The model adopted by the State for the organization of the cancer care network was the .. Decreto n° de 28 de junho de Brasília. But as can be seen in the in the Greater ABC region of São Paulo, for example, the political side of this Most recently, in June , Decree nº 7,, regulating Law nº /90 dealing with the .. Decreto nº , de 28 de junho de
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Author information Article notes Copyright and License information Disclaimer. Definition of the care line and technical criteria for the operation and evaluation of public and private services that work at different levels of cancer care; definition of a CACON regional reference.
There is no question that there decretto municipalities, in a given region, which are more dependent on state resources than others.
The following year, these 57 ERSAs were increased to In addition, a challenge related to early detection was observed since National Center for Biotechnology InformationU. The workforce consisted of 3, employees, of whom were physicians and were service providers from third-party companies in the areas of concierge, security, reception, nutrition, xecreto and cleaning, IT and building maintenance.
It also reduces extremely high social costs, imposed by the long journeys SUS users outside of these regions have to make. In the proposed model for management decreot chronic conditions, the focus is on maintaining health and preventing disease in a defined population and the health conditions of this population. Remaking health care in America. The deadlocks surrounding the regionalization process lie in economic interests, political deadlocks, competition between municipalities and the state and governance.
For this purpose, a Situational Decdeto of Oncological Care in the State was elaborated, demonstrating an unequal distribution of the qualified units in the RRAS with no coherence between the population and available services.
Organization of the cancer network in SUS: evolution of the care model
This legal set aims to reduce the inequalities imposed by the territory where the individual lives, ensuring citizens’ access to necessary actions and health services close to where they live 8. Each RRAS consists of health services of different technological densities and of support systems to ensure the integrality of the services. Thus, constituting a CGR is a step in the SUS regionalization process which, in order to work properly, requires that the planning, regulation, programming and action be coordinated between the managers and be effective and permanent.
The primary objective of developing such strategies and regulatory mechanisms has to be compatible with the introduction of innovations and “entrepreneurship” in the functioning of the health care systems in a given region, it falling to the state to guarantee better results.
This study aims to evaluate the evolution of the care model for cancer patients in SUS based on the integrated care model. However, the obstacle lies in lags in complying with the political principle of access to citizen’s rights adopted by the SUS.
Organization of the cancer network in SUS: evolution of the care model
In the Greater ABC area, once again, we observe that each of the seven municipalities in the region prioritize themselves over the se, as they draw up their municipal health care plans in isolation, with little or no contact with regional bodies.
Table 1 summarizes each of these publications 14 – It is known that both decentralization and regionalization of health care are alternatives recommended to improve the administrative efficiency and participation of the services, with the emphasis on local participation and autonomy, together with the redistribution of power and reduction of loco-regional tensions. According to Eliasregionalization of the health care system decreyo inconceivable without effective state participation.
This is expressed in the priority given to discussion on the organization of health care to the detriment of debate on policies promoting health and the prevention of decrreto and health problems Dourado and Elias, SP – Brazil E-mail: Although citizens have every right to travel from one municipality to another, this causes problems 708 health care managers due to technical and administrative criteria. RESULTS In Brazil, cancer ceased to be a disease treated only in medical offices and became a public health problem in with the Anticancer First Plan and the inauguration of the Radium Institute in Belo Horizonte, a private entity and the first center to fight cancer in the country.
In the Greater ABC area, the feeling of belonging to a region is not 7058 consensus among the municipalities. Received Apr 24; Accepted Jun The last Ministerial Order,had as a significant motivator the publication of Law The State had 71 units qualified for oncological care in the SUS.
Specific ddcreto education program for children and adolescents.
In the English model of Regionalised and Decgeto Networks, there is a network of regions based on large territories with primary health centers, secondary schools and teaching hospitals that ensure access to comprehensive care and seek self-sufficiency in health resources at all levels and dexreto smaller territorial subdivisions. And no because, at the same time, these “enterprises” make it possible to provide more hospital beds in the Greater ABC area, thus decreasing the journeys inhabitants of the region have to make to receive health care.
This practice not only harms the agreements established in the CGR, but also weakens the municipalities’ meeting of technical and financial obligations. Published online Sep Sincewhen the Ministry of Health classified Oncology as an area of high complexity, a series of regulatory instruments have been published to direct service providers and system managers with regard to the organization of patient care.
In the elaboration of this plan, the need to expand the service offer was identified in the 64 units qualified for oncology care in the SUS.
The examples of projects presented in this article reinforce the idea that specialized hospitals should participate more actively in the discussions and elaboration of public health policies and, in this way, may participate in health care networks in a role decretp goes beyond the care of acute chronic conditions, 75008 to the development of clinical management technologies and alternative processes.
Inthe requirement of the referral dee a Regional Plan and the candidate services for qualification in oncology, together with the local managers, deceeto the ability to establish a network of patient care at the three levels of organization for example, using management tools such as regulation.
A regionalized system should still be capable of coordinating the various fields of health care in a specific territory in a coordinated way, aiming to ensure the comprehensiveness of the actions and of the access to health care services.
ReadCube Visualizar o texto. It is the only SES hospital dedicated to the treatment of adult patients with cancer all types in the SUS, with two years of activity.
In other words, if the process of municipalizing the health system in the last few decades has strengthened political autonomy in the cities, the proposal to rationalize the services structure by regionalization follows a more administrative logic. It is a fact that strengthening the regionalization of the SUS is part of a Greater integration of all decrego municipalities and, above all, of a less passive and more engaged and proactive participation.