Management of health actions of the State Health Departments: analysis of their respective health regulations
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Vigilância Sanitária em Debate |
Texto Completo: | https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1769 |
Resumo: | Introduction: The performance of health surveillance in the States, Federal District and Municipalities was established through health codes, regulated by Acts and Laws. Objective: In this sense, we sought to make a situational diagnosis regarding the composition and organizational structure in the 27 Federated Units. Method: A qualitative study of legal rules was conducted through active searches of these documents, which were analyzed for attributes correlated to health surveillance action. Results: It was observed that about 30.0% were published before the 1988 Constitution, but there are more recent rules, such as those of Piauí, Rio Grande do Norte and the Federal District, published in the 2010s. It was observed that 88.9% of the rules include actions integrated into the health system, such as health care, epidemiological surveillance, environmental surveillance and worker health. Another attributes were little present in the rules, such as: those related to the competencies of the public health laboratories network (48.1%), the management of risk factors (22.2%), funding (33.3%) and health surveillance rates (18.5%). Conclusions: State and the Federal District laws are based on generalist norms, which no longer meet the longings of contemporary society or the reality of the determinants and health conditions of their territories. Therefore, there is a need for harmonization and modernization of these legal rules, with the promotion of new legal frameworks, capable of producing the safety and effectiveness of health surveillance actions practiced in each territory. |
id |
FIOCRUZ-9_4e31d8d2da4953436b0bd6492215e517 |
---|---|
oai_identifier_str |
oai:ojs.visaemdebate.incqs.fiocruz.br:article/1769 |
network_acronym_str |
FIOCRUZ-9 |
network_name_str |
Vigilância Sanitária em Debate |
repository_id_str |
|
spelling |
Management of health actions of the State Health Departments: analysis of their respective health regulationsGestão das ações sanitárias das Secretarias Estaduais de Saúde: análise dos respectivos regramentos e códigos de vigilância sanitáriaGestão em Saúde; Regulamentação; Códigos Sanitários; Ações de Vigilância SanitáriaHealth Management; Regulation; Health Codes; Health Surveillance ActionsIntroduction: The performance of health surveillance in the States, Federal District and Municipalities was established through health codes, regulated by Acts and Laws. Objective: In this sense, we sought to make a situational diagnosis regarding the composition and organizational structure in the 27 Federated Units. Method: A qualitative study of legal rules was conducted through active searches of these documents, which were analyzed for attributes correlated to health surveillance action. Results: It was observed that about 30.0% were published before the 1988 Constitution, but there are more recent rules, such as those of Piauí, Rio Grande do Norte and the Federal District, published in the 2010s. It was observed that 88.9% of the rules include actions integrated into the health system, such as health care, epidemiological surveillance, environmental surveillance and worker health. Another attributes were little present in the rules, such as: those related to the competencies of the public health laboratories network (48.1%), the management of risk factors (22.2%), funding (33.3%) and health surveillance rates (18.5%). Conclusions: State and the Federal District laws are based on generalist norms, which no longer meet the longings of contemporary society or the reality of the determinants and health conditions of their territories. Therefore, there is a need for harmonization and modernization of these legal rules, with the promotion of new legal frameworks, capable of producing the safety and effectiveness of health surveillance actions practiced in each territory.Introdução: A atuação da vigilância sanitária nos municípios, estados e no Distrito Federal foi estabelecida por meio de códigos de saúde, regulamentados por decretos e leis. Objetivo: Realizar um diagnóstico situacional quanto à composição e à estrutura organizacional nas 27 unidades federadas que compõem o Sistema Nacional de Vigilância Sanitária (SNVS), por meio da análise da legislação sanitária vigente. Método: Foi realizado um estudo qualitativo dos regramentos jurídicos, por meio de buscas ativas desses documentos, sendo estes analisados quanto a atributos correlacionados à ação da Vigilância Sanitária. Resultados: Observou-se que cerca de 30,0% foram publicados antes da Constituição de 1988, mas há regramentos mais recentes, como os do Piauí, do Rio Grande do Norte e do Distrito Federal, publicados na década de 2010. Observou-se que 88,9% dos regramentos abrangem ações integradas ao sistema de saúde, como assistência à saúde, vigilância epidemiológica, vigilância ambiental e saúde do trabalhador. Outros atributos se mostraram pouco presentes nos regramentos, como: os referentes às competências da rede laboratórios de saúde pública (48,1%), ao gerenciamento dos fatores de riscos (22,2%), ao financiamento (33,3%) e às taxas de fiscalização sanitária (18,5%). Conclusões:As legislações estaduais e do Distrito Federal estão amparadas em normas generalistas, que não mais atendem aos anseios da sociedade contemporânea nem a realidade dos determinantes e condicionantes de saúde de seu território. Portanto, verifica-se a necessidade de harmonização e modernização desses regramentos jurídicos, com a promoção de novos arcabouços jurídicos, capazes de produzir a segurança e a efetividade das ações de vigilância sanitária praticadas em cada território.Instituto Nacional de Controle de Qualidade em Saúde2021-05-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed article""Artículo revisado por pares""Artigo avaliado pelos pares"application/pdfapplication/pdfhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/176910.22239/2317-269x.01769Health Surveillance under Debate: Society, Science & Technology ; Vol. 9 No. 2 (2021): May; 28-36Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 9 Núm. 2 (2021): Puede; 28-36Vigil Sanit Debate, Rio de Janeiro; v. 9 n. 2 (2021): Maio; 28-362317-269Xreponame:Vigilância Sanitária em Debateinstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporenghttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1769/1320https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1769/1358Copyright (c) 2021 Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnologia (Health Surveillance under Debate: Society, Science & Technology) – Visa em Debatehttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessDuarte Matta, Alex Sander Helena Barbosa Teixeira, Lindinalva Alves de Sousa, Artur Iuri 2023-06-27T15:13:26Zoai:ojs.visaemdebate.incqs.fiocruz.br:article/1769Revistahttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebatePUBhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/oaiincqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br2317-269X2317-269Xopendoar:2023-06-27T15:13:26Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
Management of health actions of the State Health Departments: analysis of their respective health regulations Gestão das ações sanitárias das Secretarias Estaduais de Saúde: análise dos respectivos regramentos e códigos de vigilância sanitária |
title |
Management of health actions of the State Health Departments: analysis of their respective health regulations |
spellingShingle |
Management of health actions of the State Health Departments: analysis of their respective health regulations Duarte Matta, Alex Sander Gestão em Saúde; Regulamentação; Códigos Sanitários; Ações de Vigilância Sanitária Health Management; Regulation; Health Codes; Health Surveillance Actions |
title_short |
Management of health actions of the State Health Departments: analysis of their respective health regulations |
title_full |
Management of health actions of the State Health Departments: analysis of their respective health regulations |
title_fullStr |
Management of health actions of the State Health Departments: analysis of their respective health regulations |
title_full_unstemmed |
Management of health actions of the State Health Departments: analysis of their respective health regulations |
title_sort |
Management of health actions of the State Health Departments: analysis of their respective health regulations |
author |
Duarte Matta, Alex Sander |
author_facet |
Duarte Matta, Alex Sander Helena Barbosa Teixeira, Lindinalva Alves de Sousa, Artur Iuri |
author_role |
author |
author2 |
Helena Barbosa Teixeira, Lindinalva Alves de Sousa, Artur Iuri |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Duarte Matta, Alex Sander Helena Barbosa Teixeira, Lindinalva Alves de Sousa, Artur Iuri |
dc.subject.por.fl_str_mv |
Gestão em Saúde; Regulamentação; Códigos Sanitários; Ações de Vigilância Sanitária Health Management; Regulation; Health Codes; Health Surveillance Actions |
topic |
Gestão em Saúde; Regulamentação; Códigos Sanitários; Ações de Vigilância Sanitária Health Management; Regulation; Health Codes; Health Surveillance Actions |
description |
Introduction: The performance of health surveillance in the States, Federal District and Municipalities was established through health codes, regulated by Acts and Laws. Objective: In this sense, we sought to make a situational diagnosis regarding the composition and organizational structure in the 27 Federated Units. Method: A qualitative study of legal rules was conducted through active searches of these documents, which were analyzed for attributes correlated to health surveillance action. Results: It was observed that about 30.0% were published before the 1988 Constitution, but there are more recent rules, such as those of Piauí, Rio Grande do Norte and the Federal District, published in the 2010s. It was observed that 88.9% of the rules include actions integrated into the health system, such as health care, epidemiological surveillance, environmental surveillance and worker health. Another attributes were little present in the rules, such as: those related to the competencies of the public health laboratories network (48.1%), the management of risk factors (22.2%), funding (33.3%) and health surveillance rates (18.5%). Conclusions: State and the Federal District laws are based on generalist norms, which no longer meet the longings of contemporary society or the reality of the determinants and health conditions of their territories. Therefore, there is a need for harmonization and modernization of these legal rules, with the promotion of new legal frameworks, capable of producing the safety and effectiveness of health surveillance actions practiced in each territory. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-05-31 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion "Peer-reviewed article" "Artículo revisado por pares" "Artigo avaliado pelos pares" |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1769 10.22239/2317-269x.01769 |
url |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1769 |
identifier_str_mv |
10.22239/2317-269x.01769 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1769/1320 https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1769/1358 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Instituto Nacional de Controle de Qualidade em Saúde |
publisher.none.fl_str_mv |
Instituto Nacional de Controle de Qualidade em Saúde |
dc.source.none.fl_str_mv |
Health Surveillance under Debate: Society, Science & Technology ; Vol. 9 No. 2 (2021): May; 28-36 Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 9 Núm. 2 (2021): Puede; 28-36 Vigil Sanit Debate, Rio de Janeiro; v. 9 n. 2 (2021): Maio; 28-36 2317-269X reponame:Vigilância Sanitária em Debate instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Vigilância Sanitária em Debate |
collection |
Vigilância Sanitária em Debate |
repository.name.fl_str_mv |
Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
incqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br |
_version_ |
1797042046472552448 |