2009
DOI: 10.1590/s0103-507x2009000400014
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A moralidade da alocação de recursos no cuidado de idosos no centro de tratamento intensivo

Abstract: The world is ageing. In Brazil and several other countries worldwide, the changes in the population age mix came along with increased demand for expensive health care. Currently, some moral conflicts arise from allocating public resources for health, as the magnitude of social health inequalities and limited resources require the public management priorities to be based on knowledge of the health situation and the impact of policies, programs, projects and actions on health. In this context, the intensive medi… Show more

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Cited by 9 publications
(8 citation statements)
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“…The financial reality of public health services is very poor with a deficit of basic inputs. As raised by Freitas and Schramm (31) , in Brazil the social and regional disparities mean that the health needs vary, falling to the managers of health policies, the responsibility of rationalizing the resources available (31) , since the high cost of a specific equipment to measure the cuff pressure can be a barrier to its acquisition. Thus, the handmade model could be an inexpensive cost-benefit in minimizing this lack of equipment and control cuff pressures.…”
Section: Discussionmentioning
confidence: 99%
“…The financial reality of public health services is very poor with a deficit of basic inputs. As raised by Freitas and Schramm (31) , in Brazil the social and regional disparities mean that the health needs vary, falling to the managers of health policies, the responsibility of rationalizing the resources available (31) , since the high cost of a specific equipment to measure the cuff pressure can be a barrier to its acquisition. Thus, the handmade model could be an inexpensive cost-benefit in minimizing this lack of equipment and control cuff pressures.…”
Section: Discussionmentioning
confidence: 99%
“…A microalocação de recursos está relacionada à discussão e análise das formas de seleção individualizada de pessoas que serão beneficiadas pelos serviços disponíveis, uma vez que estes são escassos. Para tan to, podemos citar como exemplos de recursos escassos: estrutura hospitalar insuficiente; falta de leitos; número insuficiente de profissionais; restrição de acesso a drogas e insumos de maior eficácia e eficiência e a equipamentos tecnológicos [10][11][12] .…”
Section: Iunclassified
“…De fato, o processo de tomada de decisão médica, relativa a pacientes idosos, remete à espinhosa questão da microalocação de recursos, considerados escassos quando não finitos. Neste âmbito, a discussão moral pelos profissionais de saúde intensivistas no CTI corre sempre o risco de ficar restrita ao campo técnico, o do saber-fazer médico 41 .…”
Section: Considerações Finaisunclassified