The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Saúde Materno Infantil (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292017000600003 |
Resumo: | Abstract Objectives: to analyze the influence and performance on Policy, Structure and Organization dimensions in the regionalization process in five health regions in Brazil. Methods: a quantitative, cross-sectional study using primary data from 217 fulfilled interviews with managers, service providers and representatives of society in five health regions in Brazil. Calculation on the Influence Index that measures the contribution level of three dimensions in regionalization. Results: after analyzing the three dimensions that influence the regionalization process separately, it is necessary to point out that there is a better performance on the Policy dimension in front of all the others; on the other hand, Structure dimension shows itself to be feeble, configuring a real obstacle to progress the regionalization process; Organization occupies an intermediate place in all the regions of the study. The insufficient availability of physical, human and financial resources impedes to advance the regionalization and the achievement of its major objectives, which are the integration of services and coordination care. Conclusions: regionalization follows an uncertain path and without clear direction of its objectives, goals and deployed instruments. The Regional planning, in the case of health, is still a theoretical exercise. |
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The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensionsHealth policyRegional planningAbstract Objectives: to analyze the influence and performance on Policy, Structure and Organization dimensions in the regionalization process in five health regions in Brazil. Methods: a quantitative, cross-sectional study using primary data from 217 fulfilled interviews with managers, service providers and representatives of society in five health regions in Brazil. Calculation on the Influence Index that measures the contribution level of three dimensions in regionalization. Results: after analyzing the three dimensions that influence the regionalization process separately, it is necessary to point out that there is a better performance on the Policy dimension in front of all the others; on the other hand, Structure dimension shows itself to be feeble, configuring a real obstacle to progress the regionalization process; Organization occupies an intermediate place in all the regions of the study. The insufficient availability of physical, human and financial resources impedes to advance the regionalization and the achievement of its major objectives, which are the integration of services and coordination care. Conclusions: regionalization follows an uncertain path and without clear direction of its objectives, goals and deployed instruments. The Regional planning, in the case of health, is still a theoretical exercise.Instituto de Medicina Integral Prof. Fernando Figueira2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292017000600003Revista Brasileira de Saúde Materno Infantil v.17 suppl.1 2017reponame:Revista Brasileira de Saúde Materno Infantil (Online)instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)instacron:IMIPFF10.1590/1806-9304201700s100003info:eu-repo/semantics/openAccessViana,Ana Luiza d'ÁvilaFerreira,Maria PaulaCutrim,Maria AliceFusaro,Edgar RodriguesSouza,Miriam Regina deMourão,LaísPereira,Ana Paula Chancharulo de MoraesMota,Paulo Henrique dos SantosIozzi,Fabíola LanaUchimura,Liza Yurie Teruyaeng2017-12-05T00:00:00Zoai:scielo:S1519-38292017000600003Revistahttp://www.scielo.br/rbsmihttps://old.scielo.br/oai/scielo-oai.php||revista@imip.org.br1806-93041519-3829opendoar:2017-12-05T00:00Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)false |
dc.title.none.fl_str_mv |
The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions |
title |
The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions |
spellingShingle |
The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions Viana,Ana Luiza d'Ávila Health policy Regional planning |
title_short |
The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions |
title_full |
The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions |
title_fullStr |
The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions |
title_full_unstemmed |
The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions |
title_sort |
The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions |
author |
Viana,Ana Luiza d'Ávila |
author_facet |
Viana,Ana Luiza d'Ávila Ferreira,Maria Paula Cutrim,Maria Alice Fusaro,Edgar Rodrigues Souza,Miriam Regina de Mourão,Laís Pereira,Ana Paula Chancharulo de Moraes Mota,Paulo Henrique dos Santos Iozzi,Fabíola Lana Uchimura,Liza Yurie Teruya |
author_role |
author |
author2 |
Ferreira,Maria Paula Cutrim,Maria Alice Fusaro,Edgar Rodrigues Souza,Miriam Regina de Mourão,Laís Pereira,Ana Paula Chancharulo de Moraes Mota,Paulo Henrique dos Santos Iozzi,Fabíola Lana Uchimura,Liza Yurie Teruya |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Viana,Ana Luiza d'Ávila Ferreira,Maria Paula Cutrim,Maria Alice Fusaro,Edgar Rodrigues Souza,Miriam Regina de Mourão,Laís Pereira,Ana Paula Chancharulo de Moraes Mota,Paulo Henrique dos Santos Iozzi,Fabíola Lana Uchimura,Liza Yurie Teruya |
dc.subject.por.fl_str_mv |
Health policy Regional planning |
topic |
Health policy Regional planning |
description |
Abstract Objectives: to analyze the influence and performance on Policy, Structure and Organization dimensions in the regionalization process in five health regions in Brazil. Methods: a quantitative, cross-sectional study using primary data from 217 fulfilled interviews with managers, service providers and representatives of society in five health regions in Brazil. Calculation on the Influence Index that measures the contribution level of three dimensions in regionalization. Results: after analyzing the three dimensions that influence the regionalization process separately, it is necessary to point out that there is a better performance on the Policy dimension in front of all the others; on the other hand, Structure dimension shows itself to be feeble, configuring a real obstacle to progress the regionalization process; Organization occupies an intermediate place in all the regions of the study. The insufficient availability of physical, human and financial resources impedes to advance the regionalization and the achievement of its major objectives, which are the integration of services and coordination care. Conclusions: regionalization follows an uncertain path and without clear direction of its objectives, goals and deployed instruments. The Regional planning, in the case of health, is still a theoretical exercise. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292017000600003 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292017000600003 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1806-9304201700s100003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto de Medicina Integral Prof. Fernando Figueira |
publisher.none.fl_str_mv |
Instituto de Medicina Integral Prof. Fernando Figueira |
dc.source.none.fl_str_mv |
Revista Brasileira de Saúde Materno Infantil v.17 suppl.1 2017 reponame:Revista Brasileira de Saúde Materno Infantil (Online) instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) instacron:IMIPFF |
instname_str |
Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) |
instacron_str |
IMIPFF |
institution |
IMIPFF |
reponame_str |
Revista Brasileira de Saúde Materno Infantil (Online) |
collection |
Revista Brasileira de Saúde Materno Infantil (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) |
repository.mail.fl_str_mv |
||revista@imip.org.br |
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1752129929866117120 |