| Autor: |
Martinelli NL; Instituto de Saúde Coletiva, Universidade Federal de Mato Grosso. Av. Fernando Corrêa da Costa 2367, Boa Esperança. 78060-900 Cuiabá MT Brasil. nereidemartinelli@gmail.com., Scatena JHG; Instituto de Saúde Coletiva, Universidade Federal de Mato Grosso. Av. Fernando Corrêa da Costa 2367, Boa Esperança. 78060-900 Cuiabá MT Brasil. nereidemartinelli@gmail.com., Castro ML; Instituto de Saúde Coletiva, Universidade Federal de Mato Grosso. Av. Fernando Corrêa da Costa 2367, Boa Esperança. 78060-900 Cuiabá MT Brasil. nereidemartinelli@gmail.com., Soares NRF; Secretaria de Estado de Saúde de Mato Grosso. Cuiabá MT Brasil., Charbel SC; Secretaria de Estado de Saúde de Mato Grosso. Cuiabá MT Brasil., Souza NFDS; Instituto de Saúde Coletiva, Universidade Federal de Mato Grosso. Av. Fernando Corrêa da Costa 2367, Boa Esperança. 78060-900 Cuiabá MT Brasil. nereidemartinelli@gmail.com., Medeiros ARS; Instituto de Saúde Coletiva, Universidade Federal de Mato Grosso. Av. Fernando Corrêa da Costa 2367, Boa Esperança. 78060-900 Cuiabá MT Brasil. nereidemartinelli@gmail.com., Souza DPO; Instituto de Saúde Coletiva, Universidade Federal de Mato Grosso. Av. Fernando Corrêa da Costa 2367, Boa Esperança. 78060-900 Cuiabá MT Brasil. nereidemartinelli@gmail.com. |
| Jazyk: |
portugalština |
| Zdroj: |
Ciencia & saude coletiva [Cien Saude Colet] 2023 Feb; Vol. 28 (2), pp. 585-598. Date of Electronic Publication: 2022 Aug 17. |
| DOI: |
10.1590/1413-81232023282.12952021 |
| Abstrakt: |
The article analyzes aspects of the structuring of the health care network in the regions of the State of Mato Grosso, and the narrative about them, by institutional actors representing management, service providers and society. It is based on research on governance and regionalization of the SUS in this state, with a quantitative and qualitative approach, the empirical basis of which included secondary data, institutional documents and interviews with key actors representing management, service providers and society. In this research, the focus was on coverage of the Family Health Strategy; availability of health services; workforce; expenses on health. Between 2010 and 2018, despite the improvement of several indicators examined: the supply and distribution of services and professionals reveal regional inequalities; there are financial limitations and a lack of services and professionals. The Health Care Network (HCN) is not structured as regulated, but rather as each region - and its municipalities - interprets and adapts it, according to its installed capacity. The PHC network has promoted advances, but it has not been able to be effective and resolute in terms of health needs, not providing care properly nor coordinating the HCN. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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