA NACIONAL DE ATENÇÃO ONCOLÓGICA

POLTICA NACIONAL DE ATENO ONCOLGICAComisso de Seguridade Social e FamliaCmara dos Deputados13 de maro de 2007Dr. Luiz Antonio SantiniDiretor GeralInstituto Nacional de Cncer

CNCER Um Problema de Sade Pblica

AUMENTO DA EXPECTATIVA DE VIDAPROBLEMA: Aumento da Incidncia

CNCER EM NMEROS NO MUNDOFonte: Relatrio do UICC 2005202016 milhes de casos novos 12 milhes de mortes no mundo60% DE NOVOS CASOSEM PASES MENOS DESENVOLVIDOS

CNCER EM NMEROSNO BRASILEstimativa do nmero de casos novos de cncer para o ano de 2006, homens e mulheres, BrasilCasos Novos 472.00049,7 %234.57050,3 %237.480

CncerUm Problema de Sade Pblica Nmero de casos novos de CNCER em 1 ano MAIORque o nmero de casos acumulados de AIDS em 24 anos no Brasil

Incidncia em mulheres

Incidncia em homens

bitos de casos diagnosticados141 mil bitos2 causa de mortemais freqente no Brasil

Cncer em nmeros no BrasilEvoluo temporal da mortalidade* por cncer, Mulheres, Brasil, 1979 a 2003Fontes: MS/SVS/DASIS/CGIAE/Sistema de Informao sobre Mortalidade SIM MP/Fundao Instituto Brasileiro de Geografia e Estatstica - IBGE MS/INCA/Conprev/Diviso de Informao* Ajustadas pela Populao Padro Mundial, 1960.

Cncer em nmeros no BrasilEvoluo temporal da mortalidade* por cncer, homens, Brasil, 1979 a 2003Fontes: MS/SVS/DASIS/CGIAE/Sistema de Informao sobre Mortalidade SIM MP/Fundao Instituto Brasileiro de Geografia e Estatstica - IBGE MS/INCA/Conprev/Diviso de Informao* Ajustadas pela Populao Padro Mundial, 1960.

Evoluo dos gastos+ 121 %

Grf1

570383432.12

661229431.44

785318062.07

902859159.19

998870050.01

1158221600.67

1258501591.03

Evoluo de Gastos

dados atualizados 00 a 06

Recursos Federais do SUS - Brasil*

Valor despendido por Regio e Ano Competncia

Perodo: 2000 a 2006

Regio2000200120022003200420052006

Regio Norte757,391,949.77880,030,084.27976,189,452.691,102,092,617.311,294,183,030.951,485,554,734.551,548,814,502.01

Regio Nordeste3,332,331,589.043,838,300,905.684,159,639,272.454,693,373,440.725,410,650,116.125,961,393,712.496,173,783,850.44

Regio Sudeste5,705,217,205.246,688,723,734.877,328,218,799.477,916,347,372.308,581,406,391.099,298,555,457.299,505,998,056.26

Regio Sul1,846,276,640.012,111,054,336.922,313,343,979.512,516,824,830.692,779,692,345.553,013,240,464.173,138,898,466.84

Regio Centro-Oeste773,507,684.02917,733,195.641,029,924,892.161,186,103,944.261,346,392,728.951,481,951,028.191,532,023,802.09

Total12,414,725,068.0814,435,842,257.3815,807,316,396.2817,414,742,205.2819,412,324,612.6621,240,695,396.6921,899,518,677.64

Fonte:TABNET/DATASUS. Acesso em 09/03/07

*Valor repassado pelo Ministrio da Sade para o custeio da ateno sade no SUS, includo:

Remunerao por servios produzidos

Transferncias - mdia e alta complexidade

Transferncias - ateno bsica

Transferncias - aes estratgicas

PROCEDIMENTOS SELECIONADOS

Produo Ambulatorial do SUS - Brasil

Valor Aprovado por Regio e Ano Competncia

Grupo aps 10/99: ..28-Radioterapia (Por Especificao)

Perodo: 2000 a 2006

Regio2000200120022003200420052006

Regio Norte3,157,330.184,027,880.944,674,961.745,786,082.266,316,057.266,866,164.758,108,552.34

Regio Nordeste18,668,499.3220,000,267.4221,544,340.5123,660,265.5625,188,373.2829,063,458.7031,469,564.15

Regio Sudeste45,106,532.3448,742,991.4453,615,210.9557,006,658.9659,107,601.9067,197,821.5671,947,632.35

Regio Sul13,892,474.1415,922,563.3117,179,420.2618,804,502.6218,917,079.1821,941,180.6224,866,803.44

Regio Centro-Oeste5,154,666.765,133,308.265,287,157.845,760,092.205,983,700.485,925,364.286,818,780.49

Total85,979,502.7493,827,011.37102,301,091.30111,017,601.60115,512,812.10130,993,989.91143,211,332.77

Fonte:TABNET/DATASUS00



Grupo aps 10/99: ..29-Quimioterapia - Custo Mensal

Perodo: 2000 a 2006

Regio2000200120022003200420052006

Regio Norte9,985,458.3511,619,225.9014,594,739.0016,977,769.4219,533,122.8322,422,800.1927,311,312.56

Regio Nordeste87,390,053.17101,060,549.54116,947,982.90132,808,113.07149,291,055.63179,644,421.94199,874,089.87

Regio Sudeste198,692,849.89230,408,896.08282,695,264.88329,722,864.64371,886,448.50433,584,813.59467,472,077.15

Regio Sul77,642,220.9690,027,606.34109,184,454.53131,516,486.54143,253,908.11170,300,816.99187,751,350.58


Total398,560,918.68465,903,067.62559,926,500.39651,045,527.36728,506,218.37857,342,423.83942,319,940.77

Fonte:TABNET/DATASUS

Procedimentos hospitalares do SUS - por local de internao - Brasil

Valor total por Regio e Ano competncia

Procedimento FAEC: Cirurgia oncolgica, Radioterapia cirrgica, Quimioterapia

Perodo: 2000 a 2006

Regio200020012002200320042005jan a mar 2006

Regio Norte2,011,986.621,917,747.302,461,218.163,076,437.173,208,518.533,206,655.163,511,743.24

Regio Nordeste15,662,259.5619,769,445.3024,194,456.3428,937,596.6732,959,977.3938,232,428.9640,731,929.91

Regio Sudeste43,437,166.1649,841,092.3060,760,298.0468,529,638.2674,774,281.2280,931,644.9679,645,213.42

Regio Sul20,013,721.0223,588,645.5027,280,478.0830,106,114.5132,374,864.3934,510,027.5535,163,827.25


Total85,843,010.70101,499,352.45123,090,470.38140,796,030.23154,851,019.54169,885,186.93172,970,317.49


SOMATRIO DO GASTO COM OS PROCEDIMENTOS AMBULATORIAIS E HOSPITALARES SELECIONADOS

Regio2000200120022003200420052006

Regio Norte15,154,775.1517,564,854.1421,730,918.9025,840,288.8529,057,698.6232,495,620.1038,931,608.14

Regio Nordeste121,720,812.05140,830,262.26162,686,779.75185,405,975.30207,439,406.30246,940,309.60272,075,583.93

Regio Sudeste287,236,548.39328,992,979.82397,070,773.87455,259,161.86505,768,331.62581,714,280.11619,064,922.92

Regio Sul111,548,416.12129,538,815.15153,644,352.87180,427,103.67194,545,851.68226,752,025.16247,781,981.27


Total570,383,432661,229,431785,318,062902,859,159998,870,0501,158,221,6011,258,501,591

2.21


Evoluo de Gastos

recursos federais SUS 00 a 04

RECURSOS DEPENDIDOS COM A ATENO SADE NO SUS (*)

Recursos Federais do SUS (por Municpio) - Conceito de Perodo de Competncia - Brasil

Valor Total Despendido por Regio e Ano Competncia

Perodo:2000-2004

Regio20002001200220032004

Regio Norte757,391,949.77880,030,084.27976,189,452.691,102,092,617.311,293,371,007.13535,979,057.3671%

Regio Nordeste3,332,331,599.043,838,300,905.684,159,639,272.454,693,373,440.725,405,598,061.482,073,266,462.4462%

Regio Sudeste5,705,217,205.246,688,723,734.877,328,218,799.477,916,347,372.308,580,616,784.442,875,399,579.2050%

Regio Sul1,846,276,640.012,111,054,336.922,313,343,979.512,516,824,830.692,779,160,589.93932,883,949.9251%

Regio Centro-Oeste773,507,684.02917,733,195.641,029,924,892.161,186,103,944.261,343,443,345.26569,935,661.2474%

Total12,414,725,078.0814,435,842,257.3815,807,316,396.2817,414,742,205.2819,402,189,788.246,987,464,710.1656%

12,414,725,078.0814,435,842,257.3815,807,316,396.2817,414,742,205.2819,402,189,788.24

0.00.00.00.00.0


(*) Valor repassado pelo Ministrio da Sade aos prestadores e aos gestores referente ao custeio da ateno sade no SUS

Variao Anual16%10%10%11%

Variao Acumulada16%27%40%56%

RECURSOS DEPENDIDOS COM A ATENO ONCOLGICA



Procedimento: Radioterapia

Perodo:2000-2004

Regio20002001200220032004

Regio Norte3,157,330.184,027,880.944,674,961.745,786,082.266,316,057.263,158,727.08100%

Regio Nordeste18,668,499.3220,000,267.4221,544,340.5123,660,265.5625,188,373.286,519,873.9635%

Regio Sudeste45,106,532.3448,742,991.4453,615,210.9557,006,658.9658,001,162.1212,894,629.7829%

Regio Sul13,892,474.1415,922,563.3117,179,420.2618,804,502.6218,917,079.185,024,605.0436%

Regio Centro-Oeste5,154,666.765,133,308.265,287,157.845,760,092.205,983,700.48829,033.7216%

Total85,979,502.7493,827,011.37102,301,091.30111,017,601.60114,406,372.3228,426,869.5833%

85,979,502.7493,827,011.37102,301,091.30111,017,601.60114,406,372.32

0.00.00.00.00.0






Procedimento: Quimioterapia

Perodo:2000-2004

Regio20002001200220032004

Regio Norte9,985,458.3511,619,225.9014,594,739.0016,977,769.4219,533,122.839,547,664.4896%

Regio Nordeste87,390,053.17101,060,549.54116,947,982.90132,808,113.07149,291,055.6361,901,002.4671%

Regio Sudeste198,692,849.89230,408,896.08282,695,264.88329,722,864.64360,025,195.52161,332,345.6381%

Regio Sul77,642,220.9690,027,606.34109,184,454.53131,516,486.54143,253,908.1165,611,687.1585%

Regio Centro-Oeste24,850,336.3132,786,789.7636,504,059.0840,020,293.6944,541,683.3019,691,346.9979%

Total398,560,918.68465,903,067.62559,926,500.39651,045,527.36716,644,965.39318,084,046.7180%

398,560,918.68465,903,067.62559,926,500.39651,045,527.36716,644,965.39

0.00.00.00.00.0






Procedimento Selecionado: Cirurgia oncolgica, Radioterapia cirrgica, Quimioterapia

Perodo:2000-2004

Regio20002001200220032004

Regio Norte2,011,986.621,917,747.302,461,218.163,076,437.173,208,518.531,196,531.9159%

Regio Nordeste15,662,259.5619,769,445.3024,194,456.3428,937,596.6732,959,977.3917,297,717.83110%

Regio Sudeste43,437,166.1649,841,092.3060,760,298.0468,529,638.2674,774,281.2231,337,115.0672%

Regio Sul20,013,721.0223,588,645.5027,280,478.0830,106,114.5132,374,864.3912,361,143.3762%


Total85,843,010.70101,499,352.45123,090,470.38140,796,030.23154,851,019.5469,008,008.8480%

85,843,010.70101,499,352.45123,090,470.38140,796,030.23154,851,019.54

0.00.00.00.00.0




Total

Perodo:2000-2004

Regio20002001200220032004

Regio Norte15,154,775.1517,564,854.1421,730,918.9025,840,288.8529,057,698.6213,902,923.4792%

Regio Nordeste121,720,812.05140,830,262.26162,686,779.75185,405,975.30207,439,406.3085,718,594.2570%

Regio Sudeste287,236,548.39328,992,979.82397,070,773.87455,259,161.86492,800,638.86205,564,090.4772%

Regio Sul111,548,416.12129,538,815.15153,644,352.87180,427,103.67194,545,851.6882,997,435.5674%


Total570,383,432.12661,229,431.44785,318,062.07902,859,159.19985,902,357.25415,518,925.1373%

570,383,432.12661,229,431.44785,318,062.07902,859,159.19985,902,357.25

0.00.00.00.00.0




+ 121 %

SobrevidaEUA, Canad e alguns pases da Europa 12 a 16 anosfrica e alguns pases do Oriente Mdio - menor que 2 anosBrasil - 2 a 4 anosThe Cancer Atlas - UICC

Gasto e sobrevidaEvoluo do custo dos medicamentosexemplificao com tratamento de cncer colo retalMemorial Sloan-Katering Cancer Center

MedicamentosNo MundoEvoluo do GastoOutros84%Imatinibe16%No INCAUS Today: 2001-20052006

Grf6

16

84




Perodo: 2000 a 2006

Regio2000200120022003200420052006

Regio Norte757,391,949.77880,030,084.27976,189,452.691,102,092,617.311,294,183,030.951,485,554,734.551,548,814,502.01

Regio Nordeste3,332,331,589.043,838,300,905.684,159,639,272.454,693,373,440.725,410,650,116.125,961,393,712.496,173,783,850.44

Regio Sudeste5,705,217,205.246,688,723,734.877,328,218,799.477,916,347,372.308,581,406,391.099,298,555,457.299,505,998,056.26

Regio Sul1,846,276,640.012,111,054,336.922,313,343,979.512,516,824,830.692,779,692,345.553,013,240,464.173,138,898,466.84


Total12,414,725,068.0814,435,842,257.3815,807,316,396.2817,414,742,205.2819,412,324,612.6621,240,695,396.6921,899,518,677.64











Perodo: 2000 a 2006

Regio2000200120022003200420052006

Regio Norte3,157,330.184,027,880.944,674,961.745,786,082.266,316,057.266,866,164.758,108,552.34

Regio Nordeste18,668,499.3220,000,267.4221,544,340.5123,660,265.5625,188,373.2829,063,458.7031,469,564.15

Regio Sudeste45,106,532.3448,742,991.4453,615,210.9557,006,658.9659,107,601.9067,197,821.5671,947,632.35

Regio Sul13,892,474.1415,922,563.3117,179,420.2618,804,502.6218,917,079.1821,941,180.6224,866,803.44


Total85,979,502.7493,827,011.37102,301,091.30111,017,601.60115,512,812.10130,993,989.91143,211,332.77





Perodo: 2000 a 2006

Regio2000200120022003200420052006

Regio Norte9,985,458.3511,619,225.9014,594,739.0016,977,769.4219,533,122.8322,422,800.1927,311,312.56

Regio Nordeste87,390,053.17101,060,549.54116,947,982.90132,808,113.07149,291,055.63179,644,421.94199,874,089.87

Regio Sudeste198,692,849.89230,408,896.08282,695,264.88329,722,864.64371,886,448.50433,584,813.59467,472,077.15

Regio Sul77,642,220.9690,027,606.34109,184,454.53131,516,486.54143,253,908.11170,300,816.99187,751,350.58


Total398,560,918.68465,903,067.62559,926,500.39651,045,527.36728,506,218.37857,342,423.83942,319,940.77





Perodo: 2000 a 2006

Regio200020012002200320042005jan a mar 2006

Regio Norte2,011,986.621,917,747.302,461,218.163,076,437.173,208,518.533,206,655.163,511,743.24

Regio Nordeste15,662,259.5619,769,445.3024,194,456.3428,937,596.6732,959,977.3938,232,428.9640,731,929.91

Regio Sudeste43,437,166.1649,841,092.3060,760,298.0468,529,638.2674,774,281.2280,931,644.9679,645,213.42

Regio Sul20,013,721.0223,588,645.5027,280,478.0830,106,114.5132,374,864.3934,510,027.5535,163,827.25


Total85,843,010.70101,499,352.45123,090,470.38140,796,030.23154,851,019.54169,885,186.93172,970,317.49



Regio2000200120022003200420052006

Regio Norte15,154,775.1517,564,854.1421,730,918.9025,840,288.8529,057,698.6232,495,620.1038,931,608.14

Regio Nordeste121,720,812.05140,830,262.26162,686,779.75185,405,975.30207,439,406.30246,940,309.60272,075,583.93

Regio Sudeste287,236,548.39328,992,979.82397,070,773.87455,259,161.86505,768,331.62581,714,280.11619,064,922.92

Regio Sul111,548,416.12129,538,815.15153,644,352.87180,427,103.67194,545,851.68226,752,025.16247,781,981.27


Total570,383,432661,229,431785,318,062902,859,159998,870,0501,158,221,6011,258,501,591

2.21

Regio2000200120022003200420052006

Total10,00020,00038,00050,000100,000270,000350,000

Glivec16

Outros84

100

Pessoal50

Servios25

Material154.390.60054719562515.0136798906

Medicamentos102.92

7.31

320

32

0.16

-5.12


Evoluo de Gastos





Perodo:2000-2004

Regio20002001200220032004

Regio Norte757,391,949.77880,030,084.27976,189,452.691,102,092,617.311,293,371,007.13535,979,057.3671%

Regio Nordeste3,332,331,599.043,838,300,905.684,159,639,272.454,693,373,440.725,405,598,061.482,073,266,462.4462%

Regio Sudeste5,705,217,205.246,688,723,734.877,328,218,799.477,916,347,372.308,580,616,784.442,875,399,579.2050%

Regio Sul1,846,276,640.012,111,054,336.922,313,343,979.512,516,824,830.692,779,160,589.93932,883,949.9251%


Total12,414,725,078.0814,435,842,257.3815,807,316,396.2817,414,742,205.2819,402,189,788.246,987,464,710.1656%

12,414,725,078.0814,435,842,257.3815,807,316,396.2817,414,742,205.2819,402,189,788.24

0.00.00.00.00.0









Perodo:2000-2004

Regio20002001200220032004

Regio Norte3,157,330.184,027,880.944,674,961.745,786,082.266,316,057.263,158,727.08100%

Regio Nordeste18,668,499.3220,000,267.4221,544,340.5123,660,265.5625,188,373.286,519,873.9635%

Regio Sudeste45,106,532.3448,742,991.4453,615,210.9557,006,658.9658,001,162.1212,894,629.7829%

Regio Sul13,892,474.1415,922,563.3117,179,420.2618,804,502.6218,917,079.185,024,605.0436%


Total85,979,502.7493,827,011.37102,301,091.30111,017,601.60114,406,372.3228,426,869.5833%

85,979,502.7493,827,011.37102,301,091.30111,017,601.60114,406,372.32

0.00.00.00.00.0







Perodo:2000-2004

Regio20002001200220032004

Regio Norte9,985,458.3511,619,225.9014,594,739.0016,977,769.4219,533,122.839,547,664.4896%

Regio Nordeste87,390,053.17101,060,549.54116,947,982.90132,808,113.07149,291,055.6361,901,002.4671%

Regio Sudeste198,692,849.89230,408,896.08282,695,264.88329,722,864.64360,025,195.52161,332,345.6381%

Regio Sul77,642,220.9690,027,606.34109,184,454.53131,516,486.54143,253,908.1165,611,687.1585%


Total398,560,918.68465,903,067.62559,926,500.39651,045,527.36716,644,965.39318,084,046.7180%

398,560,918.68465,903,067.62559,926,500.39651,045,527.36716,644,965.39

0.00.00.00.00.0







Perodo:2000-2004

Regio20002001200220032004

Regio Norte2,011,986.621,917,747.302,461,218.163,076,437.173,208,518.531,196,531.9159%

Regio Nordeste15,662,259.5619,769,445.3024,194,456.3428,937,596.6732,959,977.3917,297,717.83110%

Regio Sudeste43,437,166.1649,841,092.3060,760,298.0468,529,638.2674,774,281.2231,337,115.0672%

Regio Sul20,013,721.0223,588,645.5027,280,478.0830,106,114.5132,374,864.3912,361,143.3762%


Total85,843,010.70101,499,352.45123,090,470.38140,796,030.23154,851,019.5469,008,008.8480%

85,843,010.70101,499,352.45123,090,470.38140,796,030.23154,851,019.54

0.00.00.00.00.0




Total

Perodo:2000-2004

Regio20002001200220032004

Regio Norte15,154,775.1517,564,854.1421,730,918.9025,840,288.8529,057,698.6213,902,923.4792%

Regio Nordeste121,720,812.05140,830,262.26162,686,779.75185,405,975.30207,439,406.3085,718,594.2570%

Regio Sudeste287,236,548.39328,992,979.82397,070,773.87455,259,161.86492,800,638.86205,564,090.4772%

Regio Sul111,548,416.12129,538,815.15153,644,352.87180,427,103.67194,545,851.6882,997,435.5674%


Total570,383,432.12661,229,431.44785,318,062.07902,859,159.19985,902,357.25415,518,925.1373%

570,383,432.12661,229,431.44785,318,062.07902,859,159.19985,902,357.25

0.00.00.00.00.0




+ 121 %

N de doadores cadastrados

CncerUm Problema de Sade Pblica

Incidncia

472 mil casos novos

Mortalidade

141 mil mortes

Morbidade no SUS

Hospitalar

423 mil internaes

Ambulatorial

128 mil pacientes/ms quimioterapia

98 mil pacientes/ms radioterapia

1,6 milhes de consultas/ano

Poltica Nacional de Ateno Oncolgica

Modelo Histria Natural da Doena - HOJE

Modelo Histria Natural da Doena - REDE

Atores na formulao da polticaGestores

Prestadores de servios

Entidades tcnico-cientficas

Representantes do governoSAS/MS - Secretaria de Ateno SadeINCA/MS Instituto Nacional de CncerCONASS Conselho Nacional de Secretrios de SadeCONASEMS Conselho Nacional de Secretrios Municipais de SadeABIFCC Associao Brasileira de Instituies Filantrpicas de Combate ao CncerCNM Confederao Nacional das MisericrdiasSBOC Sociedade Brasileira de Oncologia ClnicaSBRT Sociedade Brasileira de RadioterapiaSBCO Sociedade Brasileira de Cirurgia Oncolgica

FundamentosDeteco precoce da doena

Qualidade do tratamento oferecido aos pacientes com cncer

PrioridadesInstituir Redes Estaduais / Regionais de Ateno Oncolgica;Definir critrios tcnicos para avaliao dos servios pblicos e privados;Fomentar, coordenar e executar projetos estratgicos de incorporao tecnolgica;Incentivar a pesquisa aplicada aos servios;Implementar o Programa Nacional de Controle do Tabagismo;Implementar o Plano de Ao para Controle dos Cnceres do Colo do tero e da Mama.

Planos de ao regionais

Agenda de compromissos pela sade Reduo da incidncia do cncer de colo de tero Reduo da mortalidade por cncer de colo de tero e mama

MetasPacto pela Vida

Atingir a cobertura de 80% para o exame preventivo do cncer do colo de tero;Ampliar para 60% a cobertura da mamografia;Realizar puno bipsia em 100% dos casos necessrios.

Novas regulamentaes Alta complexidade Cuidados paliativos Qualidade de procedimentos (mamografia, radioterapia)

Controle do tabagismoImplementao da Conveno-Quadro para o Controle do TabacoMobilizao para o controle

Pesquisa na Ateno OncolgicaFomentoAvaliao tecnolgica

Formao de ProfissionaisQualificao de equipes multiprofissionaisDescentralizao de centros formadoresEducao permanente

Integrao de todas as aes e mobilizao da sociedadeParcerias

Diversidade de atores

Apoio de agncias governamentais

Resultadosmobilizao e apoios345 mil em 2006aumento das doaes de medula ssea50 mil em 2003 175 mil em 2005

Grf2

10000

20000

38000

50000

80000

175000

340000


Grf6

16

84




Perodo: 2000 a 2006

Regio2000200120022003200420052006

Regio Norte757,391,949.77880,030,084.27976,189,452.691,102,092,617.311,294,183,030.951,485,554,734.551,548,814,502.01

Regio Nordeste3,332,331,589.043,838,300,905.684,159,639,272.454,693,373,440.725,410,650,116.125,961,393,712.496,173,783,850.44

Regio Sudeste5,705,217,205.246,688,723,734.877,328,218,799.477,916,347,372.308,581,406,391.099,298,555,457.299,505,998,056.26

Regio Sul1,846,276,640.012,111,054,336.922,313,343,979.512,516,824,830.692,779,692,345.553,013,240,464.173,138,898,466.84


Total12,414,725,068.0814,435,842,257.3815,807,316,396.2817,414,742,205.2819,412,324,612.6621,240,695,396.6921,899,518,677.64











Perodo: 2000 a 2006

Regio2000200120022003200420052006

Regio Norte3,157,330.184,027,880.944,674,961.745,786,082.266,316,057.266,866,164.758,108,552.34

Regio Nordeste18,668,499.3220,000,267.4221,544,340.5123,660,265.5625,188,373.2829,063,458.7031,469,564.15

Regio Sudeste45,106,532.3448,742,991.4453,615,210.9557,006,658.9659,107,601.9067,197,821.5671,947,632.35

Regio Sul13,892,474.1415,922,563.3117,179,420.2618,804,502.6218,917,079.1821,941,180.6224,866,803.44


Total85,979,502.7493,827,011.37102,301,091.30111,017,601.60115,512,812.10130,993,989.91143,211,332.77





Perodo: 2000 a 2006

Regio2000200120022003200420052006

Regio Norte9,985,458.3511,619,225.9014,594,739.0016,977,769.4219,533,122.8322,422,800.1927,311,312.56

Regio Nordeste87,390,053.17101,060,549.54116,947,982.90132,808,113.07149,291,055.63179,644,421.94199,874,089.87

Regio Sudeste198,692,849.89230,408,896.08282,695,264.88329,722,864.64371,886,448.50433,584,813.59467,472,077.15

Regio Sul77,642,220.9690,027,606.34109,184,454.53131,516,486.54143,253,908.11170,300,816.99187,751,350.58


Total398,560,918.68465,903,067.62559,926,500.39651,045,527.36728,506,218.37857,342,423.83942,319,940.77





Perodo: 2000 a 2006

Regio200020012002200320042005jan a mar 2006

Regio Norte2,011,986.621,917,747.302,461,218.163,076,437.173,208,518.533,206,655.163,511,743.24

Regio Nordeste15,662,259.5619,769,445.3024,194,456.3428,937,596.6732,959,977.3938,232,428.9640,731,929.91

Regio Sudeste43,437,166.1649,841,092.3060,760,298.0468,529,638.2674,774,281.2280,931,644.9679,645,213.42

Regio Sul20,013,721.0223,588,645.5027,280,478.0830,106,114.5132,374,864.3934,510,027.5535,163,827.25


Total85,843,010.70101,499,352.45123,090,470.38140,796,030.23154,851,019.54169,885,186.93172,970,317.49



Regio2000200120022003200420052006

Regio Norte15,154,775.1517,564,854.1421,730,918.9025,840,288.8529,057,698.6232,495,620.1038,931,608.14

Regio Nordeste121,720,812.05140,830,262.26162,686,779.75185,405,975.30207,439,406.30246,940,309.60272,075,583.93

Regio Sudeste287,236,548.39328,992,979.82397,070,773.87455,259,161.86505,768,331.62581,714,280.11619,064,922.92

Regio Sul111,548,416.12129,538,815.15153,644,352.87180,427,103.67194,545,851.68226,752,025.16247,781,981.27


Total570,383,432661,229,431785,318,062902,859,159998,870,0501,158,221,6011,258,501,591

2.21

Regio2000200120022003200420052006

Total10,00020,00038,00050,00080,000175,000340,000

Glivec16

Outros84

100

Pessoal50

Servios25

Material154.390.60054719562515.0136798906

Medicamentos102.92

7.31

320

32

0.16

-5.12


Evoluo de Gastos





Perodo:2000-2004

Regio20002001200220032004

Regio Norte757,391,949.77880,030,084.27976,189,452.691,102,092,617.311,293,371,007.13535,979,057.3671%

Regio Nordeste3,332,331,599.043,838,300,905.684,159,639,272.454,693,373,440.725,405,598,061.482,073,266,462.4462%

Regio Sudeste5,705,217,205.246,688,723,734.877,328,218,799.477,916,347,372.308,580,616,784.442,875,399,579.2050%

Regio Sul1,846,276,640.012,111,054,336.922,313,343,979.512,516,824,830.692,779,160,589.93932,883,949.9251%


Total12,414,725,078.0814,435,842,257.3815,807,316,396.2817,414,742,205.2819,402,189,788.246,987,464,710.1656%

12,414,725,078.0814,435,842,257.3815,807,316,396.2817,414,742,205.2819,402,189,788.24

0.00.00.00.00.0









Perodo:2000-2004

Regio20002001200220032004

Regio Norte3,157,330.184,027,880.944,674,961.745,786,082.266,316,057.263,158,727.08100%

Regio Nordeste18,668,499.3220,000,267.4221,544,340.5123,660,265.5625,188,373.286,519,873.9635%

Regio Sudeste45,106,532.3448,742,991.4453,615,210.9557,006,658.9658,001,162.1212,894,629.7829%

Regio Sul13,892,474.1415,922,563.3117,179,420.2618,804,502.6218,917,079.185,024,605.0436%


Total85,979,502.7493,827,011.37102,301,091.30111,017,601.60114,406,372.3228,426,869.5833%

85,979,502.7493,827,011.37102,301,091.30111,017,601.60114,406,372.32

0.00.00.00.00.0







Perodo:2000-2004

Regio20002001200220032004

Regio Norte9,985,458.3511,619,225.9014,594,739.0016,977,769.4219,533,122.839,547,664.4896%

Regio Nordeste87,390,053.17101,060,549.54116,947,982.90132,808,113.07149,291,055.6361,901,002.4671%

Regio Sudeste198,692,849.89230,408,896.08282,695,264.88329,722,864.64360,025,195.52161,332,345.6381%

Regio Sul77,642,220.9690,027,606.34109,184,454.53131,516,486.54143,253,908.1165,611,687.1585%


Total398,560,918.68465,903,067.62559,926,500.39651,045,527.36716,644,965.39318,084,046.7180%

398,560,918.68465,903,067.62559,926,500.39651,045,527.36716,644,965.39

0.00.00.00.00.0







Perodo:2000-2004

Regio20002001200220032004

Regio Norte2,011,986.621,917,747.302,461,218.163,076,437.173,208,518.531,196,531.9159%

Regio Nordeste15,662,259.5619,769,445.3024,194,456.3428,937,596.6732,959,977.3917,297,717.83110%

Regio Sudeste43,437,166.1649,841,092.3060,760,298.0468,529,638.2674,774,281.2231,337,115.0672%

Regio Sul20,013,721.0223,588,645.5027,280,478.0830,106,114.5132,374,864.3912,361,143.3762%


Total85,843,010.70101,499,352.45123,090,470.38140,796,030.23154,851,019.5469,008,008.8480%

85,843,010.70101,499,352.45123,090,470.38140,796,030.23154,851,019.54

0.00.00.00.00.0




Total

Perodo:2000-2004

Regio20002001200220032004

Regio Norte15,154,775.1517,564,854.1421,730,918.9025,840,288.8529,057,698.6213,902,923.4792%

Regio Nordeste121,720,812.05140,830,262.26162,686,779.75185,405,975.30207,439,406.3085,718,594.2570%

Regio Sudeste287,236,548.39328,992,979.82397,070,773.87455,259,161.86492,800,638.86205,564,090.4772%

Regio Sul111,548,416.12129,538,815.15153,644,352.87180,427,103.67194,545,851.6882,997,435.5674%


Total570,383,432.12661,229,431.44785,318,062.07902,859,159.19985,902,357.25415,518,925.1373%

570,383,432.12661,229,431.44785,318,062.07902,859,159.19985,902,357.25

0.00.00.00.00.0




+ 121 %


Resultadosmobilizao e apoiosampliao do banco de sangue de cordo umbilical

Instituto Nacional de Cncer

INCA

Imagem CulturalMuitos pensam que o INCA s uma unidade assistencialsituada no Rio de Janeiro

Complexo de UnidadesHC IIHC IIIHC IVHC I e CEMO

IdentidadeLei no 8.080, de 19 de setembro de 1990Art. 41 - As aes desenvolvidas ... pelo Instituto Nacional do Cncer, supervisionadas pela direo nacional do Sistema nico de Sade (SUS), permanecero como referencial de prestao de servios, formao de recursos humanos e para transferncia de tecnologia.

Decreto Presidencial no 5.974, de 29 de novembro de 2006 rgo singular do Ministrio da Sade, integrante da Secretaria de Ateno Sade, vinculada, tcnica e administrativamente, ao Ministro de Estado da Sade.

Portaria n 2.439/GM, de 8 de dezembro de 2005 Centro de Referncia de Alta Complexidade do Ministrio da Sade.

Atribuiesa) assistir ao Ministro de Estado da Sade na formulao da Poltica Nacional de Ateno Oncolgica

b)aes nacionais, relacionados preveno, ao diagnstico e ao tratamento das neoplasias malignas e afeces correlatas

c)servios mdico-assistenciais

d) pesquisas clnicas, epidemiolgicas e experimentais

e) formao, treinamento e aperfeioamento de recursos humanos.

Misso e VisoMisso Aes nacionais integradas para a preveno e controle do cncer.

Viso Estratgica Exercer plenamente o papel governamental na preveno e controle do cncer, assegurando a implantao das aes correspondentes em todo o Brasil, e, assim, contribuir para a melhoria da qualidade de vida da populao.

AtuaoAssistncia

Ensino

Pesquisa

Promoo e Preveno

ProfissionaisPara cumprir sua a misso o INCA conta com:2.817 funcionrios do MS

E com o apoio da Fundao Ary Frauzino (FAF) conta com:1.133 funcionrios da FAF

Insero no Estado e no MunicpioParticipao Percentual do INCA na Assistncia Oncolgica em 2005 28%46%40%65%24%45%RadioterapiaQuimioterapiaInternaes por cncermunicpioestadomunicpioestadomunicpioestado

Produo Anual 7.500novas matrculas255.000consultas 15.500internaes 12.000cirurgias 75.000atendimentos de QT155.000campos irradiados 14.000visitas domiciliares 80transplantes de Medula ssea

Oramento

EvolOrc

Evoluo Oramentria 2005 a 2007

200520062007

RealizadoAprovadoSolicitadoSinalizado 11/08Sinalizado 22/08

Manuteno INCA

Custeio147,843,224.00152,100,000.00228,956,035.96157,370,000.00165,910,000.00

Investimento10,204,600.006,720,000.0030,300,971.2517,090,000.008,550,000.00

Total158,047,824.00158,820,000.00259,257,007.21174,460,000.00174,460,000.00

CACON

Custeio1,000,000.001,000,000.001,000,000.00680,000.00680,000.00

Investimento11,620,000.0012,749,810.0014,000,000.0013,700,000.0013,700,000.00

Total12,620,000.0013,749,810.0015,000,000.0014,380,000.0014,380,000.00

Programas Nacionais

Custeio13,500,000.0012,554,247.7613,000,000.00

Investimento333,100.0013,700,000.00

Total0.0013,500,000.0012,887,347.7613,000,000.0013,700,000.00

Total

Custeio148,843,224.00166,600,000.00242,510,283.72171,050,000.00166,590,000.00

Investimento21,824,600.0019,469,810.0044,634,071.2530,790,000.0035,950,000.00

Total170,667,824.00186,069,810.00287,144,354.97201,840,000.00202,540,000.00

&LCOAE - Diviso de Planejamento&C&P / &N&R&F / &A&D

EvolOrc (2)

Evoluo Oramentria 2005 a 2007

200520062007

RealizadoAprovadoc/ SuplementaoSinalizado 22/08

Manuteno INCA

Custeio147,843,224.00152,100,000.00162,100,000.00165,910,000.00

Investimento10,204,600.006,720,000.008,000,000.008,550,000.00

Total158,047,824.00158,820,000.00170,100,000.00174,460,000.00

CACON

Custeio1,000,000.001,000,000.001,000,000.00680,000.00

Investimento11,620,000.0012,749,810.0012,749,810.0013,700,000.00

Total12,620,000.0013,749,810.0013,749,810.0014,380,000.00

Programas Nacionais

Custeio13,500,000.0013,500,000.0013,700,000.00

Investimento

Total0.0013,500,000.0013,500,000.0013,700,000.00

Total

Custeio148,843,224.00166,600,000.00176,600,000.00180,290,000.00

Investimento21,824,600.0019,469,810.0020,749,810.0022,250,000.00

Total170,667,824.00186,069,810.00197,349,810.00202,540,000.00


EvolOrc (3)

Realizado 2006

FonteMSFAFTOTAL

Custeio177,3816,064183,445

Investimento19,922019,922

Subtotal197,3036,064203,367

Pessoal140,000*76,262216,262

Total337,30382,326419,629419,629.00

* Valor aproximadoem milhares

* Valor aproximado

26811293

52.219321148858.9806651199


70 anosCongresso Internacional

DesafiosPoltica de Pessoal

Incorporao TecnolgicaNovo modelo jurdico-institucional

POLÍTICA NACIONAL DE ATENÇÃO ONCOLÓGICA

Documents

Transcript of POLÍTICA NACIONAL DE ATENÇÃO ONCOLÓGICA