scholarly journals Making the COVID-19 pandemic a driver for digital health: the Brazilian strategies (Preprint)

2021 ◽  
Author(s):  
Bruna Donida ◽  
Cristiano André da Costa ◽  
Juliana Nichterwitz Scherer
Keyword(s):  
Health System ◽  
Digital Health ◽  
Clinical Care ◽  
Health Data ◽  
Notification System ◽  
The Public ◽  
Unified Health System ◽  
First Results ◽  
The Creation ◽  
Medical Teams

UNSTRUCTURED The COVID-19 outbreak exposed a number of problems faced by health systems around the world, especially with regard to generation and sharing health data, in a quickly and safely manner. However, this pandemic scenario also facilitates the rapid implementation and monitoring of technologies in the health field. In view of the occurrence of the public calamity state caused by the virus SARS-CoV-2 in Brazil, the Department of Informatics from Brazilian Unified Health System created a contingency plan. This paper aims to report the Brazilian digital health strategies and the first results obtained during the fight against COVID-19. ConecteSUS, a platform created to store all the health data of an individual throughout their life is the center point of the Brazilian digital strategy. Access can be made through an application by the patient and the health professionals involved in the case. The health data sharing became possible due to the creation of the National Health Data Network (RNDS). A mobile application was developed to guide citizens about the need or not to go to a health facility and to assist in the dissemination of official news about the virus. The app is also able to alert the user if he had contact with someone infected. The official numbers of cases and beds available in hospitals are being updated and published daily, on a website containing interactive graphics. These data are obtained due to the creation of an online notification system that uses RNDS to share information about the cases. Pre-clinical care through telemedicine has become essential to prevent the overload in health facilities. The exchange of experiences between medical teams from great centers and small hospitals was possible by the use of telehealth. Brazil took a giant step towards digital health, creating and implementing important initiatives, which do not yet cover the entire health system. It is expected that, in the near future, the sharing of health data kept up and authorized by the patient becomes a reality. The intention is to obtain a better clinical outcome, cost reduction, and faster and better services in the public health network.

scholarly journals Retrospective study of the distribution of doctors in municipalities of extreme poverty in Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B L O Luizeti ◽  
E M M Massuda ◽  
L F G Garcia
Keyword(s):  
Public Health ◽  
Health System ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Extreme Poverty ◽  
The Public ◽  
The North ◽  
Unified Health System ◽  
Shortage Of Doctors ◽  
Demographic Distribution

Abstract In view of the national scenario of scarcity of material and human resources in public health in Brazil, the survey verified the demographics of doctors who attend the Unified Health System (SUS) in municipalities of extreme poverty. An observational, analytical and cross-sectional study was carried out, based on secondary quantitative data from the Department of Informatics of the SUS using the TABNET of December 2019. The care networks variable was restricted to infer the number of physicians who attend the SUS in extreme poverty municipalities in Brazil. Municipalities of extreme poverty are those that at least 20% of the population have a household income of up to 145 reais per capita monthly. In Brazil, there are 1526 municipalities in extreme poverty, 27.4% of the country's total municipalities. 14,907 doctors linked to SUS work in this condition, 3.19% of the total of these professionals in Brazil. There is still disproportion between regions: North concentrates 11.2% of the municipalities in extreme poverty and 8.61% of the total number of doctors; Northeast, with 61.33% of these municipalities, for 61.5% of doctors; Southeast, with 15.46% of the municipalities in this condition, has 20.6% of doctors; South concentrates 10.87% of the municipalities under discussion with 5.61% of doctors and the Midwest, with 4.87% of these municipalities, has 3.54% of doctors. Between 2009 and 2018, there was a 39% increase in the number of doctors in these locations, however, for 2019, there was a decrease of 3.89%. The medical demographic distribution in Brazil is uneven, especially in the North. There is also the vulnerability of this population in view of the observed reduction in the number of professionals between 2018 and 2019 in municipalities of extreme poverty, for political reasons. It is evident the need to restructure the health system to guarantee access to health for this population, through the attraction and fixation of doctors in needy regions in Brazil. Key messages Shortage of doctors in extreme poverty municipalities reinforces the health vulnerability of the population in Brazil. The uneven medical demography in Brazil requires restructuring in the public health system.

scholarly journals Sobre ausências e silenciamentos: uma análise dos sentidos do Sistema Único de Saúde no Caderno Vida, do Diário do Nordeste

2018 ◽  
Vol 12 (1) ◽  
pp. 152
Author(s):  
Clarisse Castro Cavalcante ◽  
Kátia Lerner
Keyword(s):  
Health Services ◽  
Qualitative Analysis ◽  
Health System ◽  
The Public ◽  
Discursive Strategies ◽  
Unified Health System ◽  
Social Discourses ◽  
The Senses

Sobre ausências e silenciamentos: uma análise dos sentidos do Sistema Único de Saúde no Caderno Vida, do Diário do Nordeste On absences and silences: an analysis of the senses of the Unified Health System in the Caderno Vida, Diário do Nordeste ResumoEste artigo tem como objetivo compreender os modos pelos quais o jornal Diário do Nordeste construiu sentidos sobre o Sistema Único de Saúde no seu suplemento semanal dedicado ao tema saúde, o Caderno Vida. Utilizamos como método uma análise qualitativa de seis textos jornalísticos que continham a presença do SUS, baseada no referencial teórico-metodológico da Semiologia dos Discursos Sociais. Entre os principais resultados, observou-se que o Diário do Nordeste constituiu modos de falar sobre o SUS a partir de estratégias discursivas de crítica, tecidas através da visibilidade conferida à ausência de tecnologias nos serviços de saúde e à precariedade no financiamento; e de silenciamentos sobre o SUS a partir de sua não nomeação na divulgação de serviços e políticas de saúde, especialmente quando positivos e valorizados na esfera pública.Palavras-chaves: Mídia; Cotidiano; Jornalismo; Discursos; Sentidos AbstractThis article aims to understand the ways in which the Diário do Nordeste newspaper has constructed senses about the Unified Health System in its weekly supplement dedicated to health, the “Caderno Vida”. We used as a method a qualitative analysis of six journalistic texts that contained the presence of SUS, based on the theoretical and methodological reference of the Semiology of Social Discourses. Among the main results, it was observed that the Diário do Nordeste constituted ways of talking about SUS based on discursive strategies of criticism, woven through the visibility given to the absence of technologies in health services and the precariousness of financing; and of silencing about the SUS from its non-appointment in the dissemination of health services and policies, especially when positive and valued in the public sphere.Keywords: Media; Daily; Journalism; Discourses; Senses  

scholarly journals Costs of bariatric surgery in a teaching hospital and the financing provided by the Public Unified Health System

2010 ◽  
Vol 25 (2) ◽  
pp. 201-205 ◽  
Author(s):  
Wilson Salgado Júnior ◽  
Karoline Calfa Pitanga ◽  
José Sebastião dos Santos ◽  
Ajith Kumar Sankarankutty ◽  
Orlando de Castro e Silva Jr ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Health System ◽  
Perioperative Period ◽  
University Hospital ◽  
Retrospective Evaluation ◽  
The Public ◽  
Unified Health System ◽  
The Government ◽  
The Cost ◽  
The University

PURPOSE: Analyze the effect of some measures on the costs of bariatric surgery, adopting as reference the remuneration of the procedure provided by the Unified Health System (SUS). METHODS: A retrospective evaluation conducted in the Costs Section of the University Hospital of Ribeirão Preto, of the costs involved in the perioperative period for patients submitted to bariatric surgery from 2004 to 2007. Changes in the routines and protocols of the service aiming at the reduction of these costs during the study period were also analyzed. RESULTS: Nine patients in 2004 and seven in 2007 submitted to conventional vertical banded "Roux-en-Y" gastric bypass were studied. All patients presented good postoperative evolution. The average cost with these patients was R$ 6,845.17 in 2004. Even though an effort was made to contain expenditures, the cost in 2007 was of R$ 7,525.64 because of the increase in the price of materials and medicines. The Government remuneration of the procedure in the two years was R$ 3,259.72. CONCLUSION: Despite the adoption of diverse measures to reduce the expenditures of bariatric surgery, in fact there was an increase in the costs, a fact supporting the necessity of permanent evaluation of the financing of public health.

scholarly journals Technical schools of the Unified Health System: an analysis of nursing education

2020 ◽  
Vol 54 ◽  
Author(s):  
Juliana Costa Ribeiro-Barbosa ◽  
Gilberto Tadeu Reis da Silva ◽  
Simone Coelho Amestoy ◽  
Cristiane Costa Reis da Silva ◽  
Rosana Maria de Oliveira Silva ◽  
...  
Keyword(s):  
Nursing Education ◽  
Health System ◽  
Qualitative Assessment ◽  
Integrative Approach ◽  
Professional Skills ◽  
The Public ◽  
Technical Schools ◽  
Service Community ◽  
Unified Health System ◽  
Teaching Learning

Abstract Objective: To analyze nursing education in the Technical Schools of the Unified Health System in the Northeastern region of Brazil. Method: A documentary study with a qualitative approach, having its locus as Technical Schools of the Unified Health System in the Northeast Region which offer the technical course in nursing. Data sources were the Pedagogical Political Projects of the school and the Teaching Plans of the referred courses, and three structured scripts on the pedagogical aspects of training were used as instruments. The systematization/data analysis was based on thematic content analysis. Results: Technical training in nursing occurs through: an integrative approach, being considered a pedagogical trend; problematizing approach, used as a methodological way for teaching-learning; and qualitative assessment, enhancing the scope of professional skills. Conclusion: The training in focus points to the commitment to the Unified Health System and professional excellence, as it strengthens the integration between teaching-service-community, encourages student proactivity and indicates teaching-learning in the demands of the population and the public health system, and enhances the acquiring and improving professional skills.

scholarly journals Digital health and digital information in the context of big data. An ethical insight on interests

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Mirchev ◽  
A Kerekovska
Keyword(s):  
Public Interest ◽  
Digital Health ◽  
Scientific Progress ◽  
Personal Data ◽  
Health Data ◽  
Individual Responsibility ◽  
Digital Information ◽  
The Public ◽  
Rational Argumentation ◽  
The Individual

Abstract Background Health data is the key link between the prospects we face in improving health services and the context of current information reality. In the field of public health, the sheer scale of data collecting, digitalization and use is already raising questions related to the ethical norms among different stakeholders. The fact that it is personal data at stake, confronts at least two views: the individual versus the public interest. The more we ease the process of health data aggregation and use, the more risks of possible harms we face. So, whose interest is a priority? Aim To consider if it is possible to balance the conflicting interests of individuals and society in the digital health era by advocating for mutual compromises and rational argumentation. Methods Ethical, documental and historical research. Results The amount of digital health related personal data transforms both opportunities for improved healthcare and research, and possible uncertainties related to improper use, harms, abuses, injustice. This nourishes individuals' doubts and potentially restricts the public interest by putting limits on future use of data. A balance between the confronting interests is needed. Granting ownership rights over data requires entirely new legal frame, since property rights hardly encompass the unique nature of information. Moreover, data is a valuable artefact, and ownership could provoke further commercialization. On the other hand, it is virtually impossible to put a separating line between commercial and ideal use of health data for care improvements and science. Our focus should be on the ideal use and essentially on insuring individual's privacy and confidentiality, but not at the expense of public benefits and scientific progress. Conclusions Health information is a powerful tool, and its utilization suggests compromises, which are possible if rational argumentation and support is provided to individuals with the aim to overcome the existing discrepancies. Key messages The appearance of digital health fully represents the dynamic information reality in which constructing a balance between different stakeholder’s interests is vital and not impossible to achieve. Healthcare prospects depend on our individual responsibility and willing to share as we have the data and the means to use and secure it, and we have the duty to do it.

scholarly journals Consolidation of new public management in nursing education: repercussions to the Unified Health System

2021 ◽  
Vol 74 (1) ◽  
Author(s):  
José Renato Gatto Júnior ◽  
Cinira Magali Fortuna ◽  
Sébastien Pesce ◽  
Leandra Andréia de Sousa ◽  
Angelina Lettiere-Viana
Keyword(s):  
Nursing Education ◽  
Health System ◽  
Public Management ◽  
New Public Management ◽  
Public University ◽  
University Teaching ◽  
The Public ◽  
Unified Health System ◽  
New Public ◽  
The University

ABSTRACT Objectives: to analyze the ways in which neoliberalism has consolidated itself in the public university and in university teaching in nursing; and what interferences it has produced in the pedagogical conceptions and practices of nurse educators. Methods: this is a qualitative research based on Institutional Analysis and conducted in a public university. Results: the data produced with the nursing teachers revealed the consolidation of the New Public Management in the university teaching of the professor-nurse, which is in contradiction with the formative assumptions for the Unified Health System. Final Considerations: it is noticeable how the university and the university teaching in nursing are already impregnated by neoliberal logic. This will possibly have repercussions on the training of professionals for the Unified Health System.

scholarly journals Previous hospital admissions in risk adjustment for mortality of elderly patients admitted with hip fracture

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Helen Machareth ◽  
Cláudia Coeli ◽  
Rejane Pinheiro
Keyword(s):  
Information System ◽  
Hip Fracture ◽  
Health System ◽  
Risk Adjustment ◽  
Hospital Information System ◽  
Hospital Admissions ◽  
Hospital Death ◽  
The Public ◽  
Unified Health System ◽  
Ischemic Diseases

ABSTRACTIntroductionThe Hospital Information System of the Brazilian Unified Health System (SIH-SUS) can be an important tool in evaluating care through comparisons of mortality rates among hospitals. However, the SIH-SUS has limited availability of data on comorbidities, which are needed in order to measure the severity of patients' condition for risk adjustment when comparing mortality among hospitals. ObjectivesTo analyze previous hospital admissions as an indicator of severity of patients' condition using as an example hip fracture admissions. ApproachWe analyzed 1984 patients with 62 years of age or older with hip fracture who were admitted to the public health system in Rio de Janeiro City between 2010 and 2011. The causes of previous hospital admissions were obtained through probabilistic record linkage with the SIH-SUS for all causes of admissions between 2008 and 2010. We analyzed the association between the patient having had a any previous admission, adjusted by sex and age, with hospital death, through a logistic regression model. We also analyzed the association between groups of causes of admission with hospital death. ResultsHaving had at least one previous hospital admission due to any cause before the admission for hip fracture was associated with a 77% increase in the odds of hospital death (CI 95% = 1.06 – 2.94). Among comorbidities, the most relevant were severe or moderate kidney disease with OR = 20.196 (CI 95% = 3.042 – 134.092), ischemic diseases with OR = 9.099 (CI 95% = 0.973 – 85.106), pneumonia with OR = 3.619 (CI 95% = 0.977 – 13.401) and diverse fractures and lesions with OR = 2.041 (CI 95% = 0.900 – 4.627). We were not able to analyze the association for some comorbidities due to an absence in outcome variability in some groups. ConclusionResults point to a promising use of previous hospital admissions in the Hospital Information System as a proxy for patient's risk adjustment.

scholarly journals Public-private relation in the Brazilian policy of tertiary care for cardiovascular conditions

2019 ◽  
Vol 53 (4) ◽  
pp. 753-768
Author(s):  
Petter Ricardo de Oliveira ◽  
Mariana Guerra ◽  
Adalmir de Oliveira Gomes ◽  
Aiane Luiz Martins
Keyword(s):  
Health Care ◽  
Private Sector ◽  
Health System ◽  
Tertiary Care ◽  
Care Policy ◽  
The Public ◽  
Unified Health System ◽  
Federal Constitution ◽  
Specialized Health Care ◽  
Cardiovascular Services

Abstract Specialized health care in Brazil has been provided by the private sector under public regulation and financing since the 1950s. It continued after the promulgation of the 1988 Federal Constitution, which also created the Unified Health System (SUS). In the last decades, the share of the private sector has increased in tertiary care, including cardiovascular services, generating changes in SUS. This study analyzes the public-private relationship in the National Tertiary Care Policy for Cardiovascular Conditions from 2008 to 2014. The results indicate that, compared to the public sector, the private sector has a greater share in both tertiary care for cardiovascular conditions and receivables for providing health services. This points to a contradiction in the management of the health system in Brazil, which, albeit public, all-population-oriented, and free in its conception, has privileged the private sector.

scholarly journals Pharmaceutical Service for Multiple Sclerosis Carriers in Brazil: A State Model

2020 ◽  
Vol 12 (13) ◽  
pp. 32
Author(s):  
Cristiane M. Ferreira ◽  
Erica F. Vasconcelos- Pereira ◽  
Vanessa M. de Oliveira ◽  
Liliane Bernardes Campos ◽  
Vanessa T. G. de Matos ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Health System ◽  
Patient Privacy ◽  
Model Of Care ◽  
Mato Grosso ◽  
The Public ◽  
Oral Medications ◽  
Unified Health System ◽  
Injectable Drugs ◽  
Mato Grosso Do Sul

The Specialized Component of Pharmaceutical Care is the Brazilian Unified Health System strategy that aims to ensure comprehensive drug treatment at an outpatient level and improve access to high complexity, high cost treatments, such as multiple sclerosis. Given the diversity of treatments available and the differences in financing and dispensing in different countries, the objective of this study was to present the workings of the model of care for patients with multiple sclerosis through the public health system in Brazil in the state of Mato Grosso do Sul. In Campo Grande, the registration and dispensation of drugs for the treatment of multiple sclerosis is the responsibility of the Pharmacy School Professor Ana Maria Cervantes Baraza of the Federal University of Mato Grosso do Sul. In this center, all patients receive pharmaceutical advice on the administration of injectable drugs and oral medications; the storage, preservation, and transportation of refrigerated drugs; and information on the disease and management of adverse reactions. Clinical pharmacy services are also available to patients in a pharmaceutical office, ensuring patient privacy and comfort and enabling the creation of a bond with the pharmacist. The model of care provided by the Pharmacy School allows for the development of pharmaceutical services, encourages the rational use of medicines, and emphasizes the importance of self-care, adherence to therapy, and the co-responsibility of patients and their families.

How to Draft Successful Memorandums of Understanding and Data-Sharing Agreements

2019 ◽  
pp. 191-204
Author(s):  
Matthew Penn ◽  
Rachel Hulkower
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health System ◽  
Data Sharing ◽  
Data Use ◽  
Health Data ◽  
Critical Component ◽  
The Public ◽  
Goods And Services ◽  
Public Health Data

This chapter offers tips on crafting data-sharing agreements. Improving and increasing cross-sector collaboration in public health can be facilitated through the use of a memorandum of understanding (MOU). The chapter looks at the benefits of MOUs, and also drawbacks. It provides some case studies of successful MOUs. Cross-sector collaboration is an increasingly critical component of the public health system, the chapter concludes. Community partnerships can involve complex arrangements, with reciprocal promises to exchange goods and services, and MOUs can help organizations negotiate, organize, and maintain those relationships. For partnerships that need health care or public health data to function, a data use agreements (DUA) can provide a mechanism to define the data needed and the parameters around the intended release and use of the data.

Sign in / Sign up

Export Citation Format

Share Document