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Strategies that help interaction between primary health care and public hospitals: a reflection of the portuguese health system.

Torres, Ana; Monte, Ana Paula
Fonte: Instituto Politécnico de Bragança Publicador: Instituto Politécnico de Bragança
Tipo: Conferência ou Objeto de Conferência
Português
Relevância na Pesquisa
65.67%
This work intends to evaluate the strategies that facilitate an interaction between Primary Health Care (PHC) and Public Hospitals (PH) in Portugal to maximize health benefits while rationalizing resources, taking into account that health units aim to achieve service efficiency and user satisfaction while reducing costs. The development of Communication and Information Technologies (CIT) for health sector is one of the fundamental strategies for the articulation of PHC and PH, providing excellent resources to improve the national health system (NHS)1. They can be decisive in obtaining direct health gains for the individual, family and community and, indirectly, gains for the economy of a country (economic and social development). Currently, there is an electronic form ISHU2 in PHC and the IHI3 in PH, which enables the interaction of administrative information and the ALERT ® (which makes the clinical referral of users of PHC for PH). CIT in the Portuguese health system could create a Personal Health Records, with the possibility of going by adding relevant information about their health (Electronic Health Records), to centralize all clinical information (e.g.: medical history, medications, test results, allergies) available on a network (important for an adequate diagnosis and treatment)...

Clinical and regulatory protocols for the management of impaired vision in the public health care network; Protocolos clínicos e de regulação para condução da dificuldade visual na rede pública de saúde

PAULA, Jayter Silva; FURTADO, João Marcello Fortes; JORGE, Fabiano Cade; ROCHA, Eduardo Melani; SCOTT, Ingrid U.; SANTOS, Luciane Loures dos; RODRIGUES, Maria de Lourdes Veronese; SANTOS, José Sebastião dos
Fonte: Conselho Brasileiro de Oftalmologia Publicador: Conselho Brasileiro de Oftalmologia
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
65.66%
PURPOSE: To describe the procedures used in developing Clinical and Regulatory Protocols for primary care teams to use in the management of the most common scenarios of impaired vision in Southern Brazil. METHODS: A retrospective review of 1.333 referral forms from all primary care practitioners was performed in Ribeirão Preto city, during a 30-day period. The major ophthalmic diagnostic categories were evaluated from those referrals forms. The Clinical and Regulatory Protocols development process was held afterwards and involved scientific cooperation between a university and the health care system, in the form of workshops attended by primary care practitioners and regulatory system team members composed of health care administrators, ophthalmologists, and professors of ophthalmology and social medicine. RESULTS: The management of impaired vision was chosen as the theme, since it accounted for 43.6% of the ophthalmology-related referrals from primary care providers of Ribeirão Preto. The Clinical and Regulatory Protocols developed involve distinctive diagnostic and therapeutic interventions that can be performed at the primary care level and in different health care settings. The most relevant clinical and regulatory interventions were expressed as algorithms in order to facilitate the use of the Clinical and Regulatory Protocols by health care practitioners. CONCLUSIONS: These Clinical and Regulatory Protocols could represent a useful tool for health systems with universal access...

Por entre fios e buracos: uma experiência para construção de uma rede de atenção a saúde no IPUSP; Among threads and holes: an experience on building a network of health care at IPUSP

Chohfi, Laiz Maria Silva
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 08/05/2013 Português
Relevância na Pesquisa
65.69%
Esta pesquisa pretende problematizar a construção de redes de atenção na prática psicológica em instituições. Para tal, seu foco principal é investigar a possibilidade de construção de uma rede entre os serviços de atendimento do CEIP (Centro Escola do Instituto de Psicologia) da Universidade de São Paulo. A importância da construção de uma Rede de Atenção em saúde ficou evidente a partir do trabalho desenvolvido pelo LEFE, laboratório que suporta projetos de intervenção em modalidades de Aconselhamento Psicológico à luz da Fenomenologia Existencial. A ampliação destas modalidades oferece-se como um terreno fértil para a criação de propostas de prática psicológica que garantam um atendimento efetivo à comunidade. Ao mesmo tempo, traz à tona a dificuldade de encaminhamento de clientes que requeiram outros tipos de atendimento; desse modo, impõe-se a necessidade da formação de uma rede, envolvendo profissionais de saúde, educação e de outras áreas de conhecimento. Tendo como utensílios principais a Fenomenologia Existencial, como proposta por Martin Heidegger e Hannah Arendt e os escritos de Walter Benjamin acerca da narrativa, buscou-se conhecer, através de cartografia clínica, os serviços e laboratórios do CEIP/USP pela narrativa dos atores sociais que deles fazem parte. Foram realizadas entrevistas com docentes e técnicos...

Adaptação e validação de um instrumento para avaliar a coordenação das redes de atenção à saúde pela Atenção Primária à Saúde: fase I; Adaptation and validation of scale to assess the coordination of health care networks by the primary care: preliminary results

Rodrigues, Ludmila Barbosa Bandeira
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 10/01/2014 Português
Relevância na Pesquisa
85.74%
As transformações nas estruturas demográfica, epidemiológica e nos padrões de morbimortalidade vêm levantando a necessidade de novas perspectivas de organização dos sistemas de saúde. Com o crescimento da prevalência das condições crônicas, foram notadas mudanças em relação às demandas e às necessidades de saúde da população requerendo a busca premente de novas respostas. Desse modo, os problemas relacionados à integração do sistema e à coordenação dos cuidados vêm recebendo atenção nas reformas dos sistemas de saúde, sobretudo no papel da atenção primária à saúde. Considera-se que os sistemas de saúde organizados em redes de atenção à saúde e coordenados pela atenção primária podem contribuir para a melhoria da qualidade clínica, dos resultados sanitários, da satisfação dos usuários (pela melhoria do acesso e da resolubilidade), além de reduzir os custos dos sistemas locais de saúde. O objetivo do estudo foi adaptar e validar para o Brasil o check list utilizado para avaliar o grau de integração das Redes de Atenção à Saúde. Trata-se de um estudo metodológico de corte transversal. A coleta de dados ocorreu no período de março a outubro de 2013. Participaram do estudo profissionais de saúde que atuam na Estratégia de saúde da família...

Os cuidados primários à saúde da criança com diabetes mellitus tipo 1 em serviços públicos de saúde: percepção de mães e cuidadores; Primary health care of children with type 1 diabetes mellitus in public health services: perception of mothers and caregivers

Wolkers, Paula Carolina Bejo
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 18/12/2014 Português
Relevância na Pesquisa
65.74%
O cuidado integral à saúde da criança com diabetes mellitus tipo 1, considerando a renovação da Atenção Primária à Saúde (APS) e as diretrizes das Redes de Atenção à Saúde, é de extrema importância no contexto da avaliação dos serviços de saúde, foco do presente estudo. O objetivo geral foi avaliar a atenção à saúde de crianças com diabetes mellitus tipo 1, a partir das percepções de mães/cuidadores, fornecendo subsídios para a organização da atenção à saúde em condições crônicas na infância. Os objetivos específicos foram: caracterizar o perfil das mães/cuidadores e das crianças com diabetes mellitus tipo 1, de acordo com variáveis sociais, epidemiológicas, demográficas, clínicas, situação vacinal das crianças e os motivos de atraso nas vacinas ou da não vacinação; descrever a presença e a extensão dos atributos da APS nos serviços de saúde de atendimento às crianças com diabetes mellitus tipo 1, por meio do questionário PCATool (Primary Care Assessment Tool); analisar a utilização dos serviços de saúde e o grau de afiliação a determinados serviços de saúde; e identificar as experiências e expectativas de mães/cuidadores de crianças com diabetes mellitus tipo 1...

Mobilizando coletivos e construindo competências culturais no cuidado à saude : estudo antropológico da política brasileira de atenção primária à saúde; Mobilizing collectives and building cultural competences in health care: anthropological study of the Brazilian primary health care policy

Targa, Leonardo Vieira
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Dissertação Formato: application/pdf
Português
Relevância na Pesquisa
85.66%
Este trabalho estuda a política nacional de Atenção Primária à Saúde (APS) a partir da proposta de realizar uma outra antropologia das políticas públicas, que se aproxime do princípio de simetria. Inicialmente, alguns aspectos da APS e de como esta é constituída como modelo científico para os sistemas de saúde mundiais são revisados, bem como sua configuração atual no Sistema Único de Saúde, através da Estratégia Saúde da Família (ESF) e do Programa de Agentes Comunitários. Analisa-se também a forma como conceitos de família e de comunidade estão presentes nestas políticas. A partir do estudo das redes de atuantes, no sentido de Latour, sugere-se que as diferenças criadas entre a ESF e outros modelos, que dividem o cuidado da saúde em terapias especializadas clínicas e cirúrgicas de um lado e o planejamento epidemiológico-sanitarista de outro, podem ser entendidos como uma postura diferente em relação ao acordo modernista. Para isso utilizam-se três aspectos principais observados em campo: a) a prática de cuidado mais individualizado de saúde, ou clínica; b) o trabalho com territórios e as identidades relacionadas com o processo de territorialização; c) a prática da atenção domiciliar. Ao mapear estas redes híbridas mobilizadas pelas equipes de saúde da família...

Redes assistenciais : como a ela nos ligamos? "Os jogos de poder e saber que tecem as redes"; Networks relief : how we connect to it? "Games of power and knowledge networks waving"

Altair Massaro
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 24/02/2010 Português
Relevância na Pesquisa
65.68%
Este trabalho procura analisar as Redes de Atenção à Saúde do ponto de vista da sua constituição. Tomando o método da Cartografia, tal como proposto por Gilles Deleuze & Félix Guattari, busca nas linhas de força, que vão dando forma tanto aos seus processos organizativos quanto às suas funções existenciais, os regimes aos quais, cada um a seu modo, se envolve a este fluxo de acontecimentos. Apoiando-se no conceitos de Implicação e o aproximando aos da filosofia da pragmática, toma-se esta ligação à Rede de Atenção à Saúde como envolvimento no Agenciamento Coletivo. O texto procura analisar a evolução dos processos de constituição das Redes de Atenção à Saúde, observando seu componente mais tradicional - o Hospital - desde a antiguidade até a organização atual, identifica seus arranjos físicos e também seus enunciados próprios, depreendendo daí os regimes que constituem os Agenciamentos que dão conta destes complexos. A análise destes regimes, tanto enunciativos como físicos, nos permite entender a ligação que cada elemento desta rede faz com um outro constituinte; This work analyzes the Networks of Health Care in terms of its constitution. Taking the method of cartography, as proposed by Gilles Deleuze & Félix Guattari...

How can Health Care Social networks increase user innovation in Health Care?

Lochny, Jonas
Fonte: Universidade Católica Portuguesa Publicador: Universidade Católica Portuguesa
Tipo: Dissertação de Mestrado
Publicado em 04/03/2015 Português
Relevância na Pesquisa
65.74%
The health care industry has experienced a significant advancement in the usage of modern Information and Communication Technologies (ICT) that has allowed the different health care stakeholders an increasing access to health information and enables them to take health care decisions on their own behalf. In this thesis we evaluate this increasing usage of modern communication means and networking opportunities in health care online communities and which effects it can have on user innovation. The overall aim of this thesis is to present and analyze characteristics and determinants to the interested reader of Health Care Social Networks (HCSN) and their online communities and how they can be leveraged for user innovation purposes. In order to do so we analyze previous research conducted on user innovation and online communities and apply relevant findings and methodologies to user innovation behavior in health care. This includes an analysis and differentiation of user entrepreneurs from classic entrepreneurs, their drivers to innovate as well as process of innovation. We will find that HCSN especially support the user entrepreneur process with forms of online collaboration, feedback and reinforcement that can lead to higher individual or collective innovation outcomes. Additionally...

Social Networks and Health: From Epidemiology to Intervention

Kim, David A.
Fonte: Harvard University Publicador: Harvard University
Tipo: Thesis or Dissertation; text Formato: application/pdf
Português
Relevância na Pesquisa
65.67%
This dissertation applies network science to three foundational problems in: epidemiology (the social gradient in mortality), health economics (the geographic variation in health care spending), and public health (the diffusion of knowledge and behavioral change). Chapter 1 investigates the relationship between social network position and fibrinogen, a biomarker of inflammation and cardiac risk. Socially isolated individuals face elevated rates of illness and death not explained by behavior alone. Conventional measures of social connectedness reflect an individual’s perceived network and are subject to bias and variation in reporting. In this study of a large social network, I find that greater indegree, a sociocentric measure of friendship and familial ties identified by the ego’s connections rather than the ego herself, predicts significantly lower ego fibrinogen, after controlling for demographics, education, medical history, and known predictors of cardiac risk. The effect size of social isolation, as measured by low indegree, is comparable to that of smoking, and greater than that of low education, a conventional measure of socioeconomic disadvantage. By contrast, outdegree, which reflects an individual’s perceived connectedness...

Role of Communities in Resource Mobilization and Risk Sharing : A Synthesis Report

Preker, Alexander S.; Carrrin, Guy; Dror, David M.; Jakab, Melitta; Hsiao, William; Arhin, Dyna
Fonte: World Bank, Washington, Dc Publicador: World Bank, Washington, Dc
Português
Relevância na Pesquisa
65.77%
Most community finance schemes have evolved in the context of severe economic constraints, political instability, and lack of good governance. Usually government taxation capacity is weak, formal mechanisms of social protection for vulnerable populations absent, and government oversight of the informal health sector lacking. In this context of extreme public sector failure, community involvement in financing health care provides a critical though insufficient first step in the long march toward improved access to health care by the poor and social protection against the cost of illness. It should be regarded as a complement to-not as a substitute for-strong government involvement in health care financing and risk management related to the cost of illness. Based on an extensive survey of the literature, the main strengths of community financing schemes are the extent of outreach penetration achieved through community participation, their contribution to financial protection against illness, and increase in access to health care by low-income rural and informal sector workers. Their main weaknesses are the low volume of revenues that can be mobilized from poor communities...

Health Financing for Poor People : Resource Mobilization and Risk Sharing

Preker, Alexander S.; Carrin, Guy
Fonte: Washington, DC: World Bank Publicador: Washington, DC: World Bank
Português
Relevância na Pesquisa
65.68%
Most community financing schemes have evolved in the context of severe economic constraints, political instability, and lack of good governance. Usually government taxation capacity is weak, formal mechanisms of social protection for vulnerable populations absent, and government oversight of the informal health sector lacking. In this context of extreme public sector failure, community involvement in the financing of health care provides a critical albeit insufficient first step in the long march towards improved access to health care by the poor and social protection against the cost of illness. Health Financing for Poor People stresses that community financing schemes are no panacea for the problems that low-income countries face in resource mobilization. They should be regarded as a complement to - not as a substitute for - strong government involvement in health care financing and risk management related to the cost of illness. Based on an extensive survey of the literature, the main strengths of community financing schemes are the extent of outreach penetration achieved through community participation...

Contracting for Primary Health Care in Brazil : The Cases of Bahia and Rio de Janeiro

Araujo, Edson; Cavalini, Luciana; Girardi, Sabado; Ireland, Megan; Lindelow, Magnus
Fonte: World Bank Group, Washington, DC Publicador: World Bank Group, Washington, DC
Português
Relevância na Pesquisa
65.69%
This study presents two case studies, each on a current initiative of contracting for primary health services in Brazil, one for the state of Bahia, the other for the city of Rio de Janeiro. The two initiatives are not linked and their implementation has independently sprung from a search for more effective ways of delivering public primary health care. The two models differ considerably in context, needs, modalities, and outcomes. This paper identifies their strengths and weaknesses, initially by providing a background to universal primary health care in Brazil, paying particular attention to the family health strategy, the driver of the basic health care model. It then outlines the history of contracting for health care within Brazil, before analyzing the two studies. The state of Bahia sought to expand coverage of the family health strategy and increase the quality of services, but had difficulty in attracting and retaining qualified health professionals. Rigidities in the process of public hiring led to a number of isolated contracting initiatives at the municipal level and diverse...

Financing Health Care : Singapore’s Innovative Approach

Taylor, Rob; Blair, Simon
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Viewpoint; Publications & Research
Português
Relevância na Pesquisa
65.67%
Health care costs are escalating rapidly in many countries. While many factors contribute to rising costs, health insurance plays a part by shielding patients and physicians from the real cost. In an effort to contain costs, governments, employers, and insurers have modified payment schemes and coverage, often leading to rationing and restricted consumer choice and in some cases to denial of care. Singapore is unique among developed countries in achieving excellent health outcomes at a low economic cost. Part of its success may be attributable to its health financing system, which combines individual responsibility with targeted subsidies. Despite Singapore's small size, with only 3.2 million residents in a land area of 660 square kilometers, the country has been a stellar economic performer, rising from impoverishment only 40 years ago. Its per capita GDP, US$427 in 1960, rose to US$24,740 in 2000, one of the highest in the world. Singapore's health indicators are equally impressive. Its average life expectancy increased by 15 years from 1960 (63 years) to 2001 (78) and is now one of the world's longest. Its infant mortality rate is the world's lowest...

Developing Strategies for Improving Health Care Delivery : Guide to Concepts, Determinants, Measurement, and Intervention Design

Bradley, Elizabeth H.; Pallas, Sarah; Bashyal, Chhitij; Berman, Peter; Curry, Leslie
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
Português
Relevância na Pesquisa
65.68%
This report is a user's guide for defining, measuring, and improving the performance of health service delivery organizations. The authors define six core performance domains: quality, efficiency, utilization, access, learning, and sustainability and provide a compendium of metrics that have been used to measure organizational performance in each of these six domains. The compendium, which includes 116 distinct categories of metrics, is based on a detailed literature review of peer-reviewed empirical studies of health care organizational performance in World Bank client countries. Based on reading of the literature, the authors define seven major strategy areas potentially useful for improving performance among health care organizations: 1) standards and guidelines, 2) organizational design, 3) education and training, 4) process improvement and technology and tool development, 5) incentives, 6) organizational culture, and 7) leadership and management. The authors provide illustrations of facility-level interventions within each of the strategy areas and highlight the conditions under which certain strategies may be more effective than others. The authors propose that the choice of strategy targeted at organizational level to improve performance should be informed by the identified root causes of the problem...

Argentina - Increasing Utilization of Health Care Services among the Uninsured Population : The Plan Nacer Program

Cortez, Rafael; Romero, Daniela
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
Português
Relevância na Pesquisa
65.7%
This paper describes the functioning and performance of Argentina's Provincial Maternal and Child Health Investment Program, commonly referred to as Plan Nacer. The program is aimed at increasing access - for uninsured pregnant women and children under six years old - to a basic set of health services known to effectively address the main causes of maternal and child mortality, while improving the effectiveness and efficiency of the health system. The program supports the development and implementation of publicly funded provincial maternal and child health insurance and the introduction of highly innovative results-based financing mechanisms at the national, provincial, and provider levels. This document is organized as follows. Section 2 provides an overview of the Argentine health care system, including a description of public health, primary care, and supply-side efforts, to put in context the implementation of Plan Nacer. Section 3 presents a detailed description of the main features of the program, including the institutional architecture; the targeting, identification, and enrolment of beneficiaries; the management of the program's funds and benefits package; and the information environment of Plan Nacer. Section 4 provides a discussion of the highly innovative results-based financing mechanisms included in the design of the program. Section 5 draws some conclusions on the pending agenda and challenges ahead.

Costa Rica Case Study : Primary Health Care Achievements and Challenges within the Framework of the Social Health Insurance

Montenegro Torres, Fernando
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
Português
Relevância na Pesquisa
65.75%
The objective of this paper is to assess the key interventions Costa Rica has developed to expand health coverage for the poor and other vulnerable groups, with an emphasis on its approach to primary health care. Universal health coverage in Costa Rica is provided through a single national health insurance program. This program, which protects the poor without the pitfalls of a fragmented system, and the sustained policies that have enabled the building of a solid primary health care system, is broadly recognized as a success story. At the same, time new challenges are emerging to sustaining the success of Costa Rica's universal health coverage. Social Security of Costa Rica (Caja Costarricense de Seguridad Social, CCSS) faces increased production costs and demographic and epidemiological changes in a rapidly aging population. This report is divided into three broad sections: (1) objective of the case study and health system overview; (2) primary health care and the organization of health services within CCSS; and (3) agenda of key policy decisions for a renewed primary health care approach as part of a more responsive and sustainable health insurance system.

A organização das redes de atenção à saúde no SUS : uma proposta de avaliação; The organization of networks in health care : an evaluation proposal

Luís Carlos Casarin
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 12/05/2014 Português
Relevância na Pesquisa
105.74%
A proposta deste estudo foi a elaboração de uma análise da estratégia de implantação das Redes de Atenção à Saúde, a partir de uma revisão bibliográfica não sistemática sobre o tema, trazendo os marcos teóricos conceituais, a partir da análise de contextos que justificam sua organização, acrescida da atual proposta de implantação das Redes de Atenção à Saúde a partir das diretrizes do Ministério da Saúde, buscando readequações nos modelos de gestão e de atenção no Sistema Único de Saúde ¿ SUS. O presente estudo também destacou a importância da organização da Atenção Básica em Saúde e da estruturação da Regulação em Saúde no sistema público, a partir da regionalização, com vistas à conformação das Redes de Atenção à Saúde, em busca da garantia do acesso equânime e continuidade do cuidado integral aos usuários do SUS. Além disso, a partir de uma revisão da literatura, o estudo apresenta uma proposta de instrumento de avaliação da implantação das Redes de Atenção à Saúde no SUS, baseado na aplicação de um questionário nas regiões de saúde, elaborado a partir de oficinas realizadas com equipe técnica da Secretaria de Atenção à Saúde do Ministério da Saúde...

THE STRUCTURE AND FLOW OF THE HEALTH CARE NETWORK AS AN INSTRUMENT OF CHANGE IN PSYCHOSOCIAL ASSISTANCE SERVICES; Estructura y flujo de la red de salud como una posibilidad de cambio en los servicios de atencion psicosocial; Estrutura e fluxo da rede de saúde como possibilidade de mudança nos serviços de atenção psicossocial

Antonacci, Milena Hohmann; Kantorski, Luciane Prado; Willrich, Janaina Quinzen; Argiles, Carmen Terezinha Leal; Coimbra, Valeria Cristina Chistello; Bielemann, Valquiria de Lourdes Machado
Fonte: Universidade de São Paulo. Escola de Enfermagem Publicador: Universidade de São Paulo. Escola de Enfermagem
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Artigo Avaliado pelos Pares Formato: application/pdf; application/pdf
Publicado em 01/08/2013 Português
Relevância na Pesquisa
65.68%
Changes in mental health care demand changes in the structure and function of health care networks. The aim of the present study was to understand how workers assess the structure of their network and how they use it as a tool for psychosocial rehabilitation. The present qualitative study is part of a larger research project, Rehabilitating networks – assessing experiences of innovation in network development for psychosocial care . Interviews were conducted with six workers at the Therapeutic Home Service (THS) of Alegrete, and four field observation notebooks were analyzed. The results revealed the transversal nature of the investigated network, the relationships between its various components, the strategies used to make non-institutionalized care effective, the responsibilities of the network users, and the relationships between the residents and the workers in the service and at home. In conclusion, the Alegrete network facilitates exchanges between the participants, which indicates that future work should focus on the subjects of reflection and transformation.; Los cambios en el cuidado de la salud mental requieren de nuevas formas de estructurar y transitar en las redes de salud. El objetivo fue entender cómo los trabajadores evalúan la estructura de la red de salud a la que pertenecen y cómo se utiliza como una herramienta para la rehabilitación psicosocial. Se trata de un recorte cualitativo de la investigación Redes que rehabilitan – evaluando experiencias innovadoras de composición de redes de atención psicosocial . Se analizaron las entrevistas de seis trabajadores del Servicio Residencial Terapéutico de Alegrete y cuatro cuadernos de notas. Los resultados apuntan para la tendencia de una red transversal...

Integration and continuity of care in health care network models for frail older adults; Integración y continuidad del cuidado en modelos de red de atención a la salud para ancianos frágiles; Integração e continuidade do cuidado em modelos de rede de atenção à saúde para idosos frágeis

Veras, Renato Peixoto; Caldas, Célia Pereira; Motta, Luciana Branco da; Lima, Kenio Costa de; Siqueira, Ricardo Carreño; Rodrigues, Renata Teixeira da Silva Vendas; Santos, Luciana Maria Alves Martins; Guerra, Ana Carolina Lima Cavaletti
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/02/2014 Português
Relevância na Pesquisa
75.63%
A detailed review was conducted of the literature on models evaluating the effectiveness of integrated and coordinated care networks for the older population. The search made use of the following bibliographic databases: Pubmed, The Cochrane Library, LILACS, Web of Science, Scopus and SciELO. Twelve articles on five different models were included for discussion. Analysis of the literature showed that the services provided were based on primary care, including services within the home. Service users relied on the integration of primary and hospital care, day centers and in-home and social services. Care plans and case management were key elements in care continuity. This approach was shown to be effective in the studies, reducing the need for hospital care, which resulted in savings for the system. There was reduced prevalence of functional loss and improved satisfaction and quality of life on the part of service users and their families. The analysis reinforced the need for change in the approach to health care for older adults and the integration and coordination of services is an efficient way of initiating this change.; Foi realizada revisão crítica da literatura sobre modelos que tenham avaliado a efetividade de redes assistenciais integradas e coordenadas para a população idosa. Foram pesquisadas as seguintes bases bibliográficas: Pubmed...

Atenção primária à saúde e a organização de redes regionais de atenção à saúde no Brasil; Primary health care and the organization of regional health care networks in Brazil

Lavras, Carmen
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/01/2011 Português
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Even though there is a relative consensus regarding the utilization of the term "Primary Health Care", there are distinct conceptions concerning its effective meaning. This paper refers to numerous documents which have been expressing this concept historically and contributing to its organization in the health systems of the world. In this perspective, the following documents were considered: Dawson Report, the Declaration of Alma-Ata, the documents published by the European Observatory on Health Systems and Policies, which has analyzed reforms guided by Primary Health Care in European Union countries from 1990 onwards, the studies conducted by Barbara Starfield in relation to Primary Health Care in current times, and the World Health Report published by the WHO in 2008. The development of Primary Health Care in Brazil was also considered since the beginning of the 20th century until today, identifying the advances in its organization and recognizing that great hindrances must be overcome so that the purposes contained in the national policy are met, so that it can perform its role of organizer of the system and coordinator of health care. This study also analyzes the role of Primary Health Care in Regional Health Care Networks, which are organized within the SUS (Brazil's National Health System) in order to overcome the system's fragmentation...