scholarly journals Eficiência e financiamento nas ações em média e alta complexidade

2019 ◽  
Vol 13 (2) ◽  
pp. 464
Author(s):  
Diego Augusto Lopes Oliveira ◽  
Tarciany Roberta Campos Melo ◽  
Oberto César dos Santos ◽  
Mônica Josefa da Silva ◽  
Wyllaneyde Wellem dos Santos Silva ◽  
...  
Keyword(s):  
Health System ◽  
Health Policies ◽  
Hospital Services ◽  
High Complexity ◽  
Positive Health ◽  
Unified Health System ◽  
Health Care Funding ◽  
Distribution Of Resources ◽  
Positive Health Outcomes ◽  
Funding Resource

RESUMOObjetivo: elucidar a relevância do financiamento do Sistema Único de Saúde sobre a eficiência das ações na média e alta complexidades nos serviços. Método: trata-se de um estudo bibliográfico, tipo revisão integrativa da literatura. Selecionaram-se os artigos no período de 2007 a 2016, nas bases de dados a LILACS, MEDLINE e ColecionaSUS, no idioma português. Estruturou-se a pesquisa em seis etapas metodológicas. Após a leitura sistematizada dos artigos os estudos foram analisados e apresentados em forma de figuras. Resultados: selecionaram-se três estudos que revelam que a produção científica apresentada é bastante reduzida e necessita de maior aprofundamento em relação à investigação e às inferências de contribuição para a melhoria dos processos em nível da média e alta complexidades, sobretudo nas consequências que os entraves causam aos serviços hospitalares. Conclusão: necessita-se de maior aprofundamento no tocante às lacunas existentes na atual metodologia de financiamento dos serviços para que sejam fomentadas ferramentas que possibilitem a melhoria contínua dos processos e garantam a real eficiência da distribuição de recursos para um sistema que gere resultados positivos em saúde. Descritores: Financiamento da Assistência à Saúde; Alocação de Recursos; Políticas de Saúde; Serviços de Saúde; Sistema Único de Saúde; Enfermagem.ABSTRACT Objective: to elucidate the relevance of the funding of the Unified Health System on the efficiency of medium and high complexity actions in the services. Method: it is a bibliographical study, of integrative review of the literature type. The articles were selected from 2007 to 2016, in the databases LILACS, MEDLINE and ColecionaSUS, in the Portuguese language. The research was structured in six methodological stages. After the systematized reading of the articles, the studies were analyzed and presented in the form of figures. Results: three studies were selected that show that the scientific production presented is very small and needs to be deepened in relation to the research and the inferences of contribution to the improvement of the processes in the medium and high complexity levels, especially in the consequences that the obstacles to hospital services. Conclusion: there is a need to deepen the existing gaps in the current methodology for financing services so that tools can be fostered that enable continuous improvement of processes and ensure the real efficiency of the distribution of resources to a system that generates positive health outcomes. Descriptors: Health Care Funding; Resource allocation; Health policies; Health services; Unified Health System; Nursing.RESUMEN Objetivo: elucidar la relevancia del financiamiento del Sistema Único de Salud sobre la eficiencia de las acciones en la media y alta complejidad en los servicios. Método: se trata de un estudio bibliográfico, tipo revisión integrativa de la literatura. Se seleccionaron los artículos 2007 a 2016, en las bases de datos LILACS, MEDLINE y ColecionaSUS, en el idioma portugués. Se estructuró la investigación en seis etapas metodológicas. Después de la lectura sistematizada de los artículos los estudios fueron analizados y presentados en forma de figuras. Resultados: se seleccionaron tres estudios que revelan que la producción científica presentada es bastante reducida y necesita una mayor profundización en relación a la investigación y las inferencias de contribución para la mejora de los procesos a nivel de la media y alta complejidades, sobre todo en las consecuencias que los obstáculos causan a los servicios hospitalarios. Conclusión: se necesita mayor profundización en cuanto a las lagunas existentes en la actual metodología de financiamiento de los servicios para que se fomenten herramientas que posibiliten la mejora continua de los procesos y garanticen la real eficiencia de la distribución de recursos para un sistema que genere resultados positivos en salud Descritores: Financiación de la Atención de la Salud; Asignación de Recursos; Política de Salud; Servicios de Salud; Sistema Único de Salud; Enfermería.

scholarly journals SISTEMA ÚNICO DE SAÚDE (SUS): POLÍTICA DE SAÚDE COLETIVA

2017 ◽  
Vol 3 (2) ◽  
pp. 35
Author(s):  
Eneida Orbage de Britto Taquary ◽  
Isadora Orbage de Britto Taquary
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Health System ◽  
Economic Resources ◽  
Health Policies ◽  
Public Health Policies ◽  
Social Law ◽  
Unified Health System ◽  
De Se ◽  
Constitutional Jurisprudence

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

The use of health services by non-resident patients in a border region with mixed health systems

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F Pumi Alliana ◽  
F Nampo
Keyword(s):  
Health Services ◽  
Health System ◽  
Health Systems ◽  
Healthcare Services ◽  
Border Region ◽  
Local Health ◽  
High Complexity ◽  
Access To Health Services ◽  
Unified Health System ◽  
International Border

Abstract Background Access to health services in Brazil is universal, comprehensive, and equate, offering free healthcare to anyone, regardless of its country of residence. Cross-border patients may theoretically overload the healthcare services, mainly when the health systems or healthcare quality differ between countries. Sometimes, Brazilian politicians of border areas claim that non-residents overload local health services. Methods We collected data on the medium and high complexity Oncology and Cardiology care provided to in-patients by a reference Brazilian hospital located in the most populous international border of the country. This border is a conurbation that includes the cities of Foz do Iguassu (Brazil), Ciudad del Este (Paraguay), and Puerto Iguazu (Argentina), totaling around 900,000 inhabitants, of which 264,044 live in Foz do Iguassu. In addition to the poor migration control of citizens crossing these borders - especially the border with Paraguay - the Brazilian Unified Health System differs from that of the other two countries for being free of charge, and also for offering better healthcare. Results From January 2014 to December 2018, 107,434 procedures were performed, of which 240 (0.22%) on non-resident patients (Paraguay, [n = 236]; Argentina [n = 4]). Additionally, 238 (0.22%) other procedures were performed on foreign patients who did not declare their city/country of origin (Paraguay [n = 229]; Argentina [n = 8]; Portugal [n = 1]). Conclusions The use of medium and high complexity procedures by the non-residents on the Brazilian side of its most populous international border is low. Non-residents may benefit from medium and high complexity healthcare services of neighboring countries without overloading the health system. Key messages Advocating that non-residents overload medium and high complexity health services in Brazil is dishonest and may segregate people. Efforts should move toward integrating healthcare in border regions.

scholarly journals Mediate evaluation of replicating a Training Program in Nonverbal Communication in Gerontology

2015 ◽  
Vol 49 (2) ◽  
pp. 0309-0316 ◽  
Author(s):  
Teresa Cristina Gioia Schimidt ◽  
Yeda Aparecida de Oliveira Duarte ◽  
Maria Julia Paes da Silva
Keyword(s):  
Health System ◽  
Training Program ◽  
Interpersonal Communication ◽  
Nonverbal Communication ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Active Aging ◽  
Hospital Services ◽  
Unified Health System ◽  
Direct Administration

OBJECTIVE Replicating the training program in non-verbal communication based on the theoretical framework of interpersonal communication; non-verbal coding, valuing the aging aspects in the perspective of active aging, checking its current relevance through the content assimilation index after 90 days (mediate) of its application. METHOD A descriptive and exploratory field study was conducted in three hospitals under direct administration of the state of São Paulo that caters exclusively to Unified Health System (SUS) patients. The training lasted 12 hours divided in three meetings, applied to 102 health professionals. RESULTS Revealed very satisfactory and satisfactory mediate content assimilation index in 82.9%. CONCLUSION The program replication proved to be relevant and updated the setting of hospital services, while remaining efficient for healthcare professionals.

scholarly journals Brazilian Unified Health System and democracy: nursing in the context of crisis

2018 ◽  
Vol 71 (4) ◽  
pp. 2066-2071 ◽  
Author(s):  
Janieiry Lima de Araújo ◽  
Rodrigo Jácob Moreira de Freitas ◽  
Maria Vilani Cavalcanti Guedes ◽  
Maria Célia de Freitas ◽  
Ana Ruth Macedo Monteiro ◽  
...  
Keyword(s):  
Public Health ◽  
Health System ◽  
Political Action ◽  
Right To Health ◽  
Health Policies ◽  
Public Health Policies ◽  
Unified Health System ◽  
Neoliberal Reforms ◽  
Democratic Stability ◽  
The Right

ABSTRACT Objective: to discuss, taking for reference the crisis in Brazil and its impact on public health policies, the insertion of Brazilian nursing in that context and its ways of practicing the profession, based on the study about the politicality of care. Method: the reflection is divided into two topics, the first is about public policies, the Brazilian Unified Health System and the deconstruction of the right to health with neoliberal offensive; and the second is about the nursing political action in the fight for the right to health and for democracy. Final considerations: we emphasize that nursing must assume its sociopolitical role to contribute to the construction of a better and fairer Brazil, saying no to neoliberal reforms, as well as fighting for rights already acquired and for the resumption of the democratic stability in the country.

scholarly journals Living, collective and political organisms for construction of the attributes of the National Oral Health Policy

2021 ◽  
Vol 69 ◽  
Author(s):  
Alexandre Fávero BULGARELLI
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Oral Health ◽  
Social Policy ◽  
Health System ◽  
Health Professionals ◽  
Health Policies ◽  
Public Health Policies ◽  
Unified Health System ◽  
Oral Health Policy

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

scholarly journals The power-trust cycle in global health: Trust as belonging in relations of dependency

2021 ◽  
pp. 1-21
Author(s):  
Emma-Louise Anderson ◽  
Laura Considine ◽  
Amy S. Patterson
Keyword(s):  
Global Health ◽  
Health Outcomes ◽  
Positive Health ◽  
Global Health Initiatives ◽  
Health Initiatives ◽  
Power Trust ◽  
Trust And Power ◽  
Positive Health Outcomes ◽  
Exercise Of Discretion ◽  
The Relationship

Abstract Trust between actors is vital to delivering positive health outcomes, while relationships of power determine health agendas, whose voices are heard and who benefits from global health initiatives. However, the relationship between trust and power has been neglected in the literatures on both international politics and global health. We examine this relationship through a study of relations between faith based organisations (FBO) and donors in Malawi and Zambia, drawing on 66 key informant interviews with actors central to delivering health care. From these two cases we develop an understanding of ‘trust as belonging’, which we define as the exercise of discretion accompanied by the expression of shared identities. Trust as belonging interacts with power in what we term the ‘power-trust cycle’, in which various forms of power undergird trust, and trust augments these forms of power. The power-trust cycle has a critical bearing on global health outcomes, affecting the space within which both local and international actors jockey to influence the ideologies that underpin global health, and the distribution of crucial resources. We illustrate how the power-trust cycle can work in both positive and negative ways to affect possible cooperation, with significant implications for collective responses to global health challenges.

When Religion Hurts: Structural Sexism and Health in Religious Congregations

2021 ◽  
pp. 000312242199668
Author(s):  
Patricia Homan ◽  
Amy Burdette
Keyword(s):  
General Social Survey ◽  
State Level ◽  
Religious Participation ◽  
Religious Institutions ◽  
Religious Congregations ◽  
Positive Health ◽  
Nationally Representative ◽  
Positive Health Outcomes ◽  
High Degree ◽  
The Relationship

An emerging line of research has begun to document the relationship between structural sexism and health. This work shows that structural sexism—defined as systematic gender inequality in power and resources—within U.S. state-level institutions and within marriages can shape individuals’ physical health. In the present study, we use a novel dataset created by linking two nationally representative surveys (the General Social Survey and the National Congregations Study) to explore the health consequences of structural sexism within another setting: religious institutions. Although religious participation is generally associated with positive health outcomes, many religious institutions create and reinforce a high degree of structural sexism, which is harmful for health. Prior research has not reconciled these seemingly conflicting patterns. We find that among religious participants, women who attend sexist religious institutions report significantly worse self-rated health than do those who attend more inclusive congregations. Furthermore, only women who attend inclusive religious institutions exhibit a health advantage relative to non-participants. We observe marginal to no statistically significant effects among men. Our results suggest the health benefits of religious participation do not extend to groups that are systematically excluded from power and status within their religious institutions.

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.

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