Governança e capacidade estatal frente à COVID-19 na Alemanha e na Espanha: respostas nacionais e sistemas de saúde em perspectiva comparada

Pereira, Adelyne Maria Mendes; Machado, Cristiani Vieira; Veny, Miquel Bennàsar; Yañez, Aina; Recio, Sonia Navas

doi:10.1590/1413-812320212610.11312021

Cited by 11 publications

(8 citation statements)

References 6 publications

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“…Also noteworthy is its performance in telemarketing, in tracking cases and contacts, in articulation with epidemiological surveillance and vaccination [23][24][25] . More or less robust results are related to the previous capacity of the PHC and the health system, including financing and availability of workers 26 . However, since 2017, changes have been observed in the national primary care policy, which affect the composition of PHC teams and suggest inflections and setbacks in relation to the advances made with PHC, which primary strategy is family health [27][28][29][30][31] .…”

Section: Introductionmentioning

confidence: 99%

Changes in the primary care policy and the (un)sustainability of the Family Health Strategy

et al. 2023

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Primary Health Care is a strategic level of care for forming a sustainable health system that responds to diverse needs. This article analyzed federal regulation and its implications for establishing primary care teams in Brazil. Exploratory mixed methods research involves analyzing 25 federal ordinances and secondary data of national scope referring to the teams approved in the National Register of Health Establishments from 2017 to 2021. The results indicate changes in the direction of the policy regarding the configuration, funding, and accreditation of teams. There was an expansion of primary care teams, a reduction in community health agents, and a weakening of the Family Health Support Center. The results suggest that the incentives for other team arrangements, the flexibility of the coverage of the community agent, and the multidisciplinary action compromise the sustainability of the Family Health model in the Unified Health System.

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Section: Introductionmentioning

confidence: 99%

Changes in the primary care policy and the (un)sustainability of the Family Health Strategy

et al. 2023

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“…In universal health systems whose management is supported by inter-federal arrangements for the creation and implementation of health policies, coping with COVID-19 has been conditioned by the cooperation between sub-national spheres [1][2][3] . Adequate and timely responses to the health crisis caused by the COVID-19 pandemic require actions to strengthen the health systems and increase the capacity of public management in intersectoral and intergovernmental articulation and compensation for socio-sanitary inequalities [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

“…In decentralized health systems such as the Brazilian one, there is a complex combination of multiple sub-national entities for the management of health crises with the complexity of COVID-19 11 . Given this scenario, it becomes more challenging 4 for the state management to coordinate responses in cooperation with municipal managers.…”

Section: Introductionmentioning

confidence: 99%

State management of primary health care in response to COVID-19 in Bahia, Brazil

Aleluia

Vilasbôas

Pereira

et al. 2023

Ciênc. saúde coletiva

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This is an analysis of state management of Primary Health Care in response to the COVID-19 pandemic in Bahia. It is a qualitative case study with interviews with managers and regulatory documents analyzed according to the categories of government project and government capacity. State PHC proposals were debated in the Bipartite Intermanagerial Commission and in the Public Health Operational Emergency Committee. The scope of the PHC project focused on the definition of specific actions to manage the health crisis with the municipalities. The institutional support of the state to the municipalities modulated inter-federative relations and was decisive in the elaboration of municipal contingency plans, training of teams and production and dissemination of technical standards. The capacity of the state government was dependent upon the degree of municipal autonomy and the availability of state technical references in the regions. The state strengthened institutional partnerships for dialogue with municipal managers, but mechanisms for articulation with the federal level and social control were not identified. This study contributes to the analysis of the role of states in the formulation and implementation of PHC actions mediated by inter-federative relationships in emergency public health contexts.

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“…Alguns autores discutem a importância do investimento em capacidades estatais para o enfrentamento da Covid-19. As respostas governamentais à pandemia teriam sido moldadas pelas instituições políticas preexistentes, pelos níveis de capacidades estatais e pelas inúmeras pressões sofridas, afetando na habilidade de alocação de recursos, na organização da burocracia e na definição das ações (GONZÁLEZ-BUSTAMANTE, 2021;LIU;WON, 2022;OMAR;HOSSAIN, 2021;PEREIRA et al, 2021). Essas capacidades estatais podem ser definidas como o conjunto de recursos e habilidades do Estado para consecução de fins públicos, podendo ser desmembradas em aspectos técnico-administrativos e políticorelacionais (GOMIDE; PEREIRA; MACHADO, 2017;GRIN et al, 2018;GOMIDE, 2016).…”

Section: Introductionunclassified

Análise Das Capacidades Estatais No Enfrentamento Da Pandemia Da Covid-19 No Brasil

Araújo,

Ferreira

2023

REAd. Rev. eletrôn. adm. (Porto Alegre)

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RESUMO A literatura sobre gestão de crises evidencia a importância da aprendizagem organizacional para a formação de capacidades necessárias ao enfrentamento efetivo de novas crises . No Brasil, o contexto caótico do enfrentamento da pandemia e a descoordenação das ações ensejam reflexão sobre os elementos que poderiam minimizar o número de óbitos. Diante disso, este estudo tem como objetivo compreender em que medida as capacidades técnico-administrativas e aspectos territoriais influenciaram no resultado do enfrentamento da Covid-19. Foram utilizadas na análise dos dados a Modelagem de Equações Estruturais e testes de médias. No que se refere às capacidades, os resultados revelaram que os óbitos por Covid-19 estavam associados positivamente ao número de UTIS e recursos financeiros; e negativamente relacionados ao número de estabelecimentos da atenção básica e qualidade dos serviços de saúde prestados. Evidenciou-se, também, a heterogeneidade das capacidades estatais, o que revela a fragilidade do planejamento regional da saúde. Esses resultados são importantes para o planejamento das ações e formação de capacidades para o enfrentamento de novas crises de saúde. Como contribuição à literatura, o estudo joga luz sobre a importância da capacidade estatal, da estrutura operacional e da capilaridade da saúde primária enquanto fatores condicionantes do sucesso na gestão de crises em saúde.

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Governança e capacidade estatal frente à COVID-19 na Alemanha e na Espanha: respostas nacionais e sistemas de saúde em perspectiva comparada

Cited by 11 publications

References 6 publications

Changes in the primary care policy and the (un)sustainability of the Family Health Strategy

Changes in the primary care policy and the (un)sustainability of the Family Health Strategy

State management of primary health care in response to COVID-19 in Bahia, Brazil

Análise Das Capacidades Estatais No Enfrentamento Da Pandemia Da Covid-19 No Brasil

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