A longa batalha pelo financiamento do SUS

Mendes, Áquilas

doi:10.1590/s0104-12902013000400002

Cited by 29 publications

(30 citation statements)

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“…In 2012, the percentage of the federal government expenditures with health actions and services virtually remained the same as in 1995, when it was only 1.75% of the gross domestic product. 15 These data are even more concerning when we observe the total expenses with health in Brazil, as 47% correspond to public expenditure. This shows the difficulty faced by the SUS public managers, as the system must provide services to 75% of the population, who have no private health insurance, and this care is provided with less than half of the resources devoted to health in Brazil.…”

Section: The Sus Funding Does Not Cope With the Hospital Expenses Andmentioning

confidence: 94%

“…There are also conflicts regarding the calculations to use the Federal Government resources. [15][16] The great problems related to health funding remain up to these days. In 2012, the percentage of the federal government expenditures with health actions and services virtually remained the same as in 1995, when it was only 1.75% of the gross domestic product.…”

Section: The Sus Funding Does Not Cope With the Hospital Expenses Andmentioning

confidence: 99%

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Nurses and the Working Process at a Teaching Hospital: Implementation of the Unified Health System

Luccas

Larocca

Chaves

et al. 2015

Texto contexto - enferm.

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Study guided by Norberto Elias's theoretical, methodological background, which objectified to analyze the changes in nurses' work process at a Teaching Hospital since the implementation of the Unified Health System. Data were gathered by means of an interview applied to 12 nurses working in the studied setting since 1990, with further discourse analysis. Eight themes emerged as results (integrality, decentralization, hierarchization, regionalization, work process, health funding and social control), and 35 thematic statements, categorized from concepts of figuration, interdependence and tension balance, which enabled discussions on relational dynamics between society and individuals in order to apply Unified Health System principles, and tension production to carry out the work process. We concluded that Unified Health System implementation-ridden changes reflected on such professionals' work process even indirectly.

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Section: The Sus Funding Does Not Cope With the Hospital Expenses Andmentioning

confidence: 94%

Section: The Sus Funding Does Not Cope With the Hospital Expenses Andmentioning

confidence: 99%

Nurses and the Working Process at a Teaching Hospital: Implementation of the Unified Health System

Luccas

Larocca

Chaves

et al. 2015

Texto contexto - enferm.

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“…Destaca-se que há uma desigualdade em investimentos, tendo em vista a maior escassez de recursos principalmente na atenção primária, devido a uma visão distorcida da sua complexidade, que leva à desvalorização deste nível de atenção. [12][13][14] As ICSAP, como indicador de acesso e qualidade da atenção, passou a valorizar a APS, servindo de ferramenta para avaliação do desempenho e seu reflexo nos investimentos em saúde. Na análise da correlação de Spearman, foi possível observar que todas as variáveis apresentaram associação positiva, porém, muito fraca, ou seja, mesmo com o aumento no investimento financeiro, no investimento em APS, no gasto per capita em saúde e na cobertura pela ESF, houve aumento discreto nos coeficientes de ICSAP, contudo, essas diferenças não foram estatisticamente significativas (Tabela 4).…”

Section: 11unclassified

Internações por condições sensíveis à atenção primária em Novo Hamburgo, Rio Grande do Sul

Arruda

Costa

2017

Rev Bras Med Fam Comunidade

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Hospitalizaciones por condiciones sensibles a la atención primaria en Novo Hamburgo, Rio Grande do SulObjectives: This study aimed to analyze trends in admissions for ambulatory care sensitive conditions (ACSC) in Novo Hamburgo, comparing it with the rest of the Rio Grande do Sul State, and relating it to the investments in health and the Family Health Strategy (FHS) coverage in the city, from 1998 to 2012. Methods: We conducted an ecological study. Data were obtained from the Unified Health System's Hospital Database (SIH-SUS). The causes of ACSC were based on a national list published by the Ministry of Health. ACSC tendencies in Novo Hamburgo and the rest of the Rio Grande do Sul State were analyzed by means of their standardized rates, based on moving averages every three years, and Negative Binomial Regression. Correlation analysis was performed between the variables of interest. Results: Despite an increase of 329.26% in financial investments and the expansion of FHS coverage in the period, reaching 20.20% of the population, there was no decrease in ACSC rate trends in Novo Hamburgo. In the rest of Rio Grande do Sul, there was a reduction in ACSC, however, the rates were higher than in Novo Hamburgo during the same period. Conclusion: Although this study found no association between the decrease in ACSC rates and increased coverage for FHS, increase financial investment in health, financial investment in primary care and per capita spending on health, there is evidence that they are correlated. Probably the FHS coverage was not enough to impact the ACSC.

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“…Funding for healthcare in Brazil is below what is required to ensure universal, comprehensive, quality public healthcare 12 . Insufficient federal funds affect the three levels of care differently.…”

Section: Introductionmentioning

confidence: 99%

Internações por condições sensíveis à atenção primária, gastos com saúde e Estratégia Saúde da Família: uma análise de tendência

Morimoto

Costa

2017

Ciênc. saúde coletiva

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Resumo O objetivo deste trabalho foi analisar a tendência temporal das internações por condições sensíveis à atenção primária (ICSAP), relacionando-a com os gastos em saúde e com a cobertura da Estratégia Saúde da Família (ESF), no município de São Leopoldo, Rio Grande do Sul, no período de 2003 a 2012. Trata-se de um estudo ecológico de tendência de série temporal. Foram utilizados dados secundários, disponíveis no Sistema de Informações Hospitalares do Sistema Único de Saúde, no Departamento de Atenção Básica e no Sistema de Informações sobre Orçamentos Públicos em Saúde. A análise foi realizada mediante comparação das ICSAP por meio de médias móveis trienais e na regressão de Poisson ou binomial negativa. Não foi observada significância estatística na diminuição dos coeficientes de ICSAP e das despesas com atenção primária. Os gastos em saúde, o gasto per capita e a cobertura da ESF aumentaram significativamente, porém sem relação com as ICSAP. Os resultados encontrados apontaram que, apesar dos incrementos nos investimentos financeiros e na cobertura populacional pela ESF, ambos não alcançaram níveis para garantir cuidados de saúde adequados à população.

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A longa batalha pelo financiamento do SUS

Cited by 29 publications

References 1 publication

Nurses and the Working Process at a Teaching Hospital: Implementation of the Unified Health System

Nurses and the Working Process at a Teaching Hospital: Implementation of the Unified Health System

Internações por condições sensíveis à atenção primária em Novo Hamburgo, Rio Grande do Sul

Internações por condições sensíveis à atenção primária, gastos com saúde e Estratégia Saúde da Família: uma análise de tendência

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