scholarly journals Social participation in the unified health system of Brazil: an exploratory study on the adequacy of health councils to resolution 453/2012

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rita de Cássia Costa da Silva ◽  
Maykon Anderson Pires de Novais ◽  
Paola Zucchi

Abstract Introduction Social participation is one of the guidelines of the Brazilian health system. Health councils are collegiate instances of participation established by Law 8.142/90. The most recent legal regulation for council organization and functioning was established through Resolution 453/2021. The institution of health councils has a permanent and deliberative nature to act in the formulation, deliberation and control of health policy implementation, including in economic and financial aspects. Objective To evaluate the compliance of health councils with the directives for the establishment, restructuring and operation of the councils from Brazil, based on Resolution 453/2012. Methods An exploratory, descriptive study that used the Health Council Monitoring System as a data source. Qualitative variables were selected to identify the characteristics related to the councils’ establishment (legal instruments for establishment), the strategies adopted for restructuring (budget allocation, existence of an executive secretariat, provision of a dedicated office) and the characteristics of the health councils’ operation (frequency of regular meetings, existence of a board of directors, the election of the board of directors). Results The study analyzed three groups of characteristics related to the constitution, strategies adopted for restructuring and the functioning of the councils. Regarding the constitution of the councils, the findings revealed that the vast majority was constituted in accordance with the legislation and, therefore, is in compliance with Resolution 453/2021. In the second group of characteristics that describe the restructuring of councils, the study found that less than half of registered councils are in compliance with the standard. And, finally, in the third group of characteristics, it was found that the boards have adopted different frequencies for regular meetings and approximately 50% of the boards studied have a board of directors. Conclusions The councils still do not meet the minimum conditions necessary to fulfil their role in the Unified Health System (SUS), as stipulated in Resolution 453/2021. This situation requires monitoring by public oversight agencies. Despite the increase in popular participation with the creation of the health councils, this study demonstrated that most councils still do not meet the minimum conditions for monitoring public health policy. The improvement of the Health Councils Monitoring System (SIACS) to become an instrument for monitoring the councils, with the definition of goals and results, may contribute to the organization of the councils and, therefore, to the realization of social participation in Brazil.

2019 ◽  
Vol 53 ◽  
pp. 109
Author(s):  
Aline Silveira Silva ◽  
Maria Sharmila Alina de Sousa ◽  
Emília Vitória da Silva ◽  
Dayani Galato

OBJECTIVE: To describe the current process of social participation in the incorporation of health technologies in Brazil, within the context of the Unified Health System (SUS). METHODS: A descriptive study was conducted based on the analysis of official records of the actions of the National Committee for Health Technology Incorporation into Unified Health System and its website, from the beginning of its activities in January 2012 until December 2017. RESULTS: The findings indicate that, in Brazil, there are legal instruments related to social participation in health, including the health technology assessment (HTA) field. However, its implementation is relatively recent and has been carried out gradually. In addition to the legal instruments (National Health Council representative, public consultation and public hearing forecast), other information and transparency strategies have been shown to be allied to social participation in the incorporation of health technologies. However, activities such as legally provided public hearings have not yet been carried out. CONCLUSIONS: Several actions to foster social participation were developed over the analyzed period, but they need to be evaluated in order to maintain or improve them. In addition, there is a need for more qualified social participation in the various existing spaces, including those prescribed by law.


PEDIATRICS ◽  
1964 ◽  
Vol 34 (6) ◽  
pp. 886-887

GEORGE M. WHEATLEY, the recipient of the Clifford G. Grulee Award of the American Academy of Pediatrics for 1964, was born in Baltimore, Maryland, in 1909. After graduation from the University of Virginia, George Wheatley attended Harvard University School of Medicine and received the M. D. degree in 1933. Following an internship, there was a residency at Harriet Lane and a Fellowship in Pediatrics at New York Postgraduate Hospital. Dr. Wheatley then served as the Pediatrician in charge of school health services for New York City until 1940 when he decided to return to studies and attended Columbia University where he earned a Master of Public Health in 1942. He was also certified by the American Board of Pediatrics in 1942. From 1942 to 1947 Dr. Wheatley was on the staff of the Children's Bureau following which lie joined the Health Division of the Metropolitan Life Insurance Company where he has served since 1947. In 1949 Dr. Wheatley was certified by the American Board of Preventative Medicine. He is a Senior Surgeon in the U. S. Public Health Service Reserve and is Vice-President for Health of the Metropolitan Life Insurance Company. George Wheatley has served on many committees and has held many appointments on the national level and in New York. He is a member and on the Board of Directors of the American Public Health Association. He has served on the Board of Directors of the National Safety Council and the National Health Council. He is a consultant to the World Health Organization and is a member of the American Pediatric Society.


2020 ◽  
Vol 25 ◽  
Author(s):  
Rodrigo Oliveira da Fonsêca ◽  
Monique Ramos Paschoal Dutra ◽  
Maria Ângela Fernandes Ferreira

RESUMO Objetivo Identificar a satisfação de usuários com os aparelhos de amplificação sonora individual (AASI) concedidos pelo Sistema Único de Saúde (SUS). Estratégia de pesquisa Trata-se de uma revisão integrativa da literatura, realizada nas bases de dados LILACS, SciELO, PubMed e Scopus, empregando os descritores hearing loss, public health policy, Unified Health System, public health, patient satisfaction e hearing aids. Critérios de seleção Foram selecionados artigos publicados a partir de 2004, sem restrição quanto ao idioma, envolvendo usuários adaptados pelo SUS. Excluíram-se publicações repetidas, resenhas, artigos de opinião, editoriais, teses e dissertações. Resultados Foram localizados 1011 estudos, dos quais, 24 foram incluídos. As pesquisas veicularam-se a partir de 2007, com predomínio na região Sudeste, por meio de abordagens quantitativas e, em grande parte, com amostras limitadas, compreendendo adultos e idosos. Os questionários de autoavaliação foram os recursos utilizados para avaliar a satisfação. Conclusão A maioria dos usuários revelou elevada satisfação com os AASI concedidos pelo SUS.


Author(s):  
Eneida Orbage de Britto Taquary ◽  
Isadora Orbage de Britto Taquary

A problemática se refere à necessidade de se conhecer os critérios para otimizar os protocolos na saúde pública, de forma a obedecer os princípios do Sistema Único de Saúde (SUS). A hipótese levantada se refere à otimização dos recursos econômicos no SUS e os critérios utilizados para observância de um protocolo. Objetiva identificar as características e princípios do SUS e conhecer a política de saúde baseada em evidências. A metodologia será baseada em revisão bibliográfica e na jurisprudência constitucional, de forma a alcançar como resultado a identificação da saúde como direito coletivo e social.  The problem refers to the need to know the criteria to optimize protocols in public health, in order to obey the principles of the Unified Health System (SUS). The hypothesis raised refers to the optimization of the economic resources in the SUS and the criteria used to observe a protocol. It aims to identify the characteristics and principles of SUS and to know the health policy based on evidence. The methodology will be based on literature review and constitutional jurisprudence, in order to achieve as a result the identification of health as a collective and social right.  Unified Health System. Health Unic System; Public health policies in Brazil; Collective and social law


Author(s):  
Kenneth M. Eades ◽  
Nili Mehta

This case is best taught in a first-year MBA finance course and with a series of cases based on cash flow analysis. Its primary objective is to portray the major differences in project analysis for nonprofit organizations compared to for-profit companies and to highlight the unique issues relevant in a health care environment. Students must decide, based on cash flow analysis and nonfinancial factors, whether or not to propose a long-term acute care hospital (LTAC) project to the board of directors of the U. Va. Health System. Students must use the assumptions outlined in the case to create a cash flow analysis and then compute a net present value (NPV) calculation and internal rate of return (IRR) for the project. After assessing the base-case results and sensitivity analysis of the assumptions driving those results, students must decide if the project should be taken to the board of directors.


Author(s):  
Alexandre Fávero BULGARELLI

ABSTRACT The last few decades have witnessed a growth in the value of dentists as health professionals as they act as protagonists in the construction of public health policies. This change comes from powerful and representative dentists in the Unified Health System (acronym in Portuguese is SUS). This short theoretical essay aims to bring the reader closer to the attributes necessary for the building of a social policy and draws a parallel with the National Oral Health Policy (acronym in Portuguese is PNSB). Issues such as context-oriented health policy and the National Oral Health Policy associated with the attributes of a social policy are presented in a narrative and reflective manner. In this process, the exercise of citizenship is demonstrated, emphasizing the importance of the collective role and policy of dentist surgeons in the stages of health policies in Brazil


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