Assistência hospitalar no âmbito da previdência social no Estado de São Paulo, Brasil

Gonçalves, Ernesto Lima; Dias, Manoel J. Moreira; Mattos, Horácio Belfort de

doi:10.1590/s0034-89101972000100005

Cited by 6 publications

(3 citation statements)

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“…The provision of ambulatory and hospital health services to the welfare population, by the National Institute of Social Security, has been discussed in the articles by Lima Gonçalves et al 51 , 52 , aligning RSP to an important political and academic debate of the period. They call attention to the publication of articles with topics and approaches characteristic of Health Economics, which was not usual in discussions of the area 6 , 7 .…”

Section: Resultsmentioning

confidence: 99%

Health Policy on the pages of Revista de Saúde Pública

Bousquat

Tanaka

2016

Rev. Saúde Pública

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We carried out a narrative review of the scientific production in the area of Policy, Planning and Management in Revista de Saúde Pública (RSP), between 1967 and 2015. All the fascicles of RSP, in the period, were accessed via SciELO platform, which provides all articles online. We selected and classified the articles according to the main topics of scientific production in the area of Policy, Planning and Management. Revista de Saúde Pública has published 343 articles on this subject, with significant growth in the last two decades. The most discussed topics were Health Economics, Primary Health-care, Access and Use of Health Services, and Evaluation of Services and Programs. In the last decade, the topics of Policy and Access to Medicines and Public-Private Relationship, including judicialization, gained importance. The pages of RSP embraced the vast and diverse production of Policy, Planning and Management in its first 50 years, contributing to the consolidation of the area in Brazil.

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Section: Resultsmentioning

confidence: 99%

Health Policy on the pages of Revista de Saúde Pública

Bousquat

Tanaka

2016

Rev. Saúde Pública

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“…However, until now, the definition of this measure continues to be a hard task. That is why the use of international data becomes a common practice, even though these data can be criticized, because they do not meet the real demand, considering the population, cultural and epidemiologic diversity of the different regions of the country (Gonçalves et al, 1972;Brazil, Ministry of Security and Social Assistance, 1982;Brazil, Ministry of Health, 2002, 2015a, 2015b, Brazil, 2017.…”

Section: Introductionmentioning

confidence: 99%

Disponibilidad de cuidados paliativos de los servicios oncológicos en Brasil

Santos

Caldas

Serafim³

et al. 2017

m.rcs

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It has been a difficult task to define the number of patients in need of palliative care, the necessary resources and the specific criteria to structure and adapt palliative care services in Brazil. Until now the quantification of palliative care needs in our country has been estimated in an isolated way and based on international experiences. However, there are doubts about the applicability of these parameters considering the population and territorial dimensions, as well as the regional diversities. The analysis of the population morbidity and mortality profiles is necessary to the establishment of possible parameters to be employed for the assistance in palliative care, such as hospital admissions for the treatment of clinical intercurrences of cancer patients. Aims: To develop estimates of the current situation, the coverage and the need for palliative care services. Identify the number of hospitals that admitted potential patients with palliative care needs and the number of hospital beds used for the hospitalizations. Methods: Retrospective and observation analysis of the hospital admission registers of cancer patients were performed to verify the number of cancer patients in need of palliative care and the number of clinic hospital beds used yearly to admit these patients. Data on hospital admission of cancer patients, like average length of stay and hospital mortality were used. Results: Between 2008 and 2016, were registered in the Hospital Information System of SUS (SIH-SUS) 1,7 million hospitalizations for treatment of clinical intercurrence of cancer patient. These admissions were identified on 3,374 different health units around the country. An average of 91% of all hospitalizations for treatment of clinical intercurrence of cancer patient were registered in 380 hospitals Conclusions: To improve the quality of life, relieve physical suffering, cater for the psychological, spiritual and social needs of people with severe and advanced diseases, as well as to provide support to families and caregivers, it is indispensable to consider the existing models of health care. The inclusion or expansion of palliative attention meets the size, nature and severity of the needs of cancer patients.Key words: Cancer, Hospital Admissions, Estimated palliative care needs, Hospital beds for palliative caremethaodos.revista de ciencias sociales, 2017, 5 (2): 341-354 ISSN: 2340-8413 | http://dx.doi.org/10.17502/m.rcs.v5i2.172 Cledy Eliana dos Santos, José Manuel Peixoto Caldas, José Américo Serafim, Newton Barros, Altamiro da Costa Pereira, Marcelo Eduardo Zanella Capra, Airton Stein y Alberto Freitas Nota de investigación 342 ResumenDefinir el número de pacientes que necesitan cuidados paliativos, los recursos necesarios y los criterios específicos para estructurar y adaptar los servicios de cuidados paliativos en Brasil ha sido una tarea difícil. Hasta el momento, la cuantificación de las necesidades de cuidados paliativos en nuestro país ha sido estimada de un modo aislado y se ha basado en experiencias inte...

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“…Higher life expectancy and better management of chronic conditions have caused an increased demand for health services in Brazil. Bed shortage is common 1 and emergency rooms are often overcrowded 2 .…”

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A Short Stay Unit Decreased Mean Length of Stay in a Hospital in South Brazil

Furlanetto¹,

Barcelos²,

Faulhaber³

2014

cbr

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Introduction Public health services in Brazil are periodically overcrowded. Since reducing the length of stay (LOS) could increase the availability of hospital beds, this study evaluated the impact of a short stay unit (SSU) on LOS, early readmission rates, and intra-hospital mortality rates. Methods Data were evaluated retrospectively in the 12 months before and after the establishment of a multidisciplinary SSU in a tertiary care hospital in south Brazil. All admissions of adult patients through the Emergency Department for causes in nine groups of the World Health Organization International Code of Diseases-10 were included. Results Mean LOS decreased 1.42 days in the first year after the implementation of a SSU with no change in 7-day readmission rates or intra-hospital mortality rates. This decrease may be partially explained by the decrease in the mean LOS in other areas of the hospital, although the amount of hospital-bed days saved in the second year was 5,668 days in the Internal Medicine Division and 1,595 days in all other clinical or surgical areas. Mortality rates after discharge were not evaluated. Conclusions A SSU decreased mean LOS of selected patients admitted through the Emergency Department without increasing 7-day readmission rates or intra-hospital mortality.

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Assistência hospitalar no âmbito da previdência social no Estado de São Paulo, Brasil

Cited by 6 publications

References 1 publication

Health Policy on the pages of Revista de Saúde Pública

Health Policy on the pages of Revista de Saúde Pública

Disponibilidad de cuidados paliativos de los servicios oncológicos en Brasil

A Short Stay Unit Decreased Mean Length of Stay in a Hospital in South Brazil

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