Territorial approach, process of SUS regionalization and financing of the thematic networks

Detalhes bibliográficos
Autor(a) principal: Duarte, Ligia Schiavon
Data de Publicação: 2018
Outros Autores: Mendes, Áquilas Nogueira
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira em Promoção da Saúde
Texto Completo: https://ojs.unifor.br/RBPS/article/view/8771
Resumo: Objective: To systematize the main characteristics of the ordinances that guide the transfer of resources to the obstetric and neonatal care network (Stork Network), the Emergency Care Network (UCA), the Psychosocial Care Network (RAPS), and the Care Network for Persons with Disabilities (Living without limits). Methods: The ordinances were analyzed from three structural axes: i) assistance profile of the financed elements, with observation of the components and equipment, inputs and actions; ii) the amount of financial resources available for each of the financed elements, broken down into investments and operating costs; and iii) the accountability of each of the federative entities in the financing and execution of the resource. Results: The analysis allows the identification of three main aspects in the transfer of federal financial resources to subnational entities: i) preponderance of resources for specialized care, whose productive configuration requires economies of scale, with a tendency to focus on municipalities that are more central; ii) induction to compromising the resources, whether financial or not, of the subnational entities; and iii) great fragmentation in financial transferring. Conclusion: The financing of the thematic networks, in addition to favoring the medical model of health care through the priority transfer of resources to medium- and high-complexity health care, seems to tend to the privileged regions.
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spelling Territorial approach, process of SUS regionalization and financing of the thematic networksCuestión de territorio, proceso de regionalización del SUS y financiación de las redes temáticasQuestão territorial, processo de regionalização do SUS e financiamento das redes temáticasRegional Health PlanningHealth EconomicsHealthcare Financing.RegionalizaciónEconomía de la SaludFinanciación de la Atención de la Salud.RegionalizaçãoEconomia da SaúdeFinanciamento da Saúde.Objective: To systematize the main characteristics of the ordinances that guide the transfer of resources to the obstetric and neonatal care network (Stork Network), the Emergency Care Network (UCA), the Psychosocial Care Network (RAPS), and the Care Network for Persons with Disabilities (Living without limits). Methods: The ordinances were analyzed from three structural axes: i) assistance profile of the financed elements, with observation of the components and equipment, inputs and actions; ii) the amount of financial resources available for each of the financed elements, broken down into investments and operating costs; and iii) the accountability of each of the federative entities in the financing and execution of the resource. Results: The analysis allows the identification of three main aspects in the transfer of federal financial resources to subnational entities: i) preponderance of resources for specialized care, whose productive configuration requires economies of scale, with a tendency to focus on municipalities that are more central; ii) induction to compromising the resources, whether financial or not, of the subnational entities; and iii) great fragmentation in financial transferring. Conclusion: The financing of the thematic networks, in addition to favoring the medical model of health care through the priority transfer of resources to medium- and high-complexity health care, seems to tend to the privileged regions.Objetivo: Sistematizar las principales características de los documentos que orientan las transferencias de recursos para la red de cuidado obstétrico y neonatal (Red Cigüeña), la Red de Atención de Urgencia (RAU), la Red de Atención Psicosocial (RAPS) y la Red de Atención de la Persona con Discapacidades (Vivir sin límites). Métodos: Se analizaron los documentos a partir de tres ejes estructurales: i) el perfil asistencial de los elementos financiados observando los componentes y los equipos, los insumos y las acciones; ii) la cantidad de recursos financieros disponible para cada uno de los elementos financiados, discriminado en investimentos y coste; y iii) el comprometimiento de cada uno de los entes federativos para la financiación y la ejecución del recurso. Resultados: El análisis permite evidenciar tres aspectos principales en el repase de los recursos financieros federales para los entes subnacionales: i) la preponderancia de recursos para el cuidado especializado cuya configuración productiva exige una economía de escala con propensión para concentrarse en los municipios que presentan mayor centralidad; ii) la inducción al comprometimiento de recursos financieros u no de los entes subnacionales; y iii) la gran fragmentación de los repases financieros. Conclusión: La financiación de las redes temáticas además de favorecer el modelo médico de atención a través de la transferencia de recurso con prioridad para la atención de la salud de media y alta complejidad tiene propensión para las regiones privilegiadas.Objetivo: Sistematizar as principais características das portarias que orientam a transferências de recursos para a rede de cuidado obstétrico e neonatal (Rede Cegonha), a Rede de Atenção à Urgência (RAU), a Rede de Atenção Psicossocial (RAPS) e a Rede de Atenção à Pessoa com Deficiências (Viver sem limites). Métodos: As portarias foram analisadas a partir de três eixos estruturais: i) perfil assistencial dos elementos financiados, sendo observados os componentes e os equipamentos, insumos e ações; ii) o montante de recursos financeiros disponível para cada um dos elementos financiados, discriminado em investimentos e custeio; e iii) o comprometimento de cada um dos entes federativos no financiamento e execução do recurso. Resultados: A análise permite evidenciar três principais aspectos no repasse de recursos financeiros federais para os entes subnacionais: i) preponderância de recursos para o cuidado especializado, cuja configuração produtiva exige economia de escala, tendendo a se concentrar em municípios que apresentam maior centralidade; ii) indução ao comprometimento de recursos, financeiros ou não, dos entes subnacionais; e iii) grande fragmentação nos repasses financeiros. Conclusão: O financiamento das redes temáticas, além de favorecer o modelo médico assistencial por meio da transferência de recurso prioritariamente para a atenção à saúde voltada à média e alta complexidade, parece tender às regiões privilegiadas.Universidade de Fortaleza2018-12-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://ojs.unifor.br/RBPS/article/view/877110.5020/18061230.2018.8771Brazilian Journal in Health Promotion; Vol. 31 No. 4 (2018)Revista Brasileña en Promoción de la Salud; Vol. 31 Núm. 4 (2018)Revista Brasileira em Promoção da Saúde; v. 31 n. 4 (2018)1806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORporhttps://ojs.unifor.br/RBPS/article/view/8771/pdfCopyright (c) 2018 Revista Brasileira em Promoção da Saúdeinfo:eu-repo/semantics/openAccessDuarte, Ligia SchiavonMendes, Áquilas Nogueira2022-02-16T12:40:49Zoai:ojs.ojs.unifor.br:article/8771Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2022-02-16T12:40:49Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false
dc.title.none.fl_str_mv Territorial approach, process of SUS regionalization and financing of the thematic networks
Cuestión de territorio, proceso de regionalización del SUS y financiación de las redes temáticas
Questão territorial, processo de regionalização do SUS e financiamento das redes temáticas
title Territorial approach, process of SUS regionalization and financing of the thematic networks
spellingShingle Territorial approach, process of SUS regionalization and financing of the thematic networks
Duarte, Ligia Schiavon
Regional Health Planning
Health Economics
Healthcare Financing.
Regionalización
Economía de la Salud
Financiación de la Atención de la Salud.
Regionalização
Economia da Saúde
Financiamento da Saúde.
title_short Territorial approach, process of SUS regionalization and financing of the thematic networks
title_full Territorial approach, process of SUS regionalization and financing of the thematic networks
title_fullStr Territorial approach, process of SUS regionalization and financing of the thematic networks
title_full_unstemmed Territorial approach, process of SUS regionalization and financing of the thematic networks
title_sort Territorial approach, process of SUS regionalization and financing of the thematic networks
author Duarte, Ligia Schiavon
author_facet Duarte, Ligia Schiavon
Mendes, Áquilas Nogueira
author_role author
author2 Mendes, Áquilas Nogueira
author2_role author
dc.contributor.author.fl_str_mv Duarte, Ligia Schiavon
Mendes, Áquilas Nogueira
dc.subject.por.fl_str_mv Regional Health Planning
Health Economics
Healthcare Financing.
Regionalización
Economía de la Salud
Financiación de la Atención de la Salud.
Regionalização
Economia da Saúde
Financiamento da Saúde.
topic Regional Health Planning
Health Economics
Healthcare Financing.
Regionalización
Economía de la Salud
Financiación de la Atención de la Salud.
Regionalização
Economia da Saúde
Financiamento da Saúde.
description Objective: To systematize the main characteristics of the ordinances that guide the transfer of resources to the obstetric and neonatal care network (Stork Network), the Emergency Care Network (UCA), the Psychosocial Care Network (RAPS), and the Care Network for Persons with Disabilities (Living without limits). Methods: The ordinances were analyzed from three structural axes: i) assistance profile of the financed elements, with observation of the components and equipment, inputs and actions; ii) the amount of financial resources available for each of the financed elements, broken down into investments and operating costs; and iii) the accountability of each of the federative entities in the financing and execution of the resource. Results: The analysis allows the identification of three main aspects in the transfer of federal financial resources to subnational entities: i) preponderance of resources for specialized care, whose productive configuration requires economies of scale, with a tendency to focus on municipalities that are more central; ii) induction to compromising the resources, whether financial or not, of the subnational entities; and iii) great fragmentation in financial transferring. Conclusion: The financing of the thematic networks, in addition to favoring the medical model of health care through the priority transfer of resources to medium- and high-complexity health care, seems to tend to the privileged regions.
publishDate 2018
dc.date.none.fl_str_mv 2018-12-21
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.unifor.br/RBPS/article/view/8771
10.5020/18061230.2018.8771
url https://ojs.unifor.br/RBPS/article/view/8771
identifier_str_mv 10.5020/18061230.2018.8771
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://ojs.unifor.br/RBPS/article/view/8771/pdf
dc.rights.driver.fl_str_mv Copyright (c) 2018 Revista Brasileira em Promoção da Saúde
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2018 Revista Brasileira em Promoção da Saúde
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de Fortaleza
publisher.none.fl_str_mv Universidade de Fortaleza
dc.source.none.fl_str_mv Brazilian Journal in Health Promotion; Vol. 31 No. 4 (2018)
Revista Brasileña en Promoción de la Salud; Vol. 31 Núm. 4 (2018)
Revista Brasileira em Promoção da Saúde; v. 31 n. 4 (2018)
1806-1230
reponame:Revista Brasileira em Promoção da Saúde
instname:Universidade de Fortaleza (Unifor)
instacron:UFOR
instname_str Universidade de Fortaleza (Unifor)
instacron_str UFOR
institution UFOR
reponame_str Revista Brasileira em Promoção da Saúde
collection Revista Brasileira em Promoção da Saúde
repository.name.fl_str_mv Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)
repository.mail.fl_str_mv
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