| Autor: |
Almeida PF; Departamento de Planejamento em Saúde, Instituto de Saúde Coletiva, Universidade Federal Fluminense. R. Marquês de Paraná 303/3º/anexo HUAP, Centro. 24030-215 Niterói RJ Brasil. pattyfidelis@id.uff.br., Giovanella L; Departamento de Administração e Planejamento em Saúde, Escola Nacional de Saúde Pública Sergio Arouca, Fiocruz. Rio de Janeiro RJ Brasil., Martins Filho MT; Faculdade de Farmácia Odontologia e Enfermagem, Universidade Federal do Ceará. Fortaleza CE Brasil., Lima LD; Departamento de Administração e Planejamento em Saúde, Escola Nacional de Saúde Pública Sergio Arouca, Fiocruz. Rio de Janeiro RJ Brasil. |
| Jazyk: |
Portuguese; English |
| Zdroj: |
Ciencia & saude coletiva [Cien Saude Colet] 2019 Dec; Vol. 24 (12), pp. 4527-4540. Date of Electronic Publication: 2019 Aug 30. |
| DOI: |
10.1590/1413-812320182412.25562019 |
| Abstrakt: |
This paper analyzes policies and management tools aimed at the regional organization of specialized care in Ceará. A case study was developed in a health region based on 18 interviews with regional and municipal managers and health professionals and visits to services. Several factors enabled advances in the organization of specialized care: the preponderant role of the State Health Secretariat in the regional health coordination of actions and services, providing infrastructure, financing with redistribution of resources and technical support to municipalities; implantation of regional Polyclinic and Specialized Dental Care Centers through the Public Health Consortium; and logistics support of transport system. The institutional framework of Municipal Health Secretaries Council and the participatory functioning of the Regional Interagency Committee provided adequate space for the regional governance. Challenges remain for the integration of the network, qualification of care regulation, and provision of hospital care in the region. The results reinforce the importance of public and universal arrangements for the provision of comprehensive health care that can reduce inequities. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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