Os programas especiais e o novo modelo assistêncial

Detalhes bibliográficos
Autor(a) principal: Teixeira, Maria da Glória Lima Cruz
Data de Publicação: 1990
Outros Autores: Paim, Jairnilson Silva
Tipo de documento: Artigo
Idioma: por
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/292
Resumo: The authors comment on the need to translate into operational instructions the principles and concepts that guided the VIII National Conference in Health convened by the Ministry of Health of Brazil, to make possible the reorganization of the health system. It is emphasized that the model for organizing the primary health care proposed by the Integrated Health Actions (AIS) and assumed by the Unified and Decentralized Health System (SUDS), implies a progressive redefinition of the especial programs in public health. The authors describe the efforts of the Health Department of the State of Bahia (SESAB) during the implementation of the SUDS to make compatible the operations of the especial programs with the primary health care model. The resistance observed to the new directions and the attempts to overcome it, are analysed, as well as the transition (unfinished) to the proposed health care model. It is proposed an alternative model for the internal organization of health care units which take into consideration the emerging demands and also the available offers to deal with priority health problems. As conclusion, the authors state that some special programs can continue to be developed within a unified and decentralized health care model, due to their technical and scientifical value, since these programs are adequated to the political principles of the Health System Reform in Brazil.
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spelling Os programas especiais e o novo modelo assistêncialThe authors comment on the need to translate into operational instructions the principles and concepts that guided the VIII National Conference in Health convened by the Ministry of Health of Brazil, to make possible the reorganization of the health system. It is emphasized that the model for organizing the primary health care proposed by the Integrated Health Actions (AIS) and assumed by the Unified and Decentralized Health System (SUDS), implies a progressive redefinition of the especial programs in public health. The authors describe the efforts of the Health Department of the State of Bahia (SESAB) during the implementation of the SUDS to make compatible the operations of the especial programs with the primary health care model. The resistance observed to the new directions and the attempts to overcome it, are analysed, as well as the transition (unfinished) to the proposed health care model. It is proposed an alternative model for the internal organization of health care units which take into consideration the emerging demands and also the available offers to deal with priority health problems. As conclusion, the authors state that some special programs can continue to be developed within a unified and decentralized health care model, due to their technical and scientifical value, since these programs are adequated to the political principles of the Health System Reform in Brazil.Os autores comentam a necessidade de traduzir para a organização dos serviços de saúde os princípios delineados pela VIII Conferência Nacional de Saúde. Reafirmam que o modelo assistencial proposto pelas Ações Integradas de Saúde (AIS) e assumido pelo Sistema Unificado e Descentralizado de Saúde (SUDS) implica a modificação progressiva dos Programas Especiais de saúde pública. Descrevem os esforços empreendidos pela Secretaria da Saúde do Estado da Bahia, durante a implantação do SUDS, visando a compatibilização desses programas com o novo modelo assistencial. Analisam as resistências observadas, as tentativas de superação, e a transição (não concluída) do modelo assistencial e propõem um esquema de organização interna das unidades de saúde que contemple a demanda espontânea e a oferta organizada para problemas prioritários. Concluem que certos Programas Especiais podem continuar existindo por força do seu conteúdo técnico-científico desde que se adaptem às diretrizes políticas e aos princípios da Reforma Sanitária.Reports in Public HealthCadernos de Saúde Pública1990-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/292Reports in Public Health; Vol. 6 No. 3 (1990): July/SeptemberCadernos de Saúde Pública; v. 6 n. 3 (1990): Julho/Setembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/292/583https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/292/584Teixeira, Maria da Glória Lima CruzPaim, Jairnilson Silvainfo:eu-repo/semantics/openAccess2024-03-06T15:25:45Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/292Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:00:28.951010Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Os programas especiais e o novo modelo assistêncial
title Os programas especiais e o novo modelo assistêncial
spellingShingle Os programas especiais e o novo modelo assistêncial
Teixeira, Maria da Glória Lima Cruz
title_short Os programas especiais e o novo modelo assistêncial
title_full Os programas especiais e o novo modelo assistêncial
title_fullStr Os programas especiais e o novo modelo assistêncial
title_full_unstemmed Os programas especiais e o novo modelo assistêncial
title_sort Os programas especiais e o novo modelo assistêncial
author Teixeira, Maria da Glória Lima Cruz
author_facet Teixeira, Maria da Glória Lima Cruz
Paim, Jairnilson Silva
author_role author
author2 Paim, Jairnilson Silva
author2_role author
dc.contributor.author.fl_str_mv Teixeira, Maria da Glória Lima Cruz
Paim, Jairnilson Silva
description The authors comment on the need to translate into operational instructions the principles and concepts that guided the VIII National Conference in Health convened by the Ministry of Health of Brazil, to make possible the reorganization of the health system. It is emphasized that the model for organizing the primary health care proposed by the Integrated Health Actions (AIS) and assumed by the Unified and Decentralized Health System (SUDS), implies a progressive redefinition of the especial programs in public health. The authors describe the efforts of the Health Department of the State of Bahia (SESAB) during the implementation of the SUDS to make compatible the operations of the especial programs with the primary health care model. The resistance observed to the new directions and the attempts to overcome it, are analysed, as well as the transition (unfinished) to the proposed health care model. It is proposed an alternative model for the internal organization of health care units which take into consideration the emerging demands and also the available offers to deal with priority health problems. As conclusion, the authors state that some special programs can continue to be developed within a unified and decentralized health care model, due to their technical and scientifical value, since these programs are adequated to the political principles of the Health System Reform in Brazil.
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 6 No. 3 (1990): July/September
Cadernos de Saúde Pública; v. 6 n. 3 (1990): Julho/Setembro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
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