Study of Medical-Assistance Equipment, Orthotics, Prosthetics, and Special Materials in the Unified Health System (SUS) in Brazil

Medical Assistance Equipment (MAE), Orthotics, Prosthetics and Special Materials (OPSM) are strategic subsectors of the Industrial Health Complex (IHC).The dynamism and peculiar characteristics of these technologies characterize the innovation field and the short life cycle of technological developments. The study aims to consolidate the products in a single list by analyzing computerized databases and consulting the technical and other areas in the Ministry of Health. The study strengthens the data obtained and investigates the repeated items in the adopted criteria, crossing this information with previous publications. We established standards about MAE and OPSM in this study that have already been repeated in previous publications. Thus, there is a concentration of skills needs for these technologies in industrial and technological development, as well as in technological services requirement of these products.

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Clinical investigations for SUS, the Brazilian public health system

Sao Paulo Medical Journal ◽

10.1590/s1516-31802012000300008 ◽

2012 ◽

Vol 130 (3) ◽

pp. 179-186

Author(s):

Ana Patrícia de Paula ◽

Silvana Pereira Giozza ◽

Michelle Zanon Pereira ◽

Patrícia Souza Boaventura ◽

Leonor Maria Pacheco Santos ◽

...

Keyword(s):

Clinical Trials ◽

Clinical Research ◽

Health System ◽

Biomedical Research ◽

Industrial Production ◽

Technological Development ◽

Research Management ◽

Research Network ◽

Ministry Of Health ◽

Production Complex

CONTEXT AND OBJECTIVE: Scientific and technological development is crucial for advancing the Brazilian health system and for promoting quality of life. The way in which the Brazilian Ministry of Health has supported clinical research to provide autonomy, self-sufficiency, competitiveness and innovation for the healthcare industrial production complex, in accordance with the National Policy on Science, Technology and Innovation in Healthcare, was analyzed. DESIGN AND SETTING: Descriptive investigation, based on secondary data, conducted at the Department of Science and Technology, Ministry of Health. METHODS: The Ministry of Health's research management database, PesquisaSaúde, was analyzed from 2002 to 2009, using the key word "clinical research" in the fields "primary sub-agenda" or "secondary sub-agenda". The 368 projects retrieved were sorted into six categories: basic biomedical research, preclinical studies, expanded clinical research, clinical trials, infrastructure support and health technology assessment. From a structured review on "clinical research funding", results from selected countries are presented and discussed. RESULTS: The amount invested was R$ 140 million. The largest number of projects supported "basic biomedical research", while the highest amounts invested were in "clinical trials" and "infrastructure support". The southeastern region had the greatest proportion of projects and financial resources. In some respects, Brazil is ahead of other BRICS countries (Russia, India, China and South Africa), especially with regard to establishing a National Clinical Research Network. CONCLUSION: The Ministry of Health ensured investments to encourage clinical research in Brazil and contributed towards promoting cohesion between investigators, health policies and the healthcare industrial production complex.

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Spending on Bariatric Surgery in the Unified Health System from 2010 to 2014: a Study Based on the Specialist Hospitals Authorized by the Ministry of Health

Obesity Surgery ◽

10.1007/s11695-016-2327-5 ◽

2016 ◽

Vol 27 (3) ◽

pp. 641-648 ◽

Cited By ~ 4

Author(s):

Danielly Batista Xavier ◽

Walter Massa Ramalho ◽

Everton Nunes da Silva

Keyword(s):

Bariatric Surgery ◽

Health System ◽

Ministry Of Health ◽

Unified Health System

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DESCENTRALIZAÇÃO DO SUS NA ADMINISTRAÇÃO PÚBLICA

Revista Científica Semana Acadêmica ◽

10.35265/2236-6717-208-9200 ◽

2021 ◽

Vol 9 (208) ◽

pp. 1-16

Author(s):

Rosana Pereira da Silva José

Keyword(s):

Health System ◽

Public Administration ◽

Present Article ◽

Administrative System ◽

Ministry Of Health ◽

Administrative Management ◽

Unified Health System ◽

Brazilian State ◽

Political Economic ◽

Theses And Dissertations

The present article has as its theme the decentralization of SUS in public administration, it highlights SUS as one of the infinite pillars of public policies practiced in Brazil, of which the impasse of consultation is, decentralization is real in public administration. Decentralization generates as a goal a municipalized administrative management in the area of health acts and systems, and there is thus an error of Brazilian politics in which the technocratic morphology of the centralizing State is obliged to deal with the administrative political autarchy of federated people, as art.18, caput, of CF / 88, in any case, such political formation brought positive points, as negative points in the construction of SUS. The system employed was a bibliographic review based on a legislative list (CF / 88, Law 8.080 / 90, Law 8.142 / 90, NOB-SUS 01/93, NOAS-SUS 01/2001), sources from the Ministry of Health, which is the good promoter of SUS, literature, magazines, lectures, models, scientific articles and several other materials that combined according to the theme. The database used was SciELO, the portal for theses and dissertations of UNICAMP and specialized publications suitable for the theme. organizational lines of the Brazilian State; decentralization of SUS and positive and negative SUS themes. By objective, it is identified that the administrative system of the Brazilian State is still very bureaucratic, including that political, economic and social ambitions say irregular aspects and the decentralization of the Unified Health System is proof of a concert to these oscillations.

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Technological development and production of health supplies: challenges for the Unified Health System (SUS)

Bioscience Journal ◽

10.14393/bj-v34n5a2018-41808 ◽

2018 ◽

pp. 1402-1413

Author(s):

Carlos Eduardo de Andrade Lima da Rocha ◽

Fabio Kurt Schneider

Keyword(s):

Health System ◽

Technological Development ◽

Unified Health System

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Life Cycle Assessment and Material Flow Analysis: Two Under-Utilized Tools for Informing E-Waste Management

Sustainability ◽

10.3390/su13147939 ◽

2021 ◽

Vol 13 (14) ◽

pp. 7939

Author(s):

Sohani Vihanga Withanage ◽

Komal Habib

Keyword(s):

Life Cycle Assessment ◽

Life Cycle ◽

Material Flow ◽

Keyword Search ◽

Technological Development ◽

Flow Analysis ◽

Material Flow Analysis ◽

Civil Society Organizations ◽

The Past ◽

Depth Analysis

The unprecedented technological development and economic growth over the past two decades has resulted in streams of rapidly growing electronic waste (e-waste) around the world. As the potential source of secondary raw materials including precious and critical materials, e-waste has recently gained significant attention across the board, ranging from governments and industry, to academia and civil society organizations. This paper aims to provide a comprehensive review of the last decade of e-waste literature followed by an in-depth analysis of the application of material flow analysis (MFA) and life cycle assessment (LCA), i.e., two less commonly used strategic tools to guide the relevant stakeholders in efficient management of e-waste. Through a keyword search on two main online search databases, Scopus and Web of Science, 1835 peer-reviewed publications were selected and subjected to a bibliographic network analysis to identify and visualize major research themes across the selected literature. The selected 1835 studies were classified into ten different categories based on research area, such as environmental and human health impacts, recycling and recovery technologies, associated social aspects, etc. With this selected literature in mind, the review process revealed the two least explored research areas over the past decade: MFA and LCA with 33 and 31 studies, respectively. A further in-depth analysis was conducted for these two areas regarding their application to various systems with numerous scopes and different stages of e-waste life cycle. The study provides a detailed discussion regarding their applicability, and highlights challenges and opportunities for further research.

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

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.323 ◽

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.

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The Quest to Extend Health Services to Vulnerable Substance Users in Rio de Janeiro, Brazil in the Context of an Unfolding Economic Crisis

International Journal of Health Services ◽

10.1177/0020731416679351 ◽

2016 ◽

Vol 47 (3) ◽

pp. 477-488 ◽

Cited By ~ 4

Author(s):

Noa Krawczyk ◽

Deanna Kerrigan ◽

Francisco Inácio Bastos

Keyword(s):

Health Services ◽

Health System ◽

Economic Crisis ◽

Rio De Janeiro ◽

Crack Cocaine ◽

Access To Health Services ◽

Government Programs ◽

Substance Users ◽

Unified Health System ◽

Harsh Criticism

Calls to address crack-cocaine use in Brazil among homeless and street-frequenting populations who are in urgent need of health services have questioned the capacity of the Brazilian Unified Health System to attend to the nation’s most marginalized citizens. In recent years, Brazil has launched several actions to escalate care for substance users, yet many obstacles hindering accessibility and effectiveness of services remain. Paradoxically, these actions have been implemented in the context of a growing economic crisis, and expanding services for a population of poor and stigmatized substance users while cutting other government programs tends to elicit harsh criticism from citizens. In consequence of such prospects, this commentary aims to discuss barriers marginalized substance users face in accessing health services that are at risk of worsening with government cutbacks. Using Rio de Janeiro as an example, we explore two primary issues: the resource-strained, under-staffed and decentralized nature of the Brazilian Unified Health System and the pervading stigma that bars vulnerable citizens from official structures and services. Abandoning initiated government efforts to increase access to health services would risk maintaining vulnerable citizens at the margins of public structures, inhibiting the opportunity to offer this population humane and urgently needed treatment and care.

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Changes in contraception use among Brazilian women after childbirth, 2006-2013

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.981 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

M Felisbino-Mendes ◽

B Barrozo Siqueira

Keyword(s):

Health System ◽

Secondary Data ◽

Reproductive Age ◽

Cross Sectional ◽

Regional Inequalities ◽

Unified Health System ◽

Contraception Use ◽

High Prevalence ◽

Modern Methods ◽

Low Prevalence

Abstract Introduction There are gaps in knowledge regarding the neglected and vulnerable subgroups of FP actions in Brazil, such as postpartum women and women in general, regardless of their marital status. Objective To assess changes in the prevalence of use and in the contraceptive pattern of Brazilian women up to two years after pregnancy, between 2006 and 2013. Methods Cross-sectional, descriptive and analytical study which used secondary data from national surveys. We studied Brazilian women with up to 2 years postpartum, of reproductive age, sexually active, non-pregnant and menstruating, and compared them with all the other women. We estimated the prevalence of use, contraception pattern of contraception and ranking of modern methods. Percentual change in indicators between the years was evaluated by calculating the difference between estimates. Results 85% of Brazilian women used CM, remaining stable in 2006 and 2013, with a high prevalence of modern methods use. An increase in the use of CM was observed among those with up to six months postpartum (71.0% to 89.0%). Pills and condoms accounted for about 60% of modern methods used in the postpartum period in both surveys. There was an increase in dual protection (2.9% to 10.1%) and contraceptive insecurity (1.6% to 5.7%) and a reduction in sterilization (16.2% to 13.4%) and traditional methods (2.1% to 1.4%). Conclusions Even with the maintenance of a high prevalence of use of CM and with the increase in contraception among women with up to six months postpartum, regional inequalities in access to CM and low prevalence of the use of other methods made available by the Unified Health System (SUS) persist, pointing out the maintenance of the insufficient care, failures in the means to regulate fertility and that public policies still hinder to guarantee the sexual and reproductive rights of the most vulnerable population. Key messages Regional inequalities in access to contraceptive methods and low prevalence of other methods made available by the Unified Health System (SUS) persist. There was an increase in contraception use among women with up to six months postpartum in Brazil.

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