A organizaÃÃo da atenÃÃo de alta complexibilidade cardiovascular em Pernambuco

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

This study had as its objective to describe and analyze the Cardiovascular High Complexity Web organization as it was public, private or philanthropic convened to the Unified Health System in the Macro Region I, in the year of 2005, in Pernambuco. Once this theme is still less systematized, the research was characterized as a descriptive and exploratory study; the investigation means were based in a comprehensive revising of the theme bibliography and a documental investigation and data surveying of the health services statistics. In the analysis of the high complexity health service web some theme and categories were selected: political and normative development; high complexity cardiovascular web characteristics and structure, which were subdivided in Institutional and Assistance, Relation with Unified Health System and the System Regulation dimensions. The description of the Cardiovascular High Complexity web organization in Pernambuco considered the profile survey made, first,looking at the Information Systems of the Ministry of Health (Ambulatory and Hospital Information Systems, and National Register of Health Establishments) which was complemented, if necessary, by information collected directly from the State and Municipal (Recife) Health Secretaries. The documental investigation and data surveying of the health services statistics had as its objectives: to define the offer pattern of health services and their type of proceedings, including production and population coverage, the ways of organization and spatial distribution of the health assistance considering the Institutional Dimension that was related to localization, public state-owned nature, private and philanthropic convened to the Unified Health System; Assistance Dimension, where specialized ambulatory and hospitalization services, equipments, therapy and diagnostic services support, beds for specialties and their distribution by module of the system and Assistance Macro Region were identified; Dimension Relation with the Unified Health System of the health services by specialties public state-owned, private and philanthropic convened to the Unified Health System referred to number of beds and ambulatory, financial availability and production; and yet, the system regulation process. As a result in relation to the high complexity web organization localized in the three Macro Regions headquarters (Recife, Caruaru and Petrolina) it was verified that all of them showed: population over 200.000 inhabitants; the settle in capacity to media and high complexity proceedings; hospital structure to make the most complex surgeries; specialized hospitalization; Intensive Unit Treatment; reference to out residence treatment; high complexity specialty treatment. It was verified a concentration of the cardiovascular high complexity services in the Macro Region I reaching 96,8 % of the beds and 69,4% in the ambulatories. On the other side, Macro Regions II e III showed 17,6 % and 13,0% for ambulatories services, respectively. In respect to the nature of the health services, Recife presented the following distribution: 66,6 % of the services were public; 11,11% private and 22,20% philanthropic. Considering the relationship with the Unified Health System it was observed the partial fulfillment of the exigencies of the legislation, and yet the management and the contract process only occurred in relation to public and philanthropic services. It was also verified an incipiency of the regulation process with the private sector. In synthesis, the high complexity health services decentralization proposal, in Pernambuco, was made only for some proceedings maintaining the services concentration in the Metropolitan Region, basically in Recife, with no solution to the question of the population access to this assistance level, particularly in the interior of the State

ASSUNTO(S)

saude coletiva acesso management health services decentralization regulation of assistance web of health services cardiovascular high complexity desconcentraÃÃo de serviÃos alta complexidade cardiovascular access gestÃo e regulaÃÃo da rede de assistÃncia

ACESSO AO ARTIGO

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