Implantação da telessaúde na atenção à saúde indígena no Brasil

Taveira, Zaira Zambelli; Scherer, Magda Duarte dos Anjos; Diehl, Eliana Elisabeth

doi:10.1590/0102-311x00026214

Cited by 5 publications

(1 citation statement)

References 9 publications

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“…O SASI tem como base os Distritos Sanitários Especiais Indígenas (DSEI), que devem oferecer APS nas terras indígenas com equipes multidisciplinares (26, 27, 29). Contudo, a rede de subsistemas ainda não se encontra plenamente consolidada, já que, apesar da criação dos DSEI, a falta de infraestrutura física e de recursos humanos ainda é uma realidade, resultando em rotatividade de profissionais e consequente irregularidade na oferta dos serviços, devido à perda de profissionais com experiência em saúde indígena (30–32).…”

Section: Resultsunclassified

Atenção primária à saúde de indígenas sul-americanos: revisão integrativa da literatura

Sandes

Freitas

Souza

et al. 2018

Rev Panam Salud Publica

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RESUMO Objetivo Revisar a literatura acerca do acesso à atenção primária à saúde (APS) por comunidades indígenas da América do Sul, identificando os principais obstáculos a esse acesso. Métodos Revisão integrativa de artigos publicados de 2007 a 2017 nas bases de dados LILACS, PubMed e SciELO. Para a busca, foram utilizados os descritores “indígenas AND saúde AND Brasil” e “indígenas AND saúde NOT Brasil” nos idiomas português e inglês. Foram incluídos artigos publicados em inglês, português ou espanhol e que abordassem estritamente a APS em indígenas sul-americanos. Resultados Foram incluídos 40 artigos que descreveram aspectos da APS de indígenas em oito países: Brasil, Peru, Colômbia, Bolívia, Argentina, Chile, Paraguai e Equador. Os principais obstáculos de acesso à APS detectados foram a dificuldade de acesso aos serviços de saúde mais próximos das aldeias; linguagem e ilustrações das cartilhas de educação em saúde inapropriadas ao contexto indígena; dificuldade de comunicação com os profissionais de saúde; carência de meios de transporte adequados até as unidades de saúde; escassez de dados epidemiológicos das aldeias indígenas; ausência de informação sobre as culturas indígenas locais; e medo de discriminação ou humilhação por parte do paciente indígena. Conclusões Ainda são escassos os estudos sobre saúde indígena na América do Sul. Também é evidente que os sistemas de saúde nacionais ainda precisam avançar na direção de uma medicina intercultural, de respeito às realidades sociais, culturais e econômicas de todas as comunidades assistidas, com conhecimento e consideração pelas diferentes formas de cuidado.

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Section: Resultsunclassified

Atenção primária à saúde de indígenas sul-americanos: revisão integrativa da literatura

Sandes

Freitas

Souza

et al. 2018

Rev Panam Salud Publica

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International Trade and Health Care in Brazil: An Unpredicted Tale Threatening Health Care Entitlement?

et al. 2019

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The General Agreement on Trade in Services (GATS), established in 1994, has been a key element of market liberalization of health care services. Brazil had the provision of health care services partially protected from international competition until 2015, when a constitutional change opened the national health care market to international provision. We performed a retrospective and prospective policy analysis based on a systematic policy document review, general literature review, and secondary data analysis mapping, describing and analyzing the international trade agreements signed by Brazil with the World Trade Organization (WTO) and the available legislation relevant to health care services. The provision of health care services was not included in the WTO commitments signed by Brazil during the analyzed period (1994–2018). Financing of private health insurance was part of the agreement since 1994. There was a mild liberalization of the private health insurance sector, while provision of health care services was forbidden to foreign investors until 2015. The mode 3 of GATS presents the greatest potential impact as it exposes health care provision to international competition. The international liberalization of the provision of health care services in Brazil is now legal and an observable consequence of the pressure to gradually lift trade barriers in the health and health care sector.

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Trend and spatial clustering of medical education in Brazil: an ecological study of time series from 2010 to 2021

Guimarães,

de França e Silva,

de Souza

et al. 2023

BMC Health Serv Res

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Context Studies that analyze the temporal trend and spatial clustering of medical education indicators are scarce, especially in developing countries such as Brazil. This analysis is essential to subsidize more equitable policies for the medical workforce in the states and regions of Brazil. Thus, this study aimed to analyze the temporal trend and identify spatial clusters of medical education indicators in Brazil disaggregated by public and private education, states, and regions. Methods A time-series ecological study was conducted using data from the Higher Education Census of the Ministry of Education from 2010 to 2021. The study analyzed vacancy density indicators of active and former students/100,000 population, disaggregated by public and private education, 27 states, and 5 regions in Brazil. Prais-Winsten regression was used for trend analyses of indicators. Hot Spot Analysis (Getis-Ord Gi*) was used to identify spatial clusters of indicators. Results The number of medical schools increased by 102.2% between 2010 and 2021. A total of 366 medical schools offered 54,870 vacancies at the end of 2021. Vacancy density and active and former students increased significantly in the period, but this increase was greater in private institutions. Most states and regions showed an increasing trend in the indicators, with higher increase percentages in private than in public schools. Hot spot spaces changed over time, concentrated in the southeast, center-west, and north at the end of 2021. Medical education remains uneven in Brazil, with a low provision in regions with low socioeconomic development, academic structure, and health services, represented by regions in the north and northeast. Conclusions There is a growing trend in medical education indicators in Brazil, especially in the private sector. Spatial clusters were found predominantly in the southeast, center-west, and north. These results indicate the need for more equitable medical education planning between the regions.

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Implantação da telessaúde na atenção à saúde indígena no Brasil

Cited by 5 publications

References 9 publications

Atenção primária à saúde de indígenas sul-americanos: revisão integrativa da literatura

Atenção primária à saúde de indígenas sul-americanos: revisão integrativa da literatura

International Trade and Health Care in Brazil: An Unpredicted Tale Threatening Health Care Entitlement?

Trend and spatial clustering of medical education in Brazil: an ecological study of time series from 2010 to 2021

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