Limitations and Considerations
This analysis has a few limitations and points that warrant further clarification or exploration.
APAC-AQ
- The dataset
APAC-AQcontains duplicate values for theAP_AUTORIZfield (Description: "Número da APAC. Lei de formação: UFAATsssssssd, onde UF – Unid. da Federação, AA – ano, T – tipo, sssssss – sequencial, d – dígito"), which may indicate that the same document is being counted multiple times, or that multiple procedures can share the same code. To avoid any potential data loss, all values forAP_AUTORIZwere retained in the analysis. - The dataset
APAC-AQfrom 2022 for Roraima (RR) only comprised 10 files (from the expected 12). The reason for this discrepancy is currently unknown. - The medication scheme fields in
APAC-AQ(AQ_ESQU_P1("ESQUEMA:5 primeiras posições"),AQ_ESQU_P2("ESQUEMA: 10 últimas posições")) contain valuable information about the treatment schemes used, but the data is not standardized and its format is not easily readable, making it difficult to analyze and understand. - A substantial number of values for
Valor Total da APAC Aprovadoare equal to zero. It is unclear whether these represent procedures with no associated costs or if there is another explanation. 1
APAC-AM
- The dataset
APAC-AMfrom 2022 for Rio Grande do Sul (RS) only comprised 09 files (from the expected 12). The reason for this discrepancy is currently unknown. - A substantial number of values for
Valor Total da APAC Aprovadoare equal to zero. It is unclear whether these represent procedures with no associated costs or if there is another explanation. 1
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There are two main reasons for APACs approved with zero value: (1) In ongoing treatments like chemotherapy, continuity APACs may be issued for months without procedures, resulting in zero value despite approval; (2) Some procedures (e.g., high-cost drugs from CEAF) are funded through other mechanisms (e.g., state budgets), and thus appear with zero value in the SUS table, as payment is made separately ↩↩