POLÍTICA NACIONAL DE ATENÇÃO ONCOLÓGICA
description
Transcript of POLÍTICA NACIONAL DE ATENÇÃO ONCOLÓGICA
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POLTICA NACIONAL DE ATENO ONCOLGICAComisso de Seguridade Social e FamliaCmara dos Deputados13 de maro de 2007Dr. Luiz Antonio SantiniDiretor GeralInstituto Nacional de Cncer
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CNCER Um Problema de Sade Pblica
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AUMENTO DA EXPECTATIVA DE VIDAPROBLEMA: Aumento da Incidncia
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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
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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
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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
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Incidncia em mulheres
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Incidncia em homens
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bitos de casos diagnosticados141 mil bitos2 causa de mortemais freqente no Brasil
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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.
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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.
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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
Produo Ambulatorial do SUS - Brasil
Valor Aprovado por Regio e Ano Competncia
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
Regio Centro-Oeste24,850,336.3132,786,789.7636,504,059.0840,020,293.6944,541,683.3051,389,571.1259,911,110.61
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
Regio Centro-Oeste4,717,877.346,382,422.058,394,019.7610,146,243.6211,533,378.0113,004,430.3013,917,603.67
Total85,843,010.70101,499,352.45123,090,470.38140,796,030.23154,851,019.54169,885,186.93172,970,317.49
Fonte:TABNET/DATASUS
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
Regio Centro-Oeste34,722,880.4144,302,520.0750,185,236.6855,926,629.5162,058,761.7970,319,365.7080,647,494.77
Total570,383,432661,229,431785,318,062902,859,159998,870,0501,158,221,6011,258,501,591
2.21
dados atualizados 00 a 06
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
Fonte:TABNET/DATASUS
(*) 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
Produo Ambulatorial do SUS - Brasil
Valor Aprovado por Regio e Ano Competncia
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
Fonte:TABNET/DATASUS
Variao Anual9%9%9%3%
Variao Acumulada9%19%29%33%
Produo Ambulatorial do SUS - Brasil
Valor Aprovado por Regio e Ano Competncia
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
Fonte:TABNET/DATASUS
Variao Anual17%20%16%10%
Variao Acumulada17%40%63%80%
Procedimentos hospitalares do SUS - por local de internao - Brasil
Valor total por Regio e Ano competncia
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%
Regio Centro-Oeste4,717,877.346,382,422.058,394,019.7610,146,243.6211,533,378.016,815,500.67144%
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
Fonte:TABNET/DATASUS
Variao Anual18%21%14%10%
Variao Acumulada18%43%64%80%
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%
Regio Centro-Oeste34,722,880.4144,302,520.0750,185,236.6855,926,629.5162,058,761.7927,335,881.3879%
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
Fonte:TABNET/DATASUS
Variao Anual16%19%15%9%
Variao Acumulada16%38%58%73%
+ 121 %
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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
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Gasto e sobrevidaEvoluo do custo dos medicamentosexemplificao com tratamento de cncer colo retalMemorial Sloan-Katering Cancer Center
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MedicamentosNo MundoEvoluo do GastoOutros84%Imatinibe16%No INCAUS Today: 2001-20052006
Grf6
16
84
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
Produo Ambulatorial do SUS - Brasil
Valor Aprovado por Regio e Ano Competncia
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
Regio Centro-Oeste24,850,336.3132,786,789.7636,504,059.0840,020,293.6944,541,683.3051,389,571.1259,911,110.61
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
Regio Centro-Oeste4,717,877.346,382,422.058,394,019.7610,146,243.6211,533,378.0113,004,430.3013,917,603.67
Total85,843,010.70101,499,352.45123,090,470.38140,796,030.23154,851,019.54169,885,186.93172,970,317.49
Fonte:TABNET/DATASUS
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
Regio Centro-Oeste34,722,880.4144,302,520.0750,185,236.6855,926,629.5162,058,761.7970,319,365.7080,647,494.77
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
dados atualizados 00 a 06
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
Fonte:TABNET/DATASUS
(*) 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
Produo Ambulatorial do SUS - Brasil
Valor Aprovado por Regio e Ano Competncia
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
Fonte:TABNET/DATASUS
Variao Anual9%9%9%3%
Variao Acumulada9%19%29%33%
Produo Ambulatorial do SUS - Brasil
Valor Aprovado por Regio e Ano Competncia
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
Fonte:TABNET/DATASUS
Variao Anual17%20%16%10%
Variao Acumulada17%40%63%80%
Procedimentos hospitalares do SUS - por local de internao - Brasil
Valor total por Regio e Ano competncia
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%
Regio Centro-Oeste4,717,877.346,382,422.058,394,019.7610,146,243.6211,533,378.016,815,500.67144%
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
Fonte:TABNET/DATASUS
Variao Anual18%21%14%10%
Variao Acumulada18%43%64%80%
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%
Regio Centro-Oeste34,722,880.4144,302,520.0750,185,236.6855,926,629.5162,058,761.7927,335,881.3879%
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
Fonte:TABNET/DATASUS
Variao Anual16%19%15%9%
Variao Acumulada16%38%58%73%
+ 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
N de doadores cadastrados
Grf6
16
84
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
Produo Ambulatorial do SUS - Brasil
Valor Aprovado por Regio e Ano Competncia
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
Regio Centro-Oeste24,850,336.3132,786,789.7636,504,059.0840,020,293.6944,541,683.3051,389,571.1259,911,110.61
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
Regio Centro-Oeste4,717,877.346,382,422.058,394,019.7610,146,243.6211,533,378.0113,004,430.3013,917,603.67
Total85,843,010.70101,499,352.45123,090,470.38140,796,030.23154,851,019.54169,885,186.93172,970,317.49
Fonte:TABNET/DATASUS
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
Regio Centro-Oeste34,722,880.4144,302,520.0750,185,236.6855,926,629.5162,058,761.7970,319,365.7080,647,494.77
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
dados atualizados 00 a 06
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
Fonte:TABNET/DATASUS
(*) 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
Produo Ambulatorial do SUS - Brasil
Valor Aprovado por Regio e Ano Competncia
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
Fonte:TABNET/DATASUS
Variao Anual9%9%9%3%
Variao Acumulada9%19%29%33%
Produo Ambulatorial do SUS - Brasil
Valor Aprovado por Regio e Ano Competncia
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
Fonte:TABNET/DATASUS
Variao Anual17%20%16%10%
Variao Acumulada17%40%63%80%
Procedimentos hospitalares do SUS - por local de internao - Brasil
Valor total por Regio e Ano competncia
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%
Regio Centro-Oeste4,717,877.346,382,422.058,394,019.7610,146,243.6211,533,378.016,815,500.67144%
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
Fonte:TABNET/DATASUS
Variao Anual18%21%14%10%
Variao Acumulada18%43%64%80%
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%
Regio Centro-Oeste34,722,880.4144,302,520.0750,185,236.6855,926,629.5162,058,761.7927,335,881.3879%
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
Fonte:TABNET/DATASUS
Variao Anual16%19%15%9%
Variao Acumulada16%38%58%73%
+ 121 %
N de doadores cadastrados
-
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
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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.
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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.
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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.
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AtuaoAssistncia
Ensino
Pesquisa
Promoo e Preveno
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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
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Insero no Estado e no MunicpioParticipao Percentual do INCA na Assistncia Oncolgica em 2005 28%46%40%65%24%45%RadioterapiaQuimioterapiaInternaes por cncermunicpioestadomunicpioestadomunicpioestado
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Produo Anual 7.500novas matrculas255.000consultas 15.500internaes 12.000cirurgias 75.000atendimentos de QT155.000campos irradiados 14.000visitas domiciliares 80transplantes de Medula ssea
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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
&LCOAE - Diviso de Planejamento&C&P / &N&R&F / &A&D
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
&LCOAE - Diviso de Planejamento&C&P / &N&R&F / &A&D
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70 anosCongresso Internacional
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DesafiosPoltica de Pessoal
Incorporao TecnolgicaNovo modelo jurdico-institucional