Regionalização do atendimento hospitalar público na Região Metropolitana da Grande Vitória, ES

Abstract

This article analyzes the process of formation of the regional health care network in the metropolitan area of Vitória, Espírito Santo, Brazil (RMGV-ES), with specific focus on public hospital care, trying to characterize the current stage of structuring inter-hospital network in the State of Espírito Santo (Brazil), particularly in the Grande Vitória area. Hospitalizations were analyzed performed in hospitals of the Brazilian National Health System and the displacements of the users of these services among the municipalities that make up the RMGV. The methods adopted were the processing and analysis of data from the Sistema de Internações Hospitalares do Sistema Único de Saúde (SIH-SUS), systematized by the Departamento de Informática do Sistema Único de Saúde -Datasus. The RMGV recorded significant population flows in the use of public health services, as shown by the data collected. The largest shifts were observed between men, children and adolescents and for surgical admissions. Considering regionalization as a new principle and guideline of the health decentralization process, this article has identified changes in the process that previously pointed to the municipalization and now seeks to strengthen a regional and intermunicipal perspective for assistance to the population.

Regulation of access to the hospital care network for children in Ceará, Brazil

“…These results affirm that efficiency in the regulation system is imperative to advance the achievement of integrality. 13,14 The current data showed a high waiting time for ICU bed release (91.1%), which is consistent with the results of several studies indicating deficits in intensive care beds throughout Brazil. [15][16][17] Despite a recent increase, the number of neonatal ICU beds in Brazil remains insufficient for the demand.…”

“…1,12 In the logic of the regionalization of health services, the existence of hospitals in all municipalities is not always determined, provided that the regional references are accessible and clearly defined. 13 Thus, the high percentages of regulation in the municipalities of Barbalha and Juazeiro do Norte are justified because those municipalities are more populous and are reference units of medium and high complexity. Other studies highlight regulation as an alternative to ensure resilient and equitable assistance networks.…”

Regionalização no SUS: uma revisão crítica

“…That same year, 'Saúde & Sociedade' published a thematic number with eight articles on this theme [21][22][23][24][25][26][27][28] .…”

Gestão hospitalar no Sistema Único de Saúde: problemáticas de estudos em política, planejamento e gestão em saúde

“…A categoria Gestão em Saúde evidenciou a gestão do sistema e também dos elementos que particularizam a gestão dos serviços hospitalares. Na primeira, os aspectos são relacionados a mudança do enfoque gestor linear ao sistêmico 47 , as RAS, a regionalização 48 , o acesso referenciado pelo tratamento ambulatorial 49 , a adoção da internação domiciliar 50 , a priorização da implantação da humanização e o acolhimento na prestação dos cuidados [51][52][53] e dos direitos dos pacientes no SUS 54 .…”