Tendência temporal da falta de acesso aos serviços de saúde no Brasil, 1998-2013

Nunes, Bruno Pereira; Flores, Thaynã Ramos; García, Leila Posenato; Filho, Alexandre Dias Porto Chiavegatto; Thumé, Elaine; Facchini, Luiz Augusto

doi:10.5123/s1679-49742016000400011

Cited by 24 publications

(26 citation statements)

References 4 publications

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“…The Family Health Strategy (FHS) was implemented in Brazil in the 1990s, seeking to enhance primary health care (PHC) services, overcome inequalities in access to health services of the larger Unified Health System (UHS), and increase engage at the local level of care (Nunes et al, 2016). In 2006, the National Policy for Primary Care reaffirmed the FHS as the model for the organization of PHC in Brazil and the gateway to the network of the universal services of Brazilian public health system (Brasil & Ministério da Saúde, 22006).…”

Section: Introductionmentioning

confidence: 99%

Engagement in primary health care nurses: A cross‐sectional study in a Brazilian city

Silva

Cabrera

Gazetta

et al. 2019

Public Health Nursing

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Objective Professional engagement is an indicator of the relationship between a nurse and the work environment and is an important factor in performance and productivity. The goal of this study was to evaluate levels of engagement among nurses in primary health care units. Methods Cross‐sectional study in a city of São Paulo state, Brazil, in 2017, using an instrument containing sociodemographic variables and the Utrecht Work Engagement Scale (UWES). Results In the sample of 75 nurses, the majority were female (94.7%), aged between 29 and 39 (52.0%), specialists (81.3%), married (57.3%), permanent employees (68.0%), working 40 hr per week (98.7%), and working in primary health care for 3–10 years (42.7%). Engagement levels were classified as high in all dimensions. Nurses who worked as managers presented a very high level of dedication; professionals aged 40 years or older presented very high levels in all dimensions (Dedication: 5.2; Absorption: 5.0; Vigor: 5.3; and Overall score: 5.1); and professionals with more than 10 years of experience in primary health care had very high levels in all dimensions (Dedication: 5.0; Absorption: 5.0; Vigor: 5.0; and Overall score: 5.0). Conclusions Nurses working in Brazil's primary health care system have high engagement and ability to act; they enhance team performance and quality and effectiveness of care provided.

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Section: Introductionmentioning

confidence: 99%

Engagement in primary health care nurses: A cross‐sectional study in a Brazilian city

Silva

Cabrera

Gazetta

et al. 2019

Public Health Nursing

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show abstract

“…The Brazilian healthcare system provides all citizens with access to free and universal health protection, as stated in the 1988 Federal Constitution. Services are being provided at three levels: federal, state, and municipal; so is the scheme of system's financing (6). Primary care is one of the main pillars of the system here and remains the basic way to ensure greater access to health services for all citizens (6).…”

Section: Introductionmentioning

confidence: 99%

Health System Outcomes in BRICS Countries and Their Association With the Economic Context

Romaniuk

Poznańska

Brukało

et al. 2020

Front. Public Health

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The aim of the article is to compare health system outcomes in the BRICS countries, assess the trends of their changes in 2000−2017, and verify whether they are in any way correlated with the economic context. The indicators considered were: nominal and per capita current health expenditure, government health expenditure, gross domestic product (GDP) per capita, GDP growth, unemployment, inflation, and composition of GDP. The study covered five countries of the BRICS group over a period of 18 years. We decided to characterize countries covered with a dataset of selected indicators describing population health status, namely: life expectancy at birth, level of immunization, infant mortality rate, maternal mortality ratio, and tuberculosis case detection rate. We constructed a unified synthetic measure depicting the performance of individual health systems in terms of their outcomes with a single numerical value. Descriptive statistical analysis of quantitative traits consisted of the arithmetic mean (xsr), standard deviation (SD), and, where needed, the median. The normality of the distribution of variables was tested with the Shapiro-Wilk test. Spearman's rho and Kendall tau rank coefficients were used for correlation analysis between measures. The correlation analyses have been supplemented with factor analysis. We found that the best results in terms of health care system performance were recorded in Russia, China, and Brazil. India and South Africa are noticeably worse. However, the entire group performs visibly worse than the developed countries. The health system outcomes appeared to correlate on a statistically significant scale with health expenditures per capita, governments involvement in health expenditures, GDP per capita, and industry share in GDP; however, these correlations are relatively weak, with the highest strength in the case of government's involvement in health expenditures and GDP per capita. Due to weak correlation with economic background, other factors may play a role in determining health system outcomes in BRICS countries. More research should be recommended to find them and determine to what extent and how exactly they affect health system outcomes.

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“…3 It should be emphasized that SUS is responsible for providing the most vulnerable segments of the population with access to health actions and services, thus working to promote equity. 2,4 SUS also provides services to patients who have health insurance and use private services when they require high complexity care, such as transplants, haemodialysis and high-cost medication. 5,6 Notwithstanding, its universal nature is more evident in its health surveillance actions, which extend to the entire Brazilian population.…”

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confidence: 99%

30 anos do Sistema Único de Saúde

Duarte

Eble

García

2018

Epidemiologia e Serviços de Saúde

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Tendência temporal da falta de acesso aos serviços de saúde no Brasil, 1998-2013

Abstract: the increase in demand for health services and the stability in the lack of access indicate improvements in the Brazilian public health system performance; additional efforts are required to ensure universal access to public health services in Brazil.

Cited by 24 publications

References 4 publications

Engagement in primary health care nurses: A cross‐sectional study in a Brazilian city

Engagement in primary health care nurses: A cross‐sectional study in a Brazilian city

Health System Outcomes in BRICS Countries and Their Association With the Economic Context

30 anos do Sistema Único de Saúde

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