Abnormal Shortages In Medicines After CCSS Audit

Failures in the acquisition of drugs and the failure or absence of procurement processes caused the patients of the Social Security Fund (CCSS) to spend up to one year without access to medicines.

In 20 months between January 2010 and August 2011 – the institution suffered a shortage of 140 drugs, this represents a quarter of all the products listed on the Official List of Medicines (LOM).

The most serious was the shortage of a substance called Gadopentetate dimeglumine which is a key solution for the diagnosis of cancer.

This compound was unavailable for an entire year.

Other drugs that were absent for nine months were: the Alfacalcidol, a vitamin D type to treat the absence of calcium in the blood and the Montelukast, which is used in bronchial asthma treatment.

For the shortage of medicines, they have decided to do an internal audit of the CCSS. The audit report reveals a number of inconsistencies and anomalies in the mechanism of urgent purchases of medicines within the Fund.

The auditors found that, despite the increase in purchases of urgency, the CCSS suffered from a constant shortage throughout pharmacies in hospitals.

Auditors also found defects in the predictions of shopping, inconsistency in computerized systems for inventory control, missed deadlines and schedules by providers.

In addition, the Logistics Management presents “duplication of technical analysis”, late notifications and “coordination failures” once detected drug requirements. The audit report was made at the request of the Board of Directors of the Fund.

Every anomalies correspond to the period when the logistics manager was, Ubaldo Carrillo Cubillo, who resigned a month after the allegations.

Yesterday, the exjerarca did not wanted to comment, but who said it , was the new manager Dinorah Garro, who warned that in three weeks will defined the Authority Director that investigate the findings of the audit and allow the eventual opening of administrative proceedings against officials .

According to the study of the audit was reviewed a sample of 30 cases of urgent purchases and there was evidence that, there was no study of price reasonable.

The audience also found that, in most urgent purchases not fulfilled the principle of unpredictability. For example found that the administration justified in its own inability some emergency purchases. According to the information analyzed, in 2010 the CCSS had only 12 emergency purchases, while a year later the number increased to 59.

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