Gestão do SUS em regiões interestaduais de saúde: análise da capacidade de governo

Aleluia, Ítalo Ricardo Santos; Medina, María Guadalupe; Vilasbôas, Ana Luíza Queiroz; Viana, Ana Luiza d’Ávila

doi:10.1590/1413-81232022275.10392021

Cited by 8 publications

(4 citation statements)

References 15 publications

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“…The interstate border areas also deserve attention due to the administrative capacity needed to solve problems shared by neighboring municipalities. The administration of the Unified Health System (SUS) in these regions is a tripartite challenge requiring high capacity for integration between state government projects, limiting the effectiveness of results from the planning phase through their execution 29 .…”

Section: Discussionmentioning

confidence: 99%

High-risk space-time clusters of mortality in children 5 to 14 years of age in Mato Grosso state, Brazil

Lima,

Gama,

Favacho

et al. 2024

Ciênc. saúde coletiva

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The study aimed to detect high-risk areas for deaths of children and adolescents 5 to 14 years of age in the state of Mato Grosso, Brazil, from 2009 to 2020. This was an exploratory ecological study with municipalities as the units of analysis. Considering mortality data from the Mortality Information System (SIM) and demographic data from the Brazilian Institute of Geography and Statistics (IBGE), the study used multivariate statistics to identify space-time clusters of excess mortality risk in this age group. From 5 to 9 years of age, two clusters with high mortality risk were detected; the most likely located in the state’s southern mesoregion (RR: 1.6; LRT: 8,53). Among the 5 clusters detected in the 10-14-year age group, the main cluster was in the state’s northern mesoregion (RR: 2,26; LRT: 7,84). A reduction in mortality rates was observed in the younger age group and an increase in these rates in the older group. The identification of these clusters, whose analysis merits replication in other parts of Brazil, is the initial stage in the investigation of possible factors associated with morbidity and mortality in this group, still insufficiently explored, and for planning adequate interventions.

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Section: Discussionmentioning

confidence: 99%

High-risk space-time clusters of mortality in children 5 to 14 years of age in Mato Grosso state, Brazil

Lima,

Gama,

Favacho

et al. 2024

Ciênc. saúde coletiva

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“…As áreas de fronteiras interestaduais também merecem atenção pela capacidade de gestão necessária à resolução de problemas comuns aos municípios limítrofes. A gestão do SUS nestas regiões é um desafio tripartite que exige elevada capacidade de integração entre os projetos de governo estaduais, limitando o alcance de resultados efetivos ainda ao campo da intencionalidade 29 . Dos 2.068 óbitos de crianças e adolescentes de 5 a 14 anos ocorridos em Mato Grosso entre 2009 e 2020, 1.302 foram classificados como evitáveis segundo a Lista de Causas de Mortes evitáveis (5 a 74 anos de idade) por intervenções do SUS 30 .…”

Section: Indicadoresunclassified

Clusters Espaço-Temporais de Alto Risco da Mortalidade Infantojuvenil em Mato Grosso, Brasil

Lima,

Gama,

Favacho

et al. 2024

Ciênc. saúde coletiva

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Resumo O objetivo deste estudo é detectar as áreas de maior risco para óbitos de crianças e adolescentes de 5 a 14 anos no estado de Mato Grosso entre os anos de 2009 e 2020. Estudo ecológico, tipo exploratório, cuja unidade de análise foram os municípios. Considerando dados de mortalidade do SIM e os demográficos do IBGE, o estudo utilizou a estatística multivariada para a identificação dos clusters espaço-temporais de sobrerrisco de mortalidade nesta faixa etária. Dos 5 aos 9 anos, dois clusters de alto risco de mortalidade foram detectados; o mais provável localizado na mesorregião sul (RR: 1,6; LRV: 8,53). Dentre os 5 clusters detectados na faixa etária dos 10 aos 14 anos, o principal foi localizado na mesorregião norte (RR: 2,26; LRV: 7,84). Foi identificada redução das taxas de mortalidade na faixa etária mais jovem e aumento destas taxas na faixa etária mais velha. A identificação destes clusters, cuja análise merece ser replicada a outras partes do território nacional, é a etapa inicial para a investigação de possíveis fatores associados à morbi-mortalidade deste grupo ainda pouco explorado e para o planejamento de intervenções adequadas.

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“…Management of the Brazilian health system involves a complex network of factors that directly influence the health status of the population. Social and economic determinants, accessibility to services, public policies, investment in new technologies and treatments, and management and care strategies are all examples of these factors 1 .…”

Section: Introductionmentioning

confidence: 99%

Lean Methodology Implementation in the Emergency Department of a University Hospital: Management and Sustainable Development

Rocha,

Rempel,

Santana

et al. 2023

Texto contexto - enferm.

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Objective: to describe the implementation of the Lean Methodology in an emergency department and its contribution to sustainable and quality management. Method: this is a methodological study carried out between October 2018 and January 2022 in the adult emergency department of a public university hospital in southern Brazil, analyzing the results before and after the implementation of the Lean Methodology. The study followed the model and standards adopted by the Standards for Quality Improvement Reporting Excellence 2.0 (SQUIRE) for the description of improvement cycle standards. Results: with the implementation of this methodology, actions were developed, such as innovations in work routines, both care and management, changes in patient reception with risk classification, construction of units for patient care and allocation, daily interdisciplinary meetings (huddle), full contingency plan, hospital discharge routines, external transfers, changes in the communication process with users and professionals, among other actions. Conclusion: the use of the Lean Methodology has resulted in a reduction in occupancy, which has helped to optimize health resources and ensure quality care and management practices. This reduction is believed to be proof of sustainable management in health services and contributes to reducing socio-economic inequalities.

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Gestão do SUS em regiões interestaduais de saúde: análise da capacidade de governo

Cited by 8 publications

References 15 publications

High-risk space-time clusters of mortality in children 5 to 14 years of age in Mato Grosso state, Brazil

High-risk space-time clusters of mortality in children 5 to 14 years of age in Mato Grosso state, Brazil

Clusters Espaço-Temporais de Alto Risco da Mortalidade Infantojuvenil em Mato Grosso, Brasil

Lean Methodology Implementation in the Emergency Department of a University Hospital: Management and Sustainable Development

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