Modalidades de gestão de serviços no Sistema Único de Saúde: revisão narrativa da produção científica da Saúde Coletiva no Brasil (2005-2016)

Abstract

The current study aimed to systematically analyze trends and priorities in the theoretical and conceptual approaches and empirical studies on specific health services management modalities in the Brazilian Unified National Health System. A narrative review of the literature identified, in 33 publications, the location and nature of services, management models, methodological procedures, and study outcomes. The research deals mainly with the models' conceptual and legal characteristics and management practices, in addition to addressing contracts, procurement, human resources, financing, and control mechanisms. In conclusion, the literature is limited and concentrated in the State of São Paulo, showing little theoretical diversity and methodological weaknesses, while it is nonconclusive as to the superiority of one management model over another. New evaluation studies are needed that are capable of comparing different models and assessing their performance and their effects on the quality of health services' provision, the population's health, and the health system's organization.

Colaboración interprofesional para el seguimiento odontológico prenatal en atención primaria de la salud

“…La formación académica de los seis gestores locales se relacionaba con áreas de administración, pedagogía (2), odontología (2) y enfermería (2), y contaban con estudios de posgrado en áreas relevantes: gestión de servicios en el SUS (2), gestión de personas y gestión en salud (2), y magíster en salud familiar (2). Esas áreas son espacios organizacionales, administrativos y de modelos de gestión importantes para la consolidación y construcción del SUS y de la atención primaria de la salud en Brasil, que repercuten en los modos de composición, organización y producción de salud de la población brasileña (20) .…”

Satisfaction of octogenarians with Primary Health Care services

“…Another contribution is related to the guidelines for local health management in the city where the study is being carried out, so that organization strategies are continuously improved in order to generate more purposeful responses from health services to the long-lived population 29 . Furthermore the FHS teams themselves, through the findings of this study, can realign their work strategies to provide a better intake process and resolve the demands of the age group of long-lived older adults.…”

“…In Recife (Pernambuco), a similar reality was identified, with older adults in this location demonstrating reduced satisfaction with the physical and infrastructure conditions of the units. Poor accessibility, limitations in comfort and hygiene conditions are the most critical aspects pointed out by the group of older adults in Recife 29 .…”

Twelve tips for essential aspects in the elaboration of Global Medical Curricula in a context of Medical Competencies, EPAs, and Milestones

“…The search for quality is a reference that can improve the organization of this complex system. It already seems a consensus to classify individual, family and population according to complexity, with a greater concentration on primary care and hospital care (Ravioli, Soárez and Scheffer, 2018;van Til et al, 2019;Cooper et al, 2019;Al Asmri et al, 2020). The assessment of the effectiveness of different models is hampered by the lack of common terminology, outdated taxonomies, and heterogeneous research methodologies (Cooper et al, 2019).…”