Reforma do Estado e as Mudanças Organizacionais no Setor Saúde

Costa, Nílson do Rosário; Melo, Marcos André C. de

doi:10.1590/1413-812319983102812014

Cited by 6 publications

(5 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, the vaccination comes after or at most during a disease's outbreak in Brazil, and not prior to the outbreak, as a mitigation and prevention vaccination control should be. These findings follow along with Costa and Melo (1998) that rises the questioning of whether the Brazilian Federal Government seeks an enhancement in the State related functions and services provisioning, or if it only seeks capital expenses containment, without regarding the quality of those services supposedly offered. The above findings are further reinforced by Brazilian Federal Government annual financial resource destinated to Pará's state government for development of socioeconomic plans, policies and respective managements funding.…”

Section: Year Municipalitymentioning

confidence: 59%

Assessment of the spatio-temporal distribution of Hepatitis-a virus transmission in the state of Pará, Brazil

Leal

Kampel

Guimarães

2020

Preprint

View full text Add to dashboard Cite

The hepatitis-A virus (HAV) is a worldwide healthcare problem, mainly affecting countries with poor sanitation and socioeconomic conditions. Spatio-temporal analyses have become an important scientific asset for identifying the clustering of disease infection, providing support for planning interventions and control strategies. This study aims to determine the spatio-temporal variability of HAV infection and related population-based demographic factors in a endemic region. The selected area of study was Pará state, Brazil. Brazilian Ministry of Health Notifiable Diseases Information System (SINAN) epidemiological report, MS vaccination coverage and Brazilian National Sanitation System (SNIS) sanitation condition datum have been analyzed. Spatial (Moran and Local Moran index)and space-time scan statistics techniques have been applied over Pará state using SINAN database for the assessment of the hepatitis-A incidence for a period of 10 years (from 2008 up to 2017). A total of 5500 cases has been reported. Gender specific incidence analysis indicated that men have higher risk of contamination than women. Sociodemographic (lack of sanitation), socioeconomic (municipality governments investments in infra-structure) presented relationship with the disease incidence. There have been evidences that extreme events of severe precipitation and severe droughs were also related to increase in hepatitis-A notification cases. Spatial statistics denoted a heterogeneous geographical structure in the disease`s incidence: isolated high and low HAV incidence clusters through the years, implying in a complex disease outbreak system that is partially controlled by public vaccination actions. Space-time scan statistics denoted that hepatitis-A incidence is highly attached to the public HAV vaccination program and to municipality specific social infrastructure.Lower incidence risk were majorly aggregated over the Nordeste Paraense and Metropolitana de Belém meso-regions. Distinct clusters of hepatitis-A incidence have been found over the studied area (Pará state), and these clusters varied over the years centered at northwest and northeast mesoregions, mainly time-located prior to the national vaccination program start (prior to 2014). National public vaccination program has not been capable of erradicating the disease in the state. Further studies are required to better assess the relationship between climate change efffects over weather events and their relation to HAV transmission outbreaks.

show abstract

Section: Year Municipalitymentioning

confidence: 59%

Assessment of the spatio-temporal distribution of Hepatitis-a virus transmission in the state of Pará, Brazil

Leal

Kampel

Guimarães

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Macroeconomic adjustments and administrative flexibilization have come to be seen as solutions to capitalism in facing the economic crisis that has hit many countries. In Brazil, the decade of 1990 was marked by the State reform policy that was responsible for the expansion of market, flexibilization of labor relations and transfer of state responsibilities to private entities [1].…”

Section: Introductionmentioning

confidence: 99%

“…CEOs are secondary care units that offer the population services for diagnosis and detection of oral cancer, minor oral surgeries, specialized periodontics, endodontics and care for patients with special needs (Decree GM / MS No. 1,570,2004). The expansion of the offer of specialized dental services by CEOs is one of the main lines of action of the current National Oral Health Policy (PNSB) [10].…”

Section: Introductionmentioning

confidence: 99%

Management Models of Centers of Dental Specialties: Analysis from PMAQ-CEO

Sobrinho

Martelli

Silva

et al. 2018

Pesqui. bras. odontopediatria clín. integr.

View full text Add to dashboard Cite

Objective: To identify and understand how management models are being institutionalized in Centers of Dental Specialties, specifically with regard to the publicprivate relationship. Material and Methods: A descriptive and quantitative study using database of the 1 st cycle PMAQ/CEO External Evaluation, specific to the question directed to managers or Dentists working at CEO: what is the labor link of CEO professionals? It was considered an alternative model when at least one dentist had nonstatutory labor relationship. Statistical analyses performed were exploratory and descriptive. Results: Data were collected from 930 CEOs distributed throughout Brazil, of which 170 (18.3%) are under alternative management model, especially in the southeastern (37.6%) and northeastern regions (34.7%), distributed in 147 municipalities, 144 (85%) under municipal management, 22 (13%) under state management. Of CEOs with state management, 68% are in Ceará State and 27% in Paraná State. In 78.6% of CEOs, the labor link of dentists is exclusively via direct public administration. Other 10.1% are in direct public administration with new legal arrangements. Only alternative management models were identified in 8.2% of CEOs. Conclusion: A significant number of CEOs are under alternative management model, and its distribution to all regions indicates a consolidation trend.

show abstract

“…A cost-utility analysis refines the cost-effectiveness outcome, it allows to compare any types of health interventions and their effects, measured in Quality-adjusted life years (QALY) 6 . This assessment can show alternatives to maximize achieving the target within a minimum budget 8 . For an instrument be able to provide objective data for cost-utility assessment, it must be based on preferences.…”

Section: Introductionmentioning

confidence: 99%

“…6 This assessment can show alternatives to maximize achieving the target within a minimum budget. 8 For an instrument be able to provide objective data for cost-utility assessment, it must be based on preferences.…”

Section: Introductionmentioning

confidence: 99%

Health economics and health preference concepts to orthopedics practitioners

et al. 2014

View full text Add to dashboard Cite

The aim of this study was to describe concepts of health economics in order to update and provide the orthopedic practitioner decision making parameters based on preferences. Four basic types of studies of economical evaluation were presented (cost minimization analysis, cost-benefit, cost-effectiveness and cost-utility), as well as the origin, the concept, advantages and disadvantages of using QALY and utility. It was discussed the importance of costs and of SF-6D, an instrument able to get through the utility data from the Medical Outcomes Study 36-item Short Form Health Survey (SF-36). Physicians, especially orthopedic practitioners, are increasingly using technologies which are progressively expensive, thus, they should be able to understand health economics concepts, the importance of utility in clinical decision making process and economic analysis in health.09+

show abstract

Reforma do Estado e as Mudanças Organizacionais no Setor Saúde

Cited by 6 publications

References 3 publications

Assessment of the spatio-temporal distribution of Hepatitis-a virus transmission in the state of Pará, Brazil

Assessment of the spatio-temporal distribution of Hepatitis-a virus transmission in the state of Pará, Brazil

Management Models of Centers of Dental Specialties: Analysis from PMAQ-CEO

Health economics and health preference concepts to orthopedics practitioners

Contact Info

Product

Resources

About