Your browser doesn't support javascript.
loading
Notes for the study on health systems: multifaceted analysis and tracer indicators.
Onocko-Campos, Rosana Teresa; Campos, Gastão Wagner de Sousa; Amaral, Carlos Eduardo Menezes; Tanaka, Oswaldo Yoshimi.
Afiliação
  • Onocko-Campos RT; Universidade Estadual de Campinas . Faculdade de Ciências Médicas . Departamento de Saúde Coletiva . Campinas , SP , Brasil.
  • Campos GWS; Universidade Estadual de Campinas . Faculdade de Ciências Médicas . Departamento de Saúde Coletiva . Campinas , SP , Brasil.
  • Amaral CEM; Universidade Federal do Vale do São Francisco . Colegiado de Medicina de Paulo Afonso . Paulo Afonso , BA , Brasil.
  • Tanaka OY; Universidade de São Paulo . Faculdade de Saúde Pública . São Paulo , SP , Brasil.
Rev Saude Publica ; 54: 102, 2020.
Article em En, Pt | MEDLINE | ID: mdl-33146296
OBJECTIVE: To present the methodological approach used in a research that analyzed the use and performance of specialized health care, from primary care access, in four major Brazilian cities: Fortaleza (CE), Campinas (SP), São Paulo (SP) and Porto Alegre (RS). METHODS: Presentation and discussion of the quantitative-qualitative components of the proposed research strategy. RESULTS: Four tracing conditions were studied: systemic arterial hypertension, high-risk pregnancy, breast cancer and severe mental disorder. For each health condition, indicators were constructed based on health information systems data, pointing out frequencies, temporal trends and local differences. This initial contextualization was enriched with a descriptive-qualitative study of the performance of each municipal health service network. Next, a cross-sectional study was conducted through a survey of 7,053 users of specialized services for each health condition. Finally, in-depth interviews were conducted with key actors to complement selected operational aspects of each municipality's network. The results of all these data sources were triangulated, allowing us to explore the variability of SUS implementations in different regional scenarios. CONCLUSIONS: The multifaceted analytical model presented allows us to understand relevant aspects of the Unified Health System performance, paying attention to the singularities, heterogeneities and inequalities that characterize its implementation in Brazil and emphasizing the performance of local networks for the addressed health conditions.
Assuntos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Atenção à Saúde Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En / Pt Revista: Rev Saude Publica Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Atenção à Saúde Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En / Pt Revista: Rev Saude Publica Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil