Situation of the public health medical care at the "Great São Paulo" metropolitan area, Brazil

Detalhes bibliográficos
Autor(a) principal: Yunes, João
Data de Publicação: 1971
Outros Autores: Bromberg, Rosa
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/4615
Resumo: The situation of the Public Health Unit Centers care system is analysed by the "Great São Paulo" Metropolitan Area (Brazil) which contains 37 cities and 8 million inhabitants. There is a health unit center to every 101.025 inhabitants. There is no homogeneous proportion between the size of the population and the number of the health unit centers since there are regions of the Metropolitan area that have from 22.000 inhabitants (to every health center) to 136.142. The number of the Maternal and Child Health centers is 232 with 34400 inhabitants to every unit, and the variation by regions goes from 2444 inhabitants (to every unit) to 73500. There is a Tuberculosis Dispensary to every 380048 inhabitants. The Northern region of the Metropolitan Area with 67000 inhabitants does not have any Tuberculoiss Dispensary. The proportion founded to the Leprosy Dispensaries is 570071 inhabitantes to every unit. The Northern and Southwest region with 155000 inhabitants do not have any Leprosy Dispensary. There is no rational criteria to the geographical localization of the Health Unit Centers beside this occurs a poor quantitative and qualitative medical attendance. Among the main goals of the Administrative Reform of the Health State Department, São Paulo, Brazil we distinguished: normative centralization, executive descentralization and, in local level, integration of the health unit center. Only 25.6% of the Health Centers are integrated physically and functionally, 40.0% of the Subsidiary Centers, 42.8% of the Tuberculosis Dispensaries and 42.8% of the Leprosy Dispensaries. According to the new terminology 21 Health Centers were classified as being of type I, 10 of type II, 16 of type III, 26 of type IV and 138 of type V. This classification is concerned to the stablished health care programmes. According to the study carried on by the Health State Department, in 1970, only 4.7% of the attendance was considered excellent, 62.17% and 52.3% respectively of the Health Unit Centers did not have enough material and health manpower. Parallel to this poor situation there is a lack of the coordenation among the state, municipal and private medical care organization, contribuiting to the concentration on some areas and its total absence on others.
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spelling Situation of the public health medical care at the "Great São Paulo" metropolitan area, Brazil Situação da rêde pública de assistência médico-sanitária na área metropolitana da Grande São Paulo Unidades sanitáriasSaúde públicaPostos de saúdeCentros de saúdeHealth unit centersMedical carePublic health The situation of the Public Health Unit Centers care system is analysed by the "Great São Paulo" Metropolitan Area (Brazil) which contains 37 cities and 8 million inhabitants. There is a health unit center to every 101.025 inhabitants. There is no homogeneous proportion between the size of the population and the number of the health unit centers since there are regions of the Metropolitan area that have from 22.000 inhabitants (to every health center) to 136.142. The number of the Maternal and Child Health centers is 232 with 34400 inhabitants to every unit, and the variation by regions goes from 2444 inhabitants (to every unit) to 73500. There is a Tuberculosis Dispensary to every 380048 inhabitants. The Northern region of the Metropolitan Area with 67000 inhabitants does not have any Tuberculoiss Dispensary. The proportion founded to the Leprosy Dispensaries is 570071 inhabitantes to every unit. The Northern and Southwest region with 155000 inhabitants do not have any Leprosy Dispensary. There is no rational criteria to the geographical localization of the Health Unit Centers beside this occurs a poor quantitative and qualitative medical attendance. Among the main goals of the Administrative Reform of the Health State Department, São Paulo, Brazil we distinguished: normative centralization, executive descentralization and, in local level, integration of the health unit center. Only 25.6% of the Health Centers are integrated physically and functionally, 40.0% of the Subsidiary Centers, 42.8% of the Tuberculosis Dispensaries and 42.8% of the Leprosy Dispensaries. According to the new terminology 21 Health Centers were classified as being of type I, 10 of type II, 16 of type III, 26 of type IV and 138 of type V. This classification is concerned to the stablished health care programmes. According to the study carried on by the Health State Department, in 1970, only 4.7% of the attendance was considered excellent, 62.17% and 52.3% respectively of the Health Unit Centers did not have enough material and health manpower. Parallel to this poor situation there is a lack of the coordenation among the state, municipal and private medical care organization, contribuiting to the concentration on some areas and its total absence on others. A situação da rêde pública de Assistência Médico-Sanitária é analisada para a área metropolitana da Grande São Paulo, constituída por 37 municípios, com uma população de 8 milhões de habitantes. Existe para a área uma unidade sanitária do tipo Centro ou Sub-Centro de Saúde para cada 101.025 habitantes. Não há uma proporção homogênea entre o tamanho da população e o número de unidades sanitárias, pois existem sub-regiões que apresentam desde 22.000 até 136.142 habitantes por Pôsto de Saúde. O número de postos de assistência materno-infantil é de 232, havendo uma unidade para cada 34.400 habitantes, variando esta proporção por sub-região desde 2.444 até 73.500 habitantes por Pôsto. Há um dispensário de tuberculose para cada 380.048 habitantes. A sub-região Norte, com 67.000 habitantes, não conta com nenhum dispensário de tuberculose. Quanto ao Dispensário de Dermatologia Sanitária a proporção de habitantes por unidade é de 570.071. As sub-regiões Norte e Sudoeste, com 155.000 habitantes, não possuem nenhum dispensário de dermatologia sanitária. Observa-se a inexistência de critérios locacionais para as Unidades Sanitárias, a par do déficit quantitativo e qualitativo do atendimento. Foram apontados, entre os principais objetivos da reforma administrativa da Secretaria de Saúde do Estado, descongestionamento da cúpula, centralização normativa, descentralização executiva e integração em nível local das unidades sanitárias. Observou-se que se encontram integrados, física e funcionalmente, somente 25,6% dos Centros de Saúde, 40% dos Sub-Centros, 42,8% dos Dispensários de Tuberculose e 42,8% dos Dispensários de Dermatologia Sanitária. De acôrdo com estudo realizado pela Secretaria da Saúde, em 1970, somente 4,7% dos atendimentos foi considerado ótimo; 62,7% das unidade sanitárias não possuiam material suficiente e 52,3% não contavam com recursos humanos de acôrdo com a lotação prevista de pessoal. A par dêste quadro carencial, observou-se falta de coordenação entre os podêres públicos responsáveis pelas unidades sanitárias, levando a supercobertura de algumas áreas e o total abandono de outras. Universidade de São Paulo. Faculdade de Saúde Pública1971-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/461510.1590/S0034-89101971000200005Revista de Saúde Pública; Vol. 5 No. 2 (1971); 221-236 Revista de Saúde Pública; Vol. 5 Núm. 2 (1971); 221-236 Revista de Saúde Pública; v. 5 n. 2 (1971); 221-236 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/4615/6144Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessYunes, JoãoBromberg, Rosa2012-04-27T19:01:50Zoai:revistas.usp.br:article/4615Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-04-27T19:01:50Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Situation of the public health medical care at the "Great São Paulo" metropolitan area, Brazil
Situação da rêde pública de assistência médico-sanitária na área metropolitana da Grande São Paulo
title Situation of the public health medical care at the "Great São Paulo" metropolitan area, Brazil
spellingShingle Situation of the public health medical care at the "Great São Paulo" metropolitan area, Brazil
Yunes, João
Unidades sanitárias
Saúde pública
Postos de saúde
Centros de saúde
Health unit centers
Medical care
Public health
title_short Situation of the public health medical care at the "Great São Paulo" metropolitan area, Brazil
title_full Situation of the public health medical care at the "Great São Paulo" metropolitan area, Brazil
title_fullStr Situation of the public health medical care at the "Great São Paulo" metropolitan area, Brazil
title_full_unstemmed Situation of the public health medical care at the "Great São Paulo" metropolitan area, Brazil
title_sort Situation of the public health medical care at the "Great São Paulo" metropolitan area, Brazil
author Yunes, João
author_facet Yunes, João
Bromberg, Rosa
author_role author
author2 Bromberg, Rosa
author2_role author
dc.contributor.author.fl_str_mv Yunes, João
Bromberg, Rosa
dc.subject.por.fl_str_mv Unidades sanitárias
Saúde pública
Postos de saúde
Centros de saúde
Health unit centers
Medical care
Public health
topic Unidades sanitárias
Saúde pública
Postos de saúde
Centros de saúde
Health unit centers
Medical care
Public health
description The situation of the Public Health Unit Centers care system is analysed by the "Great São Paulo" Metropolitan Area (Brazil) which contains 37 cities and 8 million inhabitants. There is a health unit center to every 101.025 inhabitants. There is no homogeneous proportion between the size of the population and the number of the health unit centers since there are regions of the Metropolitan area that have from 22.000 inhabitants (to every health center) to 136.142. The number of the Maternal and Child Health centers is 232 with 34400 inhabitants to every unit, and the variation by regions goes from 2444 inhabitants (to every unit) to 73500. There is a Tuberculosis Dispensary to every 380048 inhabitants. The Northern region of the Metropolitan Area with 67000 inhabitants does not have any Tuberculoiss Dispensary. The proportion founded to the Leprosy Dispensaries is 570071 inhabitantes to every unit. The Northern and Southwest region with 155000 inhabitants do not have any Leprosy Dispensary. There is no rational criteria to the geographical localization of the Health Unit Centers beside this occurs a poor quantitative and qualitative medical attendance. Among the main goals of the Administrative Reform of the Health State Department, São Paulo, Brazil we distinguished: normative centralization, executive descentralization and, in local level, integration of the health unit center. Only 25.6% of the Health Centers are integrated physically and functionally, 40.0% of the Subsidiary Centers, 42.8% of the Tuberculosis Dispensaries and 42.8% of the Leprosy Dispensaries. According to the new terminology 21 Health Centers were classified as being of type I, 10 of type II, 16 of type III, 26 of type IV and 138 of type V. This classification is concerned to the stablished health care programmes. According to the study carried on by the Health State Department, in 1970, only 4.7% of the attendance was considered excellent, 62.17% and 52.3% respectively of the Health Unit Centers did not have enough material and health manpower. Parallel to this poor situation there is a lack of the coordenation among the state, municipal and private medical care organization, contribuiting to the concentration on some areas and its total absence on others.
publishDate 1971
dc.date.none.fl_str_mv 1971-12-01
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dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/4615
10.1590/S0034-89101971000200005
url https://www.revistas.usp.br/rsp/article/view/4615
identifier_str_mv 10.1590/S0034-89101971000200005
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dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/4615/6144
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
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dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 5 No. 2 (1971); 221-236
Revista de Saúde Pública; Vol. 5 Núm. 2 (1971); 221-236
Revista de Saúde Pública; v. 5 n. 2 (1971); 221-236
1518-8787
0034-8910
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