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Fortalecimento da governança regional e da rede de atenção à saúde em municípios pequenos no Brasil

In Brazil, 67.7% of the municipalities are characterized as small, with a population of less than 20 thousand. The objective of this article is to systematize the experience and identify the challenges and lessons learned in the implementation of the model for strengthening regional governance and o...

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Autores principales: da Silva, João Felipe Marques, Pantaleão, Cristiane Martins, dos Santos, Clodoaldo Fernandes, Leles, Fernando Antônio Gomes, Rocha, Karen Patrícia Wilke Pereira, Giacometti, Luana Carla Tironi de Freitas, Terabe, Sandro Haruyuki, Galiano, Socorro Gross, Neto, Valdeni Alexandre Ciconello
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Organización Panamericana de la Salud 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10441552/
https://www.ncbi.nlm.nih.gov/pubmed/37609524
http://dx.doi.org/10.26633/RPSP.2023.120
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author da Silva, João Felipe Marques
Pantaleão, Cristiane Martins
dos Santos, Clodoaldo Fernandes
Leles, Fernando Antônio Gomes
Rocha, Karen Patrícia Wilke Pereira
Giacometti, Luana Carla Tironi de Freitas
Terabe, Sandro Haruyuki
Galiano, Socorro Gross
Neto, Valdeni Alexandre Ciconello
author_facet da Silva, João Felipe Marques
Pantaleão, Cristiane Martins
dos Santos, Clodoaldo Fernandes
Leles, Fernando Antônio Gomes
Rocha, Karen Patrícia Wilke Pereira
Giacometti, Luana Carla Tironi de Freitas
Terabe, Sandro Haruyuki
Galiano, Socorro Gross
Neto, Valdeni Alexandre Ciconello
author_sort da Silva, João Felipe Marques
collection PubMed
description In Brazil, 67.7% of the municipalities are characterized as small, with a population of less than 20 thousand. The objective of this article is to systematize the experience and identify the challenges and lessons learned in the implementation of the model for strengthening regional governance and organizing the health care network (HCN) in a region of Brazil composed of these municipalities, which present low technical and budgetary capacity, in addition to various fragilities related to the organization of the HCN. With a view to strengthening regional governance and the organization of the primary health care (PHC) work process and, consequently, the workflow with other levels of care, a strategy entitled More Care More Health (Mais Cuidado Mais Saúde) was proposed, developed in partnership with the Pan American Health Organization/World Health Organization (PAHO/WHO) and the Ministry of Health. The project was developed through permanent health education and institutional capacity building in the region of Ivaiporã, state of Paraná, based on workshops and addressing three priority axes: HCN integration, capacity building and information management. The target audience were the extended PHC teams. The project made it possible to develop local and governance capacities through joint reflections on the health care model, its components and the necessary changes in work processes for health promotion with a focus on the quality of life of users. Because it is an experience that considers the weaknesses, needs and autonomy of local actors, the project has a high potential for replication and customization for other regions with similar characteristics inside and outside Brazil.
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spelling pubmed-104415522023-08-22 Fortalecimento da governança regional e da rede de atenção à saúde em municípios pequenos no Brasil da Silva, João Felipe Marques Pantaleão, Cristiane Martins dos Santos, Clodoaldo Fernandes Leles, Fernando Antônio Gomes Rocha, Karen Patrícia Wilke Pereira Giacometti, Luana Carla Tironi de Freitas Terabe, Sandro Haruyuki Galiano, Socorro Gross Neto, Valdeni Alexandre Ciconello Rev Panam Salud Publica Artigo Especial In Brazil, 67.7% of the municipalities are characterized as small, with a population of less than 20 thousand. The objective of this article is to systematize the experience and identify the challenges and lessons learned in the implementation of the model for strengthening regional governance and organizing the health care network (HCN) in a region of Brazil composed of these municipalities, which present low technical and budgetary capacity, in addition to various fragilities related to the organization of the HCN. With a view to strengthening regional governance and the organization of the primary health care (PHC) work process and, consequently, the workflow with other levels of care, a strategy entitled More Care More Health (Mais Cuidado Mais Saúde) was proposed, developed in partnership with the Pan American Health Organization/World Health Organization (PAHO/WHO) and the Ministry of Health. The project was developed through permanent health education and institutional capacity building in the region of Ivaiporã, state of Paraná, based on workshops and addressing three priority axes: HCN integration, capacity building and information management. The target audience were the extended PHC teams. The project made it possible to develop local and governance capacities through joint reflections on the health care model, its components and the necessary changes in work processes for health promotion with a focus on the quality of life of users. Because it is an experience that considers the weaknesses, needs and autonomy of local actors, the project has a high potential for replication and customization for other regions with similar characteristics inside and outside Brazil. Organización Panamericana de la Salud 2023-08-21 /pmc/articles/PMC10441552/ /pubmed/37609524 http://dx.doi.org/10.26633/RPSP.2023.120 Text en https://creativecommons.org/licenses/by-nc-nd/3.0/us/Este é um artigo de acesso aberto distribuído sob os termos da Licença Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO, que permite o uso, distribuição e reprodução em qualquer meio, desde que o trabalho original seja devidamente citado. Não são permitidas modificações ou uso comercial dos artigos. Em qualquer reprodução do artigo, não deve haver nenhuma sugestão de que a OPAS ou o artigo avaliem qualquer organização ou produtos específicos. Não é permitido o uso do logotipo da OPAS. Este aviso deve ser preservado juntamente com o URL original do artigo. Crédito do logotipo e texto em acesso aberto: PLoS, sob licença Creative Commons Attribution-Share Alike 3.0 Unported
spellingShingle Artigo Especial
da Silva, João Felipe Marques
Pantaleão, Cristiane Martins
dos Santos, Clodoaldo Fernandes
Leles, Fernando Antônio Gomes
Rocha, Karen Patrícia Wilke Pereira
Giacometti, Luana Carla Tironi de Freitas
Terabe, Sandro Haruyuki
Galiano, Socorro Gross
Neto, Valdeni Alexandre Ciconello
Fortalecimento da governança regional e da rede de atenção à saúde em municípios pequenos no Brasil
title Fortalecimento da governança regional e da rede de atenção à saúde em municípios pequenos no Brasil
title_full Fortalecimento da governança regional e da rede de atenção à saúde em municípios pequenos no Brasil
title_fullStr Fortalecimento da governança regional e da rede de atenção à saúde em municípios pequenos no Brasil
title_full_unstemmed Fortalecimento da governança regional e da rede de atenção à saúde em municípios pequenos no Brasil
title_short Fortalecimento da governança regional e da rede de atenção à saúde em municípios pequenos no Brasil
title_sort fortalecimento da governança regional e da rede de atenção à saúde em municípios pequenos no brasil
topic Artigo Especial
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10441552/
https://www.ncbi.nlm.nih.gov/pubmed/37609524
http://dx.doi.org/10.26633/RPSP.2023.120
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