O Sistema de Saúde brasileiro ante a tipologia internacional: uma discussão prospectiva e inevitável

Serapioni, Mauro; Tesser, Charles Dalcanale

doi:10.1590/0103-11042019s504

Cited by 4 publications

(4 citation statements)

References 25 publications

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“…In Brazil, for example, Araújo et al (2011) report the existence of a public health system, universal, regulated, managed and financed by the Government, available to all Brazilians, without exception, and a private system that offers additional coverage, with different services, to those who adhere to private health insurance (which are also regulated by the Government). Serapioni & Tesser (2019) when analyzing the Brazilian health system against the international typology, conclude that the Brazilian system is mixed/segmented, as it has many…”

Section: Whitehead Et Al 2019 New Zealandmentioning

confidence: 99%

Integrative Review on Primary Health Care Financing in National Health Systems: Ensuring Access and Equity

Silva¹,

Mendes²,

Carnut³

2022

TEL

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It identifies what the national and international scientific literature has made available on the financing of primary health care (PHC) in national health systems, in terms of expanding access and ensuring equity. This is an integrative literature review, in which the research was carried out in the Virtual Health Library (VHL) and PubMed. Twenty-one publications were analyzed, referring to 16 different countries. The countries with the highest number of publications were: Australia (4), Brazil (4) and Cambodia (4), followed by Argentina (2), Colombia (2) and Laos (2), in addition to another 10 countries with one publication each. The results indicate that there is not a single possible financing model, as well as there is no consensus among the authors for the concepts of access and equity. There is consensus, however, in the belief that PHC should be the guiding strategy of the care model and should be financed appropriately according to the health needs of each population. The financing models were summarized as public, based on taxes, through mandatory social contributions, or through health insurance in the private system. Additionally, the existence of Health Equity Funds (HEFs) in Cambodia proves that it is possible to find alternatives to guarantee access and equity. Each country, in its own way, seeks to guarantee access and equity in the health of its population. However, despite the guidelines of the World Health Organization or the Universal Declaration of Human Rights, with no consensus between the meaning and measurement of these terms, each country seeks to solve it in the way that suits you best. Finally, the compiled evidence allows us to conclude that the topic is very incipient, with a low level of scientific evidence available (levels 4 and 5).

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Section: Whitehead Et Al 2019 New Zealandmentioning

confidence: 99%

Integrative Review on Primary Health Care Financing in National Health Systems: Ensuring Access and Equity

Silva¹,

Mendes²,

Carnut³

2022

TEL

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“…O pioneirismo de Florianópolis encontra alguns desafios frente ao modelo da APS brasileira que se caracteriza como porta de entrada de um sistema de saúde universal 11 . A lista de pacientes é elaborada com base na utilização repetida por diferentes usuários da mesma equipe durante um período, geralmente, de dois anos.…”

Section: Perfil Populacionalunclassified

Lista de pacientes

Norman

2021

Rev Bras Med Fam Comunidade

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Este artigo discute o tema da lista de pacientes como modelo de vinculação da população às equipes de Atenção Primária à Saúde (APS). Objetivo: evidenciar as características da lista de pacientes enquanto modelo de pagamento. Método: ensaio teórico sobre modelos de pagamento que analisa o piloto de lista de pacientes da Secretaria Municipal de Saúde (SMS) de Florianópolis-SC. Para fundamentar os princípios da lista de pacientes apresenta-se sua aplicação em dois contextos diferentes: (a) em sistemas fechados de saúde, como nas Health Maintenance Organizations (HMO) nos Estados Unidos; e (b) em sistemas universais de saúde, utilizando o sistema de saúde britânico como modelo. Discussão: o projeto piloto de lista de pacientes da SMS/Florianópolis enfrenta dois problemas estruturais: (a) o sistema de saúde universal que caracteriza a APS brasileira; e (b) o modelo de pagamento salarial. Esses dois componentes impõem o desafio de se estabelecer um teto real para as listas de pacientes. Sem um limite no número de pacientes não é possível adequar a carga de trabalho dos profissionais de saúde. Adicionalmente, uma lista de pacientes construída com base na utilização repetida e no atendimento de casos agudos não fidelizados tende a aumentar a carga de trabalho dos profissionais com o passar do tempo. Entretanto, a proposta da lista de pacientes confere maior visibilidade da carga de trabalho para a gestão, facilitando o monitoramento da pressão assistencial e a redistribuição interna dos usuários entre as equipes de saúde da APS. Permite também justificar a expansão das equipes de ESF de acordo com dados mais fidedignos da realidade dos serviços e implementar programas de melhoria de qualidade. Conclusão: a implantação da modalidade de vinculação flexível em Florianópolis não traz impactos positivos diretos na carga de trabalho das equipes, mas talvez de forma indireta por meio de uma gestão inteligente da rede da APS.

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“…There are major differences in health systems; however, absenteeism in medical consultations is present in these countries studied. In the United States, private insurance is seen as a health model (28) . In China, health has progressed to bring equality and accessible values to the population, with government incentives in public health, especially in regions with low income and with voluntary health insurance (29) .…”

Section: Reasons For Absencesmentioning

confidence: 99%

Patient absenteeism in outpatient consultations: an integrative literature review

Baptista

Juliani

Lima

et al. 2021

Rev. esc. enferm. USP

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Objective: To identify and analyze the production of knowledge in national and international literature on patient absenteeism in scheduled medical consultations. Method: This is an integrative literature review in the databases PubMed, Embase, Scopus, Web of Science, CINAHL, Medline, LILACS, Virtual Health Library of the São Paulo State Department of Health and Spanish Bibliographic Index in Health Sciences, accessed through the Virtual Health Library Portal, based on the guiding question. Results: A total of 767 articles was found and nine were selected. Forgetfulness predominated among the reasons for absence. Other findings regarding the cost to the health service and strategies for solving the problem are highlighted. Conclusion: As the focus of the studies, the concern with the quality of care, increased treatment queues and high demand, as well as the cost of absent patients, are evident. Despite the relevance of the theme for the health services organization, the literature is still scarce.

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O Sistema de Saúde brasileiro ante a tipologia internacional: uma discussão prospectiva e inevitável

Cited by 4 publications

References 25 publications

Integrative Review on Primary Health Care Financing in National Health Systems: Ensuring Access and Equity

Integrative Review on Primary Health Care Financing in National Health Systems: Ensuring Access and Equity

Lista de pacientes

Patient absenteeism in outpatient consultations: an integrative literature review

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