scholarly journals Hospitalization flow in the public and private systems in the state of Sao Paulo, Brazil

2015 ◽  
Vol 49 (0) ◽  
Author(s):  
Juan Stuardo Yazlle Rocha ◽  
Rosane Aparecida Monteiro ◽  
Marizélia Leão Moreira

OBJECTIVE To describe the migration flows of demand for public and private hospital care among the health regions of the state of Sao Paulo, Brazil. METHODS Study based on a database of hospitalizations in the public and private systems of the state of Sao Paulo, Southeastern Brazil, in 2006. We analyzed data from 17 health regions of the state, considering people hospitalized in their own health region and those who migrated outwards (emigration) or came from other regions (immigration). The index of migration effectiveness of patients from both systems was estimated. The coverage (hospitalization coefficient) was analyzed in relation to the number of inpatient beds per population and the indexes of migration effectiveness. RESULTS The index of migration effectiveness applied to the hospital care demand flow allowed characterizing health regions with flow balance, with high emigration of public and private patients, and with high attraction of public and private patients. CONCLUSIONS There are differences in hospital care access and opportunities among health regions in the state of Sao Paulo, Brazil.

Check List ◽  
2010 ◽  
Vol 6 (2) ◽  
pp. 217 ◽  
Author(s):  
Mariana Juventina Magrini ◽  
Paula Beatriz Araujo ◽  
Marcio Uehara-Prado

Terrestrial Isopods were sampled in four protected Atlantic Forest areas located in Serra do Mar, state of São Paulo, southeastern Brazil. A total of 2,217 individuals of six species (Atlantoscia sp., Benthana werneri, Pseudodiploexochus tabularis, Pudeoniscus obscurus, Styloniscus spinosus and Trichorhina sp.) were captured in pitfall traps. The exotic species S. spinosus is recorded for the first time for the Americas. Another introduced species, P. tabularis, previously recorded only from the state of Rio Grande do Sul, had its geographic distribution extended to the state of São Paulo. The most abundant isopods in this study belong to an undescribed species of Atlantoscia.


Check List ◽  
2018 ◽  
Vol 14 (2) ◽  
pp. 323-327
Author(s):  
Domingos Garrone-Neto ◽  
Alexandre Rodrigues

New records of Megalops atlanticus Valenciennes, 1847 in the state of São Paulo, southeastern Brazil, are reported from recreational catches carried out in February 2017. Data collected is the first occurrence of this species in more than 50 years, extending its geographic distribution by about 250 km, from Cananéia, in the south, to Guarujá, on the central coast. Although rarely recorded, M. atlanticus is present off the coast of São Paulo. This possibly represents the southernmost distribution for M. atlanticus in the Southwest Atlantic.


Check List ◽  
2006 ◽  
Vol 2 (1) ◽  
pp. 57 ◽  
Author(s):  
Leandro Muller Gomiero ◽  
Francisco Manoel de Souza Braga

Fish were studied in two river basins (Corumbataí and Jacaré-Pepira) subjected to strong human pressure, in the interior of the State of São Paulo, southeastern Brazil. In the Corumbataí basin, four sites were sampled: Cabeça river, Lapa stream, Passa-Cinco river, and Corumbataí river; in the Jacaré-Pepira basin, three sites were sampled: Tamanduá stream, Jacaré-Pepira river, and Água Branca stream. A total of 4,050 specimens belonging to 48 species and 13 families were caught and analyzed. 


Check List ◽  
2010 ◽  
Vol 6 (1) ◽  
pp. 036 ◽  
Author(s):  
Ronald R. Carvalho Jr. ◽  
Juliana M. D. Kleinsorge ◽  
Luciana A. Fusinatto

The current note reports the presence of Odontophrynus moratoi at municipality of São Carlos, state of São Paulo, southeastern Brazil. This is the third known locality of occurence of this cycloramphid frog considered threatened of extinction.


Author(s):  
Alessandra Freire Reis ◽  
Odaléia Telles Marcondes Machado Queiroz

A discussão sobre a concessão das unidades de conservação é extremamente importante e tem gerado polêmica no Estado de São Paulo, devido à aprovação da Lei Nº 16.260, de 29 de junho de 2016, que “autoriza a Fazenda do Estado a conceder a exploração de serviços ou o uso, total ou parcial, de áreas em próprios estaduais”. A pesquisa e o debate sobre o tema são fundamentais para compreensão e reflexão das possibilidades e consequências da escolha deste caminho para as UCs, ainda que estes devessem anteceder a tomada de decisão. As atividades turísticas e de lazer estão dentre os principais serviços a serem concedidos a iniciativa privada nos Parques Estaduais. Embora essas atividades estejam dentre os objetivos deste tipo de categoria de UC é preeminente ressaltar que a conservação deve nortear a gestão. O Estado é responsável por proteger importantes fragmentos de Mata Atlântica e Cerrado, em áreas com diferentes tipos de ocupação e pressão. Para tanto, necessita de investimento em pessoal capacitado, infraestrutura e equipamentos, além do apoio e diálogo com comunidades tradicionais, que tenham relação com as áreas. O que se observa atualmente é a precarização dos serviços prestados, em que os servidores públicos não têm plano de carreira e os guarda-parques, funcionários primordiais para essas áreas, estão se extinguindo e com eles todo um rico conhecimento. A maioria dos gestores é comissionada e em alguns casos não tem formação adequada para função. A fiscalização é terceirizada e patrimonial deixando que a Floresta propriamente dita, fique a mercê de usos indevidos e inadequados como ocupação irregular, extração de flora, caça, depósito de entulhos, entre outros. É fato que as atividades de uso público realizadas atualmente estão aquém das possibilidades dos parques. A concessão de serviços como alimentação, hospedagem, aluguel de equipamentos e implantação de estruturas para atividades de ecoturismo podem sim ser uma alternativa para dinamizar o uso desses espaços e gerar recursos. Há diversos exemplos de sucesso no exterior e no Brasil, que podem ser inspiradores. Porém, é necessário fundamentalmente que o Estado assuma a responsabilidade legal de salvaguardar as UCs, valorizando a carreira dos servidores públicos investindo em concursos e capacitações. Somente com uma estrutura organizacional fortalecida será possível conduzir com eficiência processos de concessão, que contribuam com a otimização de uso adequado desses espaços. As UCs fornecem serviços ambientais imensuráveis e dentre eles estão às oportunidades turismo, lazer e recreação. Tourism Concessions in Protected Areas of São Paulo state (Brazil): reflections, opportunities and challenges ABSTRACT The discussion on the concession of protected areas is extremely important and has generated controversy in the State of São Paulo, due to the approval of the draft law Nº 16.260, that "authorizes the State Treasury to grant the exploitation of services or use of all or part of areas in state themselves." Research and debate on the subject are fundamental to understanding and reflection of the possibilities and consequences of choosing this way for protected area, even if they were to precede decision-making. Tourist and leisure activities are among the main services to be granted to private initiative in the State Parks. Although these activities are among the goals of that category of PA is paramount to emphasize that conservation should guide the management. The State is responsible for protecting important fragments of Atlantic Forest and Savannah, in areas with different types of occupation and pressure. Therefore, it needs investment in trained personnel, infrastructure and equipment, and support and dialogue with traditional communities that relate to the areas. What we currently see is the precariousness of services, where public servants have no career plan and park rangers, primary staff to these areas, they are dying off and with them a whole wealth of knowledge. Most managers are commissioned and in some cases do not have adequate training to function. The inspection is outsourced and property letting the forest itself, be at the mercy of undue and inappropriate uses such as illegal occupation, flora extraction, hunting, debris deposit, among others. It is true that the public use activities currently performed are beyond the means of the parks. The concession of services such as food, lodging, equipment rental and implementation of ecotourism activities to structures can indeed be an alternative to boost the use of these spaces and generate resources. There are many examples of success in Brazil and abroad, which can be inspiring. However, it is fundamentally necessary that the State assumes the legal responsibility to safeguard the protected areas, enhancing the careers of public servants investing in competitions and training. Only with a strengthened organizational structure will be possible to drive efficiently concession processes that contribute to the optimization of appropriate use of these spaces. PAs provide immeasurable environmental services and among them are the opportunities tourism, leisure and recreation. KEYWORDS: State Parks; Public Use; Management; Conservation.


2006 ◽  
Vol 40 (2) ◽  
pp. 304-309 ◽  
Author(s):  
Raquel Jales Leitão ◽  
Marcos Bosi Ferraz ◽  
Ana Cristina Chaves ◽  
Jair J Mari

OBJECTIVE: To estimate the direct costs of schizophrenia for the public sector. METHODS: A study was carried out in the state of São Paulo, Brazil, during 1998. Data from the medical literature and governmental research bodies were gathered for estimating the total number of schizophrenia patients covered by the Brazilian Unified Health System. A decision tree was built based on an estimated distribution of patients under different types of psychiatric care. Medical charts from public hospitals and outpatient services were used to estimate the resources used over a one-year period. Direct costs were calculated by attributing monetary values for each resource used. RESULTS: Of all patients, 81.5% were covered by the public sector and distributed as follows: 6.0% in psychiatric hospital admissions, 23.0% in outpatient care, and 71.0% without regular treatment. The total direct cost of schizophrenia was US$191,781,327 (2.2% of the total health care expenditure in the state). Of this total, 11.0% was spent on outpatient care and 79.2% went for inpatient care. CONCLUSIONS: Most schizophrenia patients in the state of São Paulo receive no regular treatment. The study findings point out to the importance of investing in research aimed at improving the resource allocation for the treatment of mental disorders in Brazil.


2018 ◽  
Vol 26 (1) ◽  
pp. 15-44 ◽  
Author(s):  
Fabio Schunck ◽  
José Fernando Pacheco ◽  
Alexsander Z. Antunes ◽  
Ricardo Luís Gagliardi ◽  
Luís Fábio Silveira

2015 ◽  
Vol 15 (4) ◽  
Author(s):  
Anderson da Silva Lucindo ◽  
Alexsander Zamorano Antunes ◽  
Marina Mitsue Kanashiro ◽  
Manoel Martins Dias

In the state of São Paulo, southeastern Brazil, the phytophysiognomy known as Cerrado takes less than 1% of its original cover. Thus, the establishment and management of protected areas are essential to save a significant sample of biodiversity of this environment in the region. The Santa Bárbara Ecological Station is one of the largest protected areas in São Paulo, and one of the few ones to cover a mosaic with most of the vegetation types of Cerrado. This article aims to increase the knowledge of avifauna in the reserve, showing new bird records and evaluating the association of species to their physiognomies. We carried out surveys from 2008 to 2013, which resulted in the record of 226 species, or 246 when in regard to Willis & Oniki’s works (1981, 2003). Twenty-two are regionally threatened, and five globally threatened. Despite showing lower species richness, grasslands stood out because of the number of species of conservation concern. Preventing the densification of woody vegetation and controlling the invasion of alien plants are important management actions for the conservation of the bird assemblages at Santa Bárbara reserve, one of the last open Cerrado remnants in São Paulo.


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