Eqüidade na gestão descentralizada do SUS: desafios para a redução de desigualdades em saúde

Lucchese, Patrícia T. R.

doi:10.1590/s1413-81232003000200009

Cited by 42 publications

(36 citation statements)

References 5 publications

(8 reference statements)

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“…Também contribui para um aumento da eficiência do gasto público, da eficácia gerencial, da sustentabilidade e da equidade no que se refere Kranz, Luís Fernando & Rosa, Roger (LUCCHESE, 2003).…”

Section: Discussionunclassified

“…Os consórcios intermunicipais não são novidade na história brasileira e já foram, inclusive, previstos em outras Cartas Constitucionais, como as de 1937 e 1967, com a possibilidade do agrupamento de municípios, dotado de personalidade jurídica, para exploração de serviços públicos em comum (NEVES e RIBEIRO, 2006 Como pessoa jurídica de direito público, o consórcio pode ser autorizado a receber dos municípios associados todas as atribuições relacionadas à gestão dos serviços públicos (planejamento, regulação, fiscalização e prestação dos serviços) (PEIXOTO, 2008). Já como pessoa jurídica de direito privado, o consórcio só poderá exercer funções executivas, como a prestação dos serviços públicos ou a execução de atividades ou serviços de apoio às administrações dos entes consorciados, não sendo possível lhe transferir as funções de planejamento, regulação e fiscalização dos serviços.…”

Section: Introductionunclassified

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Consórcio intermunicipal do vale do rio caí (CIS/CAÍ): serviços prestados de média e alta complexidade em saúde

Kranz¹,

Rosa²

2016

GeS

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Consórcios Intermunicipais apresentam-se como estratégia de oferta pública de serviços ao unir municípios e desenvolver ações em saúde. O Consórcio Intermunicipal de Saúde do Vale do Rio Caí é composto por 23 municípios do Rio Grande do Sul e atua desde 2005. Pretende-se descrever o consumo médio anual de serviços de saúde dos municípios do consórcio, quantificar o valor despendido segundo tipo de serviço e comparar a produção de serviços do consórcio com a do Sistema de Informação Ambulatorial do Sistema Único de Saúde no período 2008-2011. Exames absorvem o maior volume de recursos financeiros, seguidos pelas consultas, sessões de reabilitação e procedimentos. O acréscimo de serviços ofertados pelo consórcio, ao considerar a produção ambulatorial do Sistema Único de Saúde, é de 18,3%. O consórcio exerce importante função de incremento de serviços em saúde e as ações concentram-se principalmente no nível da média complexidade da assistência à saúde.

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Section: Discussionunclassified

Section: Introductionunclassified

Consórcio intermunicipal do vale do rio caí (CIS/CAÍ): serviços prestados de média e alta complexidade em saúde

Kranz¹,

Rosa²

2016

GeS

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“…The system is integrated into the municipalities, states and union services. Despite great centralization of SUS management in the past, the focus has shifted from union level to a shared responsibility between union, estate and municipality levels [18].…”

Section: Why Belo Horizonte City?mentioning

confidence: 99%

Assessing service delivery systems for assistive technology in Brazil using HEART study quality indicators

Maximo

Clift

2016

TAD

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Citation: MAXIMO, T. and CLIFT, L., 2016. Assessing service delivery systems for assistive technology in Brazil using HEART study quality indicators.Technology and Disability, 24 (4), pp. 161 -170. Additional Information:• This is an accepted version of a paper subsequently published in the jour- Abstract. BACKGROUND: recently in Brazil, there has been investment and improvements in the service delivery system for assistive technology provision. However, there is little documentation of this process, or evidence that users are being involved appropriately. OBJECTIVE: to understand how assistive technology service provision currently functions in Belo Horizonte city, Brazil, in order to provide context-specific interventions and recommendations to improve services. METHOD: Qualitative research design, including visits to key institutions and semi-structured interviews with key stakeholders. Interview questions were divided with two purposes: 1) Exploratory, aiming to understand present service functioning; 2) Evaluative, aiming to assess staff difficulties in applying existing best practice. RESULTS: Assistive Technology services in Belo Horizonte fall under the 'medical model' definition of the service delivery system developed by AAATE. It was also found that staff lack training and knowledge support to assess user requirements and to involve them during the decisionmaking process. Additionally, there is no follow-up stage after the device is delivered. CONCLUSIONS: The study clearly defines the service provision function and the staff difficulties at Belo Horizonte city, providing information for further studies.

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“…9 The Ministry of Health adopted the IMCI as a national health policy, and as part of the Política de Saúde da Criança (Child Health Policy), as this is a strategy designed to reduce child morbidity and mortality in higher-risk contexts, thus promoting health equality. 15,21 The expansion of the strategy occurred in 1998, so that all Brazilian states currently have qualifi ed professionals. However, the strategy's consolidation has taken place unequally in distinct geographic areas.…”

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confidence: 99%

Implementação da estratégia Atenção Integrada às Doenças Prevalentes na Infância no Nordeste, Brasil

et al. 2008

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OBJECTIVE:The majority of child deaths are avoidable. The Integrated Management of Childhood Illnesses strategy, developed by the World Health Organization and the United Nations Children's Fund, aims to reduce child mortality by means of actions to improve performance of health professionals, the health system organization, and family and community practices. The article aimed to describe factors associated with the implementation of this strategy in three states of Northeastern Brazil. METHODS:Ecological study conducted in 443 municipalities in the states of Northeastern Brazil -Ceará, Paraíba and Pernambuco, in 2006. The distribution of economic, geographic, environmental, nutritional, health service organization, and child mortality independent variables were compared between municipalities with and without the strategy. These factors were assessed by means of a hierarchical model, where Poisson regression was used to calculate the prevalence ratios, after adjustment of confounding factors. RESULTS:A total of 54% of the municipalities studied had the strategy: in the state of Ceará, 65 had it and 43 did not have it; in the state of Paraíba, 27 had it and 21 did not have it; and in the state of Pernambuco, 147 had it and 140 did not have it. After controlling for confounding factors, the following variables were found to be signifi cantly associated with the absence of the strategy: lower human development index, smaller population, and greater distance from the capital. CONCLUSIONS:There was inequality in the development of the strategy, as municipalities with a higher risk to child health showed lower rates of implementation of actions. Health policies are necessary to help this strategy to be consolidated in the municipalities that are at a higher risk of child mortality.

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Eqüidade na gestão descentralizada do SUS: desafios para a redução de desigualdades em saúde

Cited by 42 publications

References 5 publications

Consórcio intermunicipal do vale do rio caí (CIS/CAÍ): serviços prestados de média e alta complexidade em saúde

Consórcio intermunicipal do vale do rio caí (CIS/CAÍ): serviços prestados de média e alta complexidade em saúde

Assessing service delivery systems for assistive technology in Brazil using HEART study quality indicators

Implementação da estratégia Atenção Integrada às Doenças Prevalentes na Infância no Nordeste, Brasil

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