Integrating primary care and public health: learning from the Brazilian way

Harris, Matthew

doi:10.1080/17571472.2012.11493350

Cited by 16 publications

(18 citation statements)

References 13 publications

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“…In 1988 the Brazilian Government created the Sistema Unico de Saúde (SUS) or Unified Health System to provide universal care free at the point of delivery [1]. Part of this universal care programme is the Family Health Strategy – a nationally scaled model of primary care services, each covering geographically defined areas of up to 4000 inhabitants.…”

Section: Introductionmentioning

confidence: 99%

“…Table 1 shows the wide range of activities that they are expected to deliver in their micro-areas. Consequently they are instruments for both public health action and community empowerment [1], particularly since the model has been scaled to a national level with over 54% of the Brazilian population covered. There are now 257,265 lay CHWs in Brazil.…”

Section: Introductionmentioning

confidence: 99%

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Learning from the Brazilian Community Health Worker Model in North Wales

et al. 2013

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Learning from the Brazilian Community Health Worker Model in North Wales

et al. 2013

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“…The current evidence supports that improving core attributes of primary care results in fewer hospitalizations, less visits for the same health problem, fewer complementary tests, improved preventive services, higher adherence to treatments, higher patient satisfaction and better health indicators, such as child mortality, cardiovascular mortality and many others. 5,6 The Ministry of Health, however, still faces the challenge of taking Primary Care to 38% of the population who is still without access.…”

Section: Primary Health Carementioning

confidence: 99%

e-Health and Primary Care in Brazil: concepts, correlations and trends

Landsberg

2017

Rev Bras Med Fam Comunidade

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e-Saúde e Atenção Primária no Brasil: conceitos, correlações e tendências Objetivo: Este artigo tem como objetivo discutir os conceitos de e-Saúde e Atenção Primária à Saúde (APS) e suas correlações, considerando o contexto atual da tecnologia da informação para saúde e da assistência à saúde no Brasil. Métodos: Literatura conceitual sobre a APS e tecnologia da informação para saúde foi selecionada e discutida. Resultados: O sistema público de saúde (SUS) tem entregue uma Atenção Primária custo-efetiva nos últimos 20 anos e, recentemente, um movimento semelhante está sendo observado no setor privado. Além disso, há uma crescente adoção de tecnologia da informação na saúde, cujos recursos podem ser usados para desenvolver todos os atributos essenciais da APS. Conclusões: A utilização da e-Saúde na APS tem potencial para melhorar a saúde e reduzir os custos. Uma política nacional clara e específica, um amplo debate sobre a regulamentação atual e uma relação mais estreita entre os profissionais de saúde e desenvolvedores de tecnologia da informação são necessários para oferecer e-Saúde custo-eficaz alinhada com atributos essenciais da atenção primária. e-Salud y Atención Primaria en Brasil: conceptos, tendencias y correlacionesObjetive: This paper aims to discuss e-Health and Primary Care concepts and correlations, considering current context of healthcare and health information technology in Brazil. Methods: Conceptual literature regarding to Primary Care and health information technology was selected and discussed. Results: Brazilian public health system has delivered cost-effective primary care over the last 20 years and recently a similar movement is being observed at private sector. Additionally, there is a expanding adoption of health information technology, which resources can be use to develop all core attributes of Primary Care. Conclusions: The e-Health utilization in Primary Care has potencial to improve health and reduce costs. A clear specific national policy, broad discussion over current regulation and a closer relationship between health professionals and information technology developers are needed to offer cost-effective e-Health aligned to Primary Care atributes. none declared. Ethical approval:not necessary. Conflito de interesses:none declared. Provenance and peer review:externally reviewed.

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“…Com o aumento da cobertura da Estratégia Saúde da Família -ESF (outrora PSF) ao longo dos anos, fundamentalmente em regiões com maiores desigualdades socioeconômicas (Harris, 2011), os municípios brasileiros foram cada vez mais consolidando a ESF como estratégia prioritária de organização de Atenção Básica induzida pelo Ministério da Saúde.…”

Section: Atenção Primária à Saúde No Brasildas Origens à Situação Atualunclassified

“…Decorridos dois anos da criação do Programa Mais Médicos, o momento atual já pode ser encaixado na "Fase de Avaliação" do ciclo da Política, pois, segundo os autores supracitados, a "Implantação" finda à medida que iniciam os primeiros esforços avaliativos, que correspondem ao bloco dos "Resultados" no modelo lógico Toda organização possui um grau de alternância de seus trabalhadores e, até determinado ponto, a troca de membros de uma equipe pode ter resultados benéficos (Medeiros, et al, 2010). Campos & Malik (2008) (Harris, 2011), quanto com os princípios constitucionais do SUS (Campos, 2010;Rocha & Caccia-Brava, 2009).…”

Section: Análise Descritiva Dos Profissionais Do Programa Mais Médicosunclassified

Programa Mais Médicos : uma avaliação dos resultados iniciais referentes ao eixo do provimento emergencial a partir da teoria da avaliação de programas

Ribas¹

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The central goal of the More Doctors Program (MDP) is to achieve 2.7 doctors/1,000 inhabitants by 2026, and to do so its main objective relies on creating new residency vacancies and programmes during this period. However, a more immediate strategy tackle both the shortage and the uneven distribution of doctors, is the emergency provision of doctors. The Brazilian federal government made an open call for both Brazilian and foreign doctors to work in areas with the country´s worst record of social vulnerability. This study evaluates the emergency provision using Program Evaluation Theory. Statistical analyses were conducted on secondary data from two different sources: Project Management System (Sistema de Gerenciamento de Projetos-SGP) and Longitudinal Family Health Strategy Coverage Data (Historico de Cobertura da Saude da Familia-HCSF), in order to confirm if the doctors were, indeed, placed in the prioritized areas, and the effects on the coverage Family Health Strategy (FHS). Approximately 73% of the Brazilian municipalities received at least one MDP doctor. From 65% to 83% of the doctors were placed in the prioritized municipalities, depending on the criteria adopted. Around 82% were working within the FHS, for which there was an increase of 15.7% in the FHS coverage in two years. Among the Brazilian regions, the percentage varied from 10% to 25%. Based on Program Evaluation Theory, this study found that the emergency provision is succeeding at reaching the most vulnerable areas of the country. As for FHS coverage, despite these conclusive findings, more research is needed, in particular longitudinal research, to ascertain whether there is a causal link with the MDP.

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Integrating primary care and public health: learning from the Brazilian way

Cited by 16 publications

References 13 publications

Learning from the Brazilian Community Health Worker Model in North Wales

Learning from the Brazilian Community Health Worker Model in North Wales

e-Health and Primary Care in Brazil: concepts, correlations and trends

Programa Mais Médicos : uma avaliação dos resultados iniciais referentes ao eixo do provimento emergencial a partir da teoria da avaliação de programas

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