Organização de redes regionalizadas e integradas de atenção à saúde: desafios do Sistema Único de Saúde (Brasil)

Silva, Silvio Fernandes da

doi:10.1590/s1413-81232011000600014

Cited by 152 publications

(155 citation statements)

References 6 publications

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“…Regionalized and integrated networks of care is an indispensable factor for the qualification and continuity of health care, and has great importance for overcoming gaps in assistance, as well as on rationalization and optimization of assistance available resources (Silva, 2011).…”

Section: Discussionmentioning

confidence: 99%

Avaliação de resultados da atenção aos agravos cardiovasculares como traçador do princípio de integralidade

et al. 2015

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Evaluation of results of cardiovascular care as a tracer of the comprehensiveness principle 1 Avaliação de resultados da atenção aos agravos cardiovasculares como traçador do princípio de integralidade AbstractThis study aims to evaluate the articulation among levels of cardiovascular care in the region of Ribeirão Preto, State of São Paulo, Brazil. It is an evaluative research using secondary data from the Brazilian Ministry of Health. We analyzed all outpatient and hospital procedures related to cardiovascular diseases that were treated in primary and hospital care in 26 municipalities in the period 2000-2010. Time series were used in the analysis and the assumption was regional organization of health systems. The production varies during the period, with an increase in outpatient care and surgical hospitalizations, and a decrease in clinical admissions. There is an uneven supply of services in the municipalities, and the smallest ones concentrate electrocardiograms and clinical admissions. More complex diagnostic tests and surgical admissions are conducted predominantly in the largest city. The evaluation of health services using cardiovascular problems as the tracer condition proved to be adequate, as it showed articulations among levels of care in the regional health system. This allows us to infer that regionalization, in this scenario, favors comprehensive care in its horizontal dimension.

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Section: Discussionmentioning

confidence: 99%

Avaliação de resultados da atenção aos agravos cardiovasculares como traçador do princípio de integralidade

et al. 2015

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“…The regionalized networks refer to integrated structures, with different levels of health care, circumscribed in a certain regional space that aim to enable the completion of the integrality of actions and services, as well as the optimization of resources. However, underfunding has been cited as an obstacle to conformation of these networks (SILVA, 2011).…”

Section: Introductionmentioning

confidence: 99%

Gasto Público em Saúde na Bahia: explorando indícios de desigualdades

2017

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The article analyzes the public expenditures on the Unified Health System in municipalities, regions and macro-regions of Bahia, from 2009 to 2012. Data were analyzed with the aid of National Health Accounts model. It was verified an increase of 28% in the expenses declared by the municipalities, in the quadrennium. The expenditures were concentrated in the macro-regions with the highest installed capacity. However, compared to the population of these localities, inputs proved to be still insufficient. Half of the health regions did not reach the average per capita spending of the state. The distribution of resources fairly and effectively requires knowledge of the health needs of the population, monitoring and rational use. KEYWORDS

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“…Meanwhile, the users of the health system pass through these networks to care for their health, depending on the effectiveness of the agreement between them to have their needs met. (5) In this sense, studies (6,7) indicate the difficulties faced by people with disabilities as they seek to implement their rehabilitation, confronted with professional disinterest, distrust of the existing public policies, the unprepared educational system and difficulties of access.…”

Section: Introductionmentioning

confidence: 99%

Rede de atenção à saúde à pessoa amputada

et al. 2014

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Objective: Analyzing the network of care for the amputee from the perspective of healthcare professionals inserted in high complexity services. Methods: A qualitative research with data collection through semi-structured interviews with professionals from different areas involved in care of the amputee. Results: It was observed that a part of the interviewed professionals knows and acts in a perspective of referral to rehabilitation, while others are unaware of the flow of referrals, as well as of the care network that supports these users. Conclusion: The data showed the multidisciplinary and inter-institutional work occurring in some areas as the great fortress in the context of rehabilitation. The main weaknesses found were the lack of knowledge of high complexity professionals about the networks of health care, and the way rehabilitation is seen, not inserted in a context of care unless there is the possibility or occurrence of amputation. ResumoObjetivo: Analisar a rede de atenção à pessoa amputada na perspectiva dos profissionais de saúde inseridos nos serviços de alta complexidade. Métodos: Pesquisa qualitativa com coleta de dados mediante entrevista semi-estruturada com profissionais de diferentes áreas de atuação envolvidos no cuidado à pessoa amputada. Resultados: Observou-se que uma parte dos profissionais entrevistados conhece e atua em uma perspectiva de encaminhamento para reabilitação, enquanto outros desconhecem o fluxo de encaminhamento bem como a rede de atenção que ampara estes usuários. Conclusão: Os dados evidenciaram como grande fortaleza no contexto da reabilitação o trabalho multiprofissional e inter-instituicional ocorrido em alguns espaços. Como principal fragilidade aponta a falta de conhecimento dos profissionais sobre a alta complexidade das redes de atenção à saúde, assim como a maneira como a reabilitação é vista, não sendo inserida em um contexto de cuidado desde que exista a possibilidade ou ocorrência da amputação.

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Organização de redes regionalizadas e integradas de atenção à saúde: desafios do Sistema Único de Saúde (Brasil)

Abstract: Organização de redes regionalizadas e integradas de atenção à saúde: desafios do Sistema Único de Saúde (Brasil)The organization of regional and integrated healthcare delivery systems: challenges facing Brazil's Unified Health System

Cited by 152 publications

References 6 publications

Avaliação de resultados da atenção aos agravos cardiovasculares como traçador do princípio de integralidade

Avaliação de resultados da atenção aos agravos cardiovasculares como traçador do princípio de integralidade

Gasto Público em Saúde na Bahia: explorando indícios de desigualdades

Rede de atenção à saúde à pessoa amputada

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