A integração de saúde entre fronteiras internacionais: uma revisão integrativa

Melo, Giane Zupellari dos Santos; Andrade, Selma Regina de; Ruoff, Andriela Backes

doi:10.1590/1982-0194201800015

Cited by 11 publications

(8 citation statements)

References 14 publications

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“…These types of agreement, although not legally recognized 19 , are common among international border municipalities, both in Brazil and in other countries 27 . Nowadays, this phenomenon, described as paradiplomacy, has been gaining prominence in the discussions of international relations and redefining the role of foreign relations in the world, mainly in the Americas, Western Europe and Asia 28 .…”

Section: Resultsmentioning

confidence: 99%

“…In border regions, the phenomenon of paradiplomacy tends to intensify, for the mutual needs of the regions, usually marked by socioeconomic and environmental imbalances, as well as geographical characteristics, make governments and non-governmental institutions unite to minimize regional iniquities 27 . Therefore, this type of cross-border cooperation enables local governments with scarce resources and low presence of the nation states to find objective, fast and creative solutions to the regional problems 29 .…”

Section: Resultsmentioning

confidence: 99%

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Integration in health: cooperation at triple international border Amazon

et al. 2020

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OBJECTIVE: To describe the scope and limitations of the main strategies of cooperation in health, adopted between 2005 and 2017, in the context of the triple border Brazil, Colombia and Peru. METHOD: Single, explanatory, qualitative, integrated case study carried out in 2017, in the context of the triple Amazon border, Brazil, Colombia and Peru, in the city of Tabatinga, state of Amazonas, Brazil. Our sources of evidence were: documentary data; interviews with health managers of the State Health Secretariats of Amazonas and Municipal Health of Tabatinga, Municipal Health Council of Tabatinga and Consulate of Peru in Colombia; and direct observations in four health services of Tabatinga. Data were organized with MaxQDA12® software. RESULTS: Data analyzed showed that, during the study period, the Brazilian federal government made several health cooperation agreements with both Peru and Colombia and that the state government of Amazonas undertook strategies to improve the health conditions of the dwellers of Tabatinga and the region of Alto Solimões, which indirectly reached the populations of neighboring countries, supporting the interrelationships between the countries of the region. Regarding the municipal government, we verified the existence of health integration agreements, established informally, to minimize the adversities of the local health. CONCLUSION: The cooperation strategies in health adopted in the triple Amazon border have different purposes, benefits and limitations. It is noteworthy that the existence of cooperation agreements between the federal governments of Brazil, Colombia and Peru and the presence of informal cooperation agreements between the municipal governments of Tabatinga (Brazil), Leticia (Colombia) and Santa Rosa (Peru). The limitations of this study are the lack of knowledge of local managers about the cooperation agreements established between federal governments and the lack of legitimacy of the informal agreements established by the Tabatinga government.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Integration in health: cooperation at triple international border Amazon

et al. 2020

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“…As falas das mulheres referiram-se à vulnerabilidade programática e à necessidade urgente de uma análise sobre as dimensões da cooperação transfronteiriça em saúde para possibilitar e facilitar o acesso aos serviços de saúde nestas regiões. Os acordos de cooperação, formais ou informais, constituem uma iniciativa possível para monitoramento, detecção e controle de doenças (16) .…”

Section: Discussionunclassified

Vulnerabilidades para o adoecimento de mulheres em garimpos na fronteira do Escudo das Guianas

Mendes,

Barbosa,

Carbogim

et al. 2023

Rev. esc. enferm. USP

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RESUMO Objetivo: Analisar as vulnerabilidades para o adoecimento de mulheres em áreas de garimpos da fronteira do Escudo das Guianas: Brasil, Guiana Francesa e Suriname. Método: Pesquisa de campo, descritiva, exploratória, de abordagem qualitativa. A coleta de dados ocorreu com 19 mulheres que vivenciavam o contexto de garimpagem, em abril de 2018. As entrevistas foram gravadas e transcritas na íntegra e posteriormente analisadas à luz do conceito de vulnerabilidade. Resultados: Mulheres com idade entre 30 e 39 anos, predominantemente pretas e pardas, união estável, multíparas, baixa escolaridade e com atividades de trabalho relacionadas à garimpagem. Emergiram três categorias empíricas: Exposição às condições ambientais e de vida nos garimpos: vulnerabilidades para o adoecimento de mulheres; Saúde sexual e reprodutiva no contexto de fronteiras: a invisibilidade entre a legalidade e a ilegalidade; Facetas gendradas da violência nos garimpos da fronteira do escudo das Guianas. Conclusão: A vulnerabilidade é acentuada nas três dimensões do conceito, quais sejam: a dificuldade de acesso aos serviços de saúde, tratamento descontinuado e disparidade nas políticas de saúde entre os países, que são aspectos importantes à vulnerabilidade e condições de saúde.

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“…(7) A recent review study that addresses the integration of health across international borders concludes that binational agreements between neighboring countries have been minimizing disparities between large urban centers and these regions. (15) In this context, according to chart 2, the solutions pointed out by authors, in general, are binational agreements among countries, which would improve the accessibility of citizens to SUS, for example. They also discuss cross-border citizenship to provide conditions to legally serve them, considering these services occur routinely.…”

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confidence: 99%

Papel do gestor de saúde pública em região de fronteira: scoping review

et al. 2019

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Objective: To examine and map scientifi c evidence on the role of public health managers in a border region. Methods: Scoping Review, based on the procedures recommended by the Joanna Briggs Institute. This method aims at mapping the main concepts, clarifying and identifying knowledge gaps, and achieving the signifi cance and adequacy of the health care practice. Based on these perspectives, the guiding question was: "What is the scientifi c evidence on the role of managers towards the management of public health in border regions?". Eight national and international databases were searched for papers published by August 2017. Of the 188 studies found, 13 were selected for their full reading, resulting in a fi nal sample of seven studies analyzed. Results: The seven publications analyzed were published from 2005 to 2017. Selected studies on the subject are national and international and of quantitative, qualitative or quali-quantitative approaches. The subjects of the studies were similar, considering most of them covered cross-border patient care and increased public health expenditures in these regions. Conclusion:The results of this review showed a shortage of national and international studies on the role of managers in health in border regions. The relevance of the theme and its complexity evidence the need for research on managers in these regions. ResumoObjetivo: Examinar e mapear as evidências científi cas sobre o papel do gestor de saúde pública em região de fronteira. Métodos: Scoping Review, baseado nos procedimentos recomendados pelo Instituto Joanna Briggs. Este método visa mapear os principais conceitos, clarifi car e identifi car lacunas do conhecimento, e obter a signifi cância e a adequação da prática dos cuidados de saúde. Com base nestas perspectivas, estabeleceu-se a pergunta norteadora: "Quais são as evidências científi cas sobre o papel do gestor na gestão em saúde pública nas regiões de fronteira ?". Foram realizadas buscas em oito bases de dados nacionais e internacionais, sobre trabalhos publicados até agosto de 2017. Dos 188 estudos encontrados, 13 foram selecionados para leitura na íntegra, resultando em uma amostra fi nal de sete estudos analisados. Resultados: As sete publicações analisadas foram publicadas de 2005 a 2017. Os estudos selecionados sobre a temática são de âmbito nacional e internacional e de abordagens quantitativa, qualitativa ou qualiquantitativa. Os objetos dos estudos foram semelhantes, uma vez que a maioria retratava sobre o atendimento ao paciente transfronteiriço e o aumento dos gastos públicos em saúde nestas regiões. Conclusão: Os resultados desta revisão mostraram uma escassez de estudos nacionais e internacionais sobre o papel do gestor em saúde na fronteira. A relevância do tema e sua complexidade evidenciam a necessidade de pesquisas sobre o gestor nestas regiões. ResumenObjetivo: Examinar y mapear las evidencias científi cas sobre el papel del gestor de salud pública en regiones de frontera. Métodos: Scoping Review, basado en los procedimientos recomendados...

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A integração de saúde entre fronteiras internacionais: uma revisão integrativa

Cited by 11 publications

References 14 publications

Integration in health: cooperation at triple international border Amazon

Integration in health: cooperation at triple international border Amazon

Vulnerabilidades para o adoecimento de mulheres em garimpos na fronteira do Escudo das Guianas

Papel do gestor de saúde pública em região de fronteira: scoping review

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