Desenvolvimento do SUS, rumos estratégicos e estratégias para visualização dos rumos

Abstract

The author has the intention to propose to the Brazilian health care management and sanitary reform managers an examination and positioning on the course of action in the implementation of SUS (Brazilian National Health System). The findings underscore two non-convergent set of policies that have affected the course of action in the implementation of the SUS in the 1990s: the first and 'main' course of action derives from policies created in 1988 in the so-called Citizen Constitution, of which the SUS is the most important achievement. The second and "additional" course of action derives from the prevailing macro-economic model and its related policies, implemented since the 1990s, besides advocating a social inclusion measure while leaving out all the related improvements of SUS such as Universality, Integrity and Equity. In addition, the second course of action is in opposition to the model based on social protection, besides raising the importance of market-based individualistic values and actions in general, it carries them into the health care system. The author suggests that a clarification on the desirable and on the deviant courses of action of SUS may be a vital contribution to guaranteeing social rights in health care, while preserving its integrity, equity and universal nature.

Avaliação de Programas de Controle de Infecção relacionada a Assistência à Saúde de Hospitais

“…But this literature is far from presenting a consensus about the best methods, aside from the authors demanding a conceptual approach integrated with other areas such as the economic, epidemiological, or clinical practices, as well as the social sciences, in order to demonstrate not only the effectiveness and results of an intervention, but to improve the quality of services in order to meet the needs of an ever more demanding public (11)(12)(13) . The legal existence of the Unified Health System (SUS) in Brazil, generated, year by year, a dense and complex web of regulative, programmatic, and operational experiments in respect to models for healthcare, management, service delivery, health sector work, funding, and social participation (14) . Through the logic of best practices, the evaluation and monitoring of new practices became urgent, even if it was not always explicitly debated.…”

Percepção de usuários do Sistema Único de Saúde acerca do Programa Mais Médicos em um município do interior do Ceará

“…Geralmente, as pessoas que buscam atendimento médico apresentam algum tipo de sintomatologia. De modo que os recursos voltados à prevenção e/ou promoção a saúde devem ganhar mais espaço 29 .…”

A saúde no Brasil em 2030: estrutura do financiamento e do gasto setorial - Vol. 4

“…O SUS é responsável por uma produção de serviços de saúde de importância fundamental para o país (SANTOS, 2007): grandes quantidades de atendimentos por unidades básicas, a quase totalidade das vacinações feitas no país, consultas, procedimentos especializados e exames, internações, transplantes, programas bem sucedidos como o de controle e tratamento de pacientes com HIV/AIDS, Programas de Agentes Comunitários de Saúde e de Saúde da Família (PACS/PSF), ações de vigilância em saúde, desenvolvimento de conhecimentos e tecnologias em imunobiológicos, fármacos, informação, gestão, etc..…”