The decentralization of health surveillance in Minas Gerais: characterization of counties’ services, 2014

Detalhes bibliográficos
Autor(a) principal: Assis, Lucília Nunes
Data de Publicação: 2017
Outros Autores: Guimarães, Eliete Albano de Azevedo, Mambrini, Juliana Vaz de Melo, Laguardia, Filipe Curzio, Quintino, Nayara Dornela, Silva, Davidson, Luz, Zélia Maria Profeta
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/987
Resumo: Introduction: The Health Surveillance Strengthening Project implemented in 2012 in Minas Gerais -subsidized by a local diagnosis- aimed at decentralizing Health Surveillance. Objectives: To characterizes the local Health Surveillance services in the state of Minas Gerais in 2014. Method: Descriptive study that analyzed 527 (62%) out of a total of 853 counties. The common variables to the Health Surveillance areas were instruments of management, financing, professional category, qualification and information system. Specific variables to the Health Surveillance areas were characterized infrastructure, reference services and actions. Frequencies, medians, interquartile differences and Spearman’s coefficient (p< 0.05) were analyzed. Results: An association among mana-gement tools, availability of professional categories, information system and population size (p<0.001) was observed. Insufficient infrastructure in the Sanitary and Environmental Surveillance and predominance of programmatic actions against monitoring actions were observed. Conclusions: The challenge of Health Surveillance demands confrontations in the field of management, practices and financing.
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spelling The decentralization of health surveillance in Minas Gerais: characterization of counties’ services, 2014A descentralização da Vigilância em Saúde em Minas Gerais: caracterização dos serviços municipais, 2014Health SurveillanceIntegralityHealth ProgramsEvaluation of Health ProjectsVigilância em SaúdeIntegralidadeProgramas de SaúdeAvaliação de Projetos de SaúdeIntroduction: The Health Surveillance Strengthening Project implemented in 2012 in Minas Gerais -subsidized by a local diagnosis- aimed at decentralizing Health Surveillance. Objectives: To characterizes the local Health Surveillance services in the state of Minas Gerais in 2014. Method: Descriptive study that analyzed 527 (62%) out of a total of 853 counties. The common variables to the Health Surveillance areas were instruments of management, financing, professional category, qualification and information system. Specific variables to the Health Surveillance areas were characterized infrastructure, reference services and actions. Frequencies, medians, interquartile differences and Spearman’s coefficient (p< 0.05) were analyzed. Results: An association among mana-gement tools, availability of professional categories, information system and population size (p<0.001) was observed. Insufficient infrastructure in the Sanitary and Environmental Surveillance and predominance of programmatic actions against monitoring actions were observed. Conclusions: The challenge of Health Surveillance demands confrontations in the field of management, practices and financing.Introdução: O Projeto de Fortalecimento da Vigilância em Saúde implantado em 2012, em Minas Gerais, visava a descentralização da Vigilância Sanitária, subsidiada no diagnóstico local. Objetivos: Caracterizar os serviços municipais de Vigilância em Saúde no estado de Minas Gerais em 2014. Método: Estudo transversal que analisou diagnósticos de 527/853 (62%) municípios do total do estado de MG. As variáveis comuns às áreas da Vigilância em Saúde foram instrumentos de gestão, financiamento, categoria profissional, qualificação e sistema de informação. Aquelas específicas às áreas da Vigilância em Saúde caracterizaram infraestrutura, serviços de referência e ações. Analisaram-se frequências, medianas, diferenças interquartílicas e coeficiente de Spearman (p< 0,05). Resultados: Observou-se associação entre instrumentos de gestão, disponibilidade de categorias profissionais, sistema de informação e porte populacional (p<0,001). Identificou-se infraestrutura insuficiente nas Vigilâncias Sanitária e Ambiental e predomínio das ações programáticas frente àquelas de monitoramento. Conclusões: O desafio da Vigilância em Saúde demanda enfrentamentos no campo da gestão, das práticas e do financiamento.Instituto Nacional de Controle de Qualidade em Saúde2017-08-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Editor de seção"application/pdfapplication/pdfhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/98710.22239/2317-269X.00987Health Surveillance under Debate: Society, Science & Technology ; Vol. 5 No. 3 (2017): August; 60-65Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 5 Núm. 3 (2017): Agosto; 60-65Vigil Sanit Debate, Rio de Janeiro; v. 5 n. 3 (2017): Agosto; 60-652317-269Xreponame:Vigilância Sanitária em Debateinstname:Fundação Oswaldo Cruz (Fiocruz)instacron:FIOCRUZporenghttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/987/407https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/987/528Copyright (c) 2017 Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnologia (Health Surveillance under Debate: Society, Science & Technology) – Visa em Debatehttps://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessAssis, Lucília NunesGuimarães, Eliete Albano de AzevedoMambrini, Juliana Vaz de MeloLaguardia, Filipe CurzioQuintino, Nayara DornelaSilva, DavidsonLuz, Zélia Maria Profeta2021-09-30T19:21:42Zoai:ojs.visaemdebate.incqs.fiocruz.br:article/987Revistahttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebatePUBhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/oaiincqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br2317-269X2317-269Xopendoar:2021-09-30T19:21:42Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (Fiocruz)false
dc.title.none.fl_str_mv The decentralization of health surveillance in Minas Gerais: characterization of counties’ services, 2014
A descentralização da Vigilância em Saúde em Minas Gerais: caracterização dos serviços municipais, 2014
title The decentralization of health surveillance in Minas Gerais: characterization of counties’ services, 2014
spellingShingle The decentralization of health surveillance in Minas Gerais: characterization of counties’ services, 2014
Assis, Lucília Nunes
Health Surveillance
Integrality
Health Programs
Evaluation of Health Projects
Vigilância em Saúde
Integralidade
Programas de Saúde
Avaliação de Projetos de Saúde
title_short The decentralization of health surveillance in Minas Gerais: characterization of counties’ services, 2014
title_full The decentralization of health surveillance in Minas Gerais: characterization of counties’ services, 2014
title_fullStr The decentralization of health surveillance in Minas Gerais: characterization of counties’ services, 2014
title_full_unstemmed The decentralization of health surveillance in Minas Gerais: characterization of counties’ services, 2014
title_sort The decentralization of health surveillance in Minas Gerais: characterization of counties’ services, 2014
author Assis, Lucília Nunes
author_facet Assis, Lucília Nunes
Guimarães, Eliete Albano de Azevedo
Mambrini, Juliana Vaz de Melo
Laguardia, Filipe Curzio
Quintino, Nayara Dornela
Silva, Davidson
Luz, Zélia Maria Profeta
author_role author
author2 Guimarães, Eliete Albano de Azevedo
Mambrini, Juliana Vaz de Melo
Laguardia, Filipe Curzio
Quintino, Nayara Dornela
Silva, Davidson
Luz, Zélia Maria Profeta
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Assis, Lucília Nunes
Guimarães, Eliete Albano de Azevedo
Mambrini, Juliana Vaz de Melo
Laguardia, Filipe Curzio
Quintino, Nayara Dornela
Silva, Davidson
Luz, Zélia Maria Profeta
dc.subject.por.fl_str_mv Health Surveillance
Integrality
Health Programs
Evaluation of Health Projects
Vigilância em Saúde
Integralidade
Programas de Saúde
Avaliação de Projetos de Saúde
topic Health Surveillance
Integrality
Health Programs
Evaluation of Health Projects
Vigilância em Saúde
Integralidade
Programas de Saúde
Avaliação de Projetos de Saúde
description Introduction: The Health Surveillance Strengthening Project implemented in 2012 in Minas Gerais -subsidized by a local diagnosis- aimed at decentralizing Health Surveillance. Objectives: To characterizes the local Health Surveillance services in the state of Minas Gerais in 2014. Method: Descriptive study that analyzed 527 (62%) out of a total of 853 counties. The common variables to the Health Surveillance areas were instruments of management, financing, professional category, qualification and information system. Specific variables to the Health Surveillance areas were characterized infrastructure, reference services and actions. Frequencies, medians, interquartile differences and Spearman’s coefficient (p< 0.05) were analyzed. Results: An association among mana-gement tools, availability of professional categories, information system and population size (p<0.001) was observed. Insufficient infrastructure in the Sanitary and Environmental Surveillance and predominance of programmatic actions against monitoring actions were observed. Conclusions: The challenge of Health Surveillance demands confrontations in the field of management, practices and financing.
publishDate 2017
dc.date.none.fl_str_mv 2017-08-31
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Editor de seção"
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/987
10.22239/2317-269X.00987
url https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/987
identifier_str_mv 10.22239/2317-269X.00987
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/987/407
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/987/528
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/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. 5 No. 3 (2017): August; 60-65
Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 5 Núm. 3 (2017): Agosto; 60-65
Vigil Sanit Debate, Rio de Janeiro; v. 5 n. 3 (2017): Agosto; 60-65
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
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