Navegando por Palavras-chave "public"

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    Contratualização no SUS e os desafios para o gestor municipal: regulando o mosaico da administração pública
    (Universidade Federal de São Paulo (UNIFESP), 2014-03-28) Santana, Eduardo Ferreira [UNIFESP]; Junqueira, Virginia [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    As a result of the reform of state, started in Brazil in the 1990s, were introduced in the SUS forms of management which were not foreseen in the Law 8080, edited in 1990. There were new and old private non profit institutions growing up on health public services management. If previously the regulation was already essential in public private relation and inside of health services state area, in the decentralization process the municipal manager takes the irreplaceable central function. In a big county establishes a true mosaic of relationships whose political and administrative aspects are beginning to be studied. Target: Analyze the contracting oh health services as regulatory tool by the SUS manager in a São Paulo?s state county. Method: Qualitative character methodology. Performed document analysis pertaining to the contracting of health services instruments, management and regulation of SUS, and moreover, were made in-depth interviews with managers of the local Health Department and a member of the Municipal Health Council. Results: Were observed: the fragility regarding community participation and social control over contracting; significant lack of regulations and criteria for contracts by the City Health Department, there is little standing committees Monitoring Contract in full operation; intense scrutiny of the Court of the State on the work of SMS developed in partnership with the Social Organizations; various forms of legal relationship present in public health administration. Final Thoughts: It is essential to (re) organization of the public administration of SMS, due to the establishment of public private relationship in the form of various legal arrangements, which constitute a complex mosaic in public management space. The public nature of management requires monitoring and democratic oversight and ensuring access to information, with a view to efficiency of regulation, specifically in the contracting of health services.
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    Hospitalização e mortalidade por insuficiência cardíaca em hospitais públicos no município de São Paulo
    (Sociedade Brasileira de Cardiologia - SBC, 2011-11-01) Godoy, Henrique L. [UNIFESP]; Silveira, José A. [UNIFESP]; Segalla, Eduardo [UNIFESP]; Almeida, Dirceu Rodrigues de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    BACKGROUND: Advances in the treatment of heart failure (HF) have resulted in reduced mortality and hospitalization rates. On the other hand, when hospitalized, patients are at high risk of death. OBJECTIVE: As there are few studies in this group of patients in Brazil, we analyzed the numbers of hospitalization and deaths due to HF in the Brazilian Public Health System (SUS) in the city of São Paulo. METHODS: Historical prospective study carried out between 1992 and 2010. The data were obtained from DATASUS. We used Chi-square and t tests for comparison between the periods 1992-1993 and 2008-2009 and logistic regression models when appropriate. The level of significance was set at 5%. RESULTS: There was a 32% decrease in the number of hospitalizations for HF between 1992-1993 and 2008-2009 (p = 0.002). The in-hospital mortality rate for HF was 15%, with a 15% increase in the period (p = 0.004). Between 1992 and 1993, the mean time of hospitalization for HF was 8.8 days. Between 2008 and 2009, it was 11.3 days (p = 0.001). August was the month with the highest incidence of hospitalizations for HF, 20% higher than in February, the month with the lowest incidence (p = 0.041). CONCLUSION: This study showed changes in trends of hospitalization for HF and mortality over the last two decades. We emphasize important implications: 1: 32% decrease in the number of hospitalizations for HF in SUS hospitals in São Paulo; 2: 25% increase in hospitalization time, and 3: seasonal pattern of hospitalization for HF, with a peak in the third quarter.
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    Identificação de necessidades e expectativas dos pacientes de uma clínica de catarata
    (Conselho Brasileiro de Oftalmologia, 2005-10-01) Silveira, José Agenor Mei [UNIFESP]; Hayashi, Luciana; Scarpi, Marinho Jorge [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    PURPOSE: To identify patients' needs and expectations in a cataract clinic connected with a university public hospital - Cataract Institute - Department of Ophthalmology - Paulista School of Medicine (UNIFESP). METHOD: A descriptive transverse study was carried out with the patients enrolled in the clinic, distributed in two groups: those who were operated on and those who were not. Patients were approached in two stages: 1) conduct the study in four focus groups to identify the patients' most valued attributes (qualitative study); 2) a questionnaire was designed based on the main attributes and was submitted to a sample of patients (quantitative study). RESULTS: The patients' main expectations are related to: 1) the treatment results; 2) more comfortable waiting facilities; 3) be treated with respect by all the caregivers; and 4) the technological devices used in their treatments. The highest rates of satisfaction were the information material, physician care, and medical devices; the lowest rates of satisfaction were telephone service, physical environment, queue arrangements, and making contact. CONCLUSIONS: The evaluation of the services as well as the institution's public image is positive. The main reasons for choosing the clinic are related to economic and financial aspects and the majority of the patients would use the services again and would also recommend the clinic to other people.