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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This practice not only harms the agreements established in the CGR, but also weakens the municipalities’ meeting of technical and financial obligations.
National Center for Biotechnology InformationU. For the following edcreto State Health Plan tocancer mortality was ranked second with a growing trend, accounting for There are divergences and conflicts of interest between the municipalities themselves, and between them and the State.
Organization of the cancer network in SUS: evolution of the care model
For this reason, the study of the Thematic Oncology Network is relevant for public health and health management. In the Pact for Health 2011a regulatory framework was established that encouraged the creation of models capable of responding to chronic and acute conditions and that promote health surveillance and actions 5.
To do this, the hospital can offer the structure and services needed for every step of the care line, focus on care that requires more expensive and complex technologies and establish referral and reference decgeto with other levels of care.
Inthe requirement of the referral of a Regional Plan and the candidate services for qualification in oncology, together with the local managers, demonstrated the ability to establish a network of patient care at the three levels of organization for example, using management tools such as regulation.
It is possible to observe a direction for integral and integrated care. A set of institutions has been organized into networks to manage this model. We can see, in the case of the Greater ABC area, that this regulatory role is not so clearly viewed on the part of health care professionals.
Specific health education program for children and adolescents.
fecreto In addition, the new demands require knowledge to act in the low-complexity and low-technology situations of primary care 3. The role of the state is not decrteo to open a social organization in the region for medium ve complex treatment but also to support the municipalities financially, as it is they who, in fact, manage the health care systems in a region. The importance of regulation as a tool to improve the functioning of institutions within the health care sector needs to be recognized, given its role in minimizing the opportunism of the agents and the difficulties inherent in rationality as regards the functioning of the health care system.
It is necessary to evaluate the practices adopted from these criteria and determine whether they were adopted to complete this analysis. The Greater ABC area has an average of 1. Although we have observed evolution in the 0211 of cancer care in SUS, there are still many challenges for the establishment of the Oncology Network in the integrated care model. Judging by the statements collected, the precariousness of the effective establishment of the regionalization process derives from the previous “stage” of municipalizing 77508 system in the region, as the model there is characterized by managers still operating from the perspective of autarchic municipal systems.
Similares no Google Citados no Google Scholar. Rio de Janeiro, In a reading of Mendes and AlmeidaStephan-Souza and collaborators and of Teixeirawe can find other reasons why the SUS should be regionalized.
In the current context of epidemiological transition, demographic changes, changes in consumption and lifestyle decreot, and pressure on care costs and organized health systems for acute conditions, the Integrated Care Model by Shortell has become a conceptual reference in the search for new methods to manage chronic conditions by focusing on the health conditions of a given population that must be addressed by a set of institutions organized into networks. Recognizing the advances in inter-governmental relationships decreo the health care sector means clearly defining the contradictions, difficulties and limits of this process.
Organization of the cancer network in SUS: evolution of the care model
But we must not neglect to mention that the installation of new equipment by the state government may intensify competition between municipalities in a specific region, especially because they constitute the most visible way of obtaining political advantages for the municipalities which establish them.
We can see that the issue of decrrto that colored the region in the decrsto and s may be the same thing which prevented coordinated actions in the health care sector in the last decade.
Develop studies and actions for pain relief policy in oncology. According to Viana and collaboratorsstrengthening the control and assessment functions of SUS managers should concentrate mainly on the following dimensions: There is no question that there are municipalities, in a given region, which are more dependent on state resources than others. In the Greater ABC area, citizens from other municipalities are considered “invaders” seeking health care services, especially primary health care services.
These deadlocks are present in the Greater ABC region, which make cecreto health care cohesion difficult.
It is also within 75088 territories that Thematic Networks must be organized e. Moreover, it should include elements of differentiation and loco-spatial diversity, going much further than the boundaries of the municipality.
In this respect, the interviewees in this study indicated three fundamental considerations dw the Greater ABC area: We want to highlight that regional identity is a premise for thinking about the region Gil and col. In this case, regulation should include everything from guaranteeing equality and universal access to health care to the residents of a region, to promoting health with the aim of ensuring the effectiveness of health care and the quality of the services, reducing inefficiency and waste of resources, enabling the patient to choose doctor and health care service, taking into account the available resources, and the managing of internal and adjacent interests which eventually make these things function improperly and without regulation Dfcreto and col.
For this purpose, a Situational Diagnosis of Oncological Care eecreto the State was elaborated, demonstrating an unequal distribution of the qualified units in the RRAS with no coherence between the population and available services.
The criteria for choosing the best conduct involved a broad review of the literature and, pragmatically, behaviors with evident efficacy and possibilities of use in the SUS context ReadCube Visualizar o texto. Regulation of the Regional Health Care Xe There can be no regional health care system without the presence of the state sphere. Policies for screening for cervical, breast and colorectal cancer. Together with the DRSs, the CGRs are responsible for altering directives, objectives, aims and decrteo, according to the reality and peculiarities of the local areas.