Assessment of the information quality in hospital admission authorizations – SUS (Unified Health System), in a hospital in the upstate São Paulo

2021 ◽  
Vol 2 (6) ◽  
Author(s):  
Renato Carlos Machado ◽  
Heitor Cherulli Resende ◽  
Maria Fernanda Pedrassa Gomes ◽  
Aldaísa Cassanho Forster
Keyword(s):  
Hospital Admission ◽  
Health System ◽  
Information Quality ◽  
Sao Paulo ◽  
São Paulo ◽  
Unified Health System

scholarly journals PSY144 - DRUGS INVOLVED IN LAWSUITS FILED AGAINST THE UNIFIED HEALTH SYSTEM (SUS) IN SÃO PAULO - BRAZIL, IN 2017

2018 ◽  
Vol 21 ◽  
pp. S460-S461
Author(s):  
A. Ribeiro ◽  
E. Ribeiro ◽  
M.R. Nobre ◽  
S.R. Secoli
Keyword(s):  
Health System ◽  
Sao Paulo ◽  
São Paulo ◽  
Unified Health System

Satisfaction of Unified Health System users as a tool for public management: an experience report

2016 ◽  
Vol 8 ◽  
Author(s):  
Caroline Gagliardi GUERRA ◽  
Renato Ribeiro Nogueira FERRAZ ◽  
William MALAGUTTI ◽  
Anderson Sena BARNABÉ ◽  
João Victor FORNARI ◽  
...  
Keyword(s):  
Health System ◽  
Public Management ◽  
Sao Paulo ◽  
Experience Report ◽  
São Paulo ◽  
Unified Health System

Este trabalho relata a experiência de um município da grande São Paulo - SP na adoção da pesquisa de satisfação do usuário SUS como ferramenta para a gestão pública. Utilizou-se a metodologia de pesquisa documental e entrevista que se viabilizou por meio de visita técnica ao setor desenvolvedor do projeto de pesquisa de satisfação. Na análise documental, observou-se que os questionários utilizados para a pesquisa englobam questões fechadas, pontuais e padronizadas, contemplando avaliação das instalações físicas, qualidade do atendimento e avaliação do tempo de espera, embora houvesse um espaço para relatar observações do usuário, permitindo assim a avaliação qualitativa. A entrevista com o idealizador e desenvolvedor do projeto permitiu mensurar os impactos desta ferramenta na gestão da saúde do município. Evidenciou-se que, mesmo com dificuldades de aceitação e implementação do projeto, os resultados da pesquisa de satisfação causam forte impacto sobre os gestores e os impulsionam a adotar medidas estratégicas para subsidiar o planejamento de ações futuras, além de estreitar o relacionamento com os usuários do serviço

scholarly journals How the ‘plates’ of a health system can shift, change and adjust during economic recessions. A qualitative interview study of public and private health providers in Brazil’s São Paulo and Maranhão states

2020 ◽  
Author(s):  
Giuliano Russo ◽  
Maria Luiza Levi Paim ◽  
Maria Teresa Seabra Soares de Britto e Alves ◽  
Bruno Luciano Carneiro Alves de Oliveira ◽  
Ruth Helena de Souza Britto Ferreira de Carvalho ◽  
...  
Keyword(s):  
Health System ◽  
Access To Care ◽  
Health Systems ◽  
Low Income ◽  
Sao Paulo ◽  
São Paulo ◽  
Public And Private ◽  
Qualitative Interview Study ◽  
Economic Recessions ◽  
The Impact

Background. Economic recessions carry an impact on population health and access to care; less is known on how health systems adapt to the conditions brought by a downturn. This particularly matters now that the COVID-19 epidemic is putting health systems under stress. Brazil is one of the world’s most affected countries, and its health system was already living the aftermath of the 2015 recession. Methods. Between 2018 and 2019 we conducted 46 semi-structured interviews with health practitioners, managers and policy-makers to explore the impact of the 2015 recession on public and private providers in prosperous (São Paulo) and impoverished (Maranhão) states in Brazil. Thematic analysis was employed to identify drivers and consequences of system adaptation and coping strategies. Nvivo software was used to aid data collection and analysis. We followed the Standards for Reporting Qualitative Research to provide an account of the findings.Results. We found the concept of ‘health sector crisis’ to be politically charged among healthcare providers in São Paulo and Maranhão. Contrary to expectations, the public sector was reported to have found ways to compensate for diminishing federal funding, having outsourced services and adopted flexible – if insecure – working arrangements. Following a drop in employment and health plans, private health insurance companies streamlined their offer, at times at the expenses of coverage. Low-cost walk-in clinics were hit hard by the recession, but also credited for having moved to cater for higher-income customers in Maranhão.Conclusions. The ‘plates’ of a health system may shift and adjust in unexpected ways in response to recessions, and some of these changes might outlast the crisis. As low-income countries enter post-COVID recessions, it will be important to monitor the adjustments taking place in health systems, to ensure that past gains in access to care and job security are not eroded.

scholarly journals Brazilian union actions for workers' health protection

2005 ◽  
Vol 123 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Rodolpho Repullo Junior ◽  
Jorge da Rocha Gomes
Keyword(s):  
Health And Safety ◽  
Health Department ◽  
Sao Paulo ◽  
São Paulo ◽  
Work Processes ◽  
Unified Health System ◽  
Union Action ◽  
Study Setting ◽  
Health Objective ◽  
Work And Health

CONTEXT: Many authors have emphasized the importance of worker strength through unionized organizations, in relation to the improvement of working procedures, and have reported on the decisiveness of labor movement actions in achieving modifications within the field of work and health. OBJECTIVE: To describe the ways in which Brazilian unions have tried to intervene in health-illness and work processes, identifying the existence of commonality in union actions in this field. TYPE OF STUDY: Qualitative study. SETTING: Postgraduate Program, Environmental Health Department, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brazil. METHODS: Union health advisers and directors were interviewed. Documents relating to union action towards protecting workers' health were collected and analyzed. RESULTS: Unions articulate actions regarding workers' health of a technical and political nature that involve many aspects and high complexity. These have been divided into thematic categories for better analysis. DISCUSSION: Union actions regarding workers' health in Brazil are restricted to some unions, located mainly in the southern, southeastern and northeastern regions of the country. Nonetheless, the unions undertaking such actions represent many professions of great economic and political importance. CONCLUSIONS: The recent changes in health and safety at work regulations, recognition of professional diseases, creation of workers' health services and programs within the unified health system, and operational improvements in companies' specialized safety and occupational medicine services, all basically result from union action. There is commonality of union action in this field in its seeking of technical and political strengthening for all workers and their general and local representation. This has the objective of benefiting collective bargaining between employers and workers. Inter-institutional action on behalf of workers' rights guarantees and amplifies the improvement of health and working conditions.

Impact of COVID-19 pandemic in hospitalizations due to brain tumors from the epicenter of Latin America.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18785-e18785
Author(s):  
Isabella Batista Martins Portugal ◽  
Luis Eduardo Werneck De Carvalho ◽  
Jean Henri Schoueri ◽  
Leandro Fórnias Machado Rezende ◽  
Fernando Luiz Affonso Fonseca ◽  
...  
Keyword(s):  
Health Care ◽  
Latin America ◽  
Health System ◽  
Sao Paulo ◽  
Cns Tumors ◽  
São Paulo ◽  
Outbreak Period ◽  
Starting Point ◽  
The Impact ◽  
The City

e18785 Background: The novel coronavirus disease 2019 (COVID-19) pandemic has disrupted health care systems worldwide. In Brazil, the disease had its first case in the city of São Paulo, thus being the starting point and epicenter of this disease in Latin America. Neurological features are currently well recognized in COVID-19 indicating the neurotropic nature of the virus and include anosmia, myalgia, myositis, encephalitis, meningitis, cerebrovascular disease, Guillain–Barré syndrome, and post-infectious myelitis. CNS tumors though relatively rare (> 2% of all cancers) are a relevant source of cancer-related morbi-mortality worldwide. Although studies have reported higher COVID-19 severity in cancer patients, the consequences of the pandemic on health care for CNS tumors remain inconclusive and will probably be felt for decades. This study aimed to determine the impact of pandemic on the hospital admissions (HA) due to CNS tumors in the city of São Paulo, Brazil. Methods: This is a cross-sectional study of the HAs due to CNS tumors in the city of São Paulo comparing the outbreak period (January-June 2020) and a pre-pandemic corresponding period of the years 2017-2019. Data were obtained from the Brazilian Unified Health System - Hospital Information System database according to the chapter II of the International Classification of Diseases - 10th revision (ICD-10). Linear regression was used to analyze the relationship between the incidence of HAs and time (months). Results: A significant reduction in HAs due to CNS tumors was observed during the outbreak period (January-June 2020). Benign neoplasm of brain and other parts of CNS (-2, CI -2 to -1) and malignant neoplasm of brain (-5, CI -7 to -3) showed to be remarkably affected (see table). To our knowledge, this is the first scientific report of significant reduction of HAs due to CNS tumors during COVID-19 era. Conclusions: Our findings seem to be associated to delayed oncological diagnose and care to CNS tumor patients during the lockdown and health system collapse. A rebound help-seeking effect as well as more severe complications may present in the post‐pandemic. Further studies are needed to evaluate the impact of the ongoing pandemic in CNS neoplasms in order to strategically corroborate public health actions for short- and long-term implications of COVID-19 pandemic. [Table: see text]

scholarly journals Strategic circumvention of regulations: the judicialization of the Brazilian private health system

2019 ◽  
Vol 17 (3) ◽  
pp. 623-638
Author(s):  
ARNALDO L. RYNGELBLUM ◽  
PAULO C. DUARTE de OLIVEIRA ◽  
RENATO TELLES ◽  
MAYLA C. COSTA
Keyword(s):  
Health System ◽  
Health Plan ◽  
Thematic Analysis ◽  
Institutional Context ◽  
Sao Paulo ◽  
Organizational Practices ◽  
São Paulo ◽  
Treatment Coverage ◽  
Court Of Justice

Abstract The article aims to advance the understanding of the successive circumvention of regulations by organizations, to determine whether it is possible to characterize them as purposeful actions, while the institutional literature analyzes decoupling and circumvention as sporadic activities. It analyzes the responses adopted by health plan companies to favor their interests, responses that often fail to comply with the rules of the institutional context, and which boosted the phenomenon known as ‘judicialization’. The study analyzed 158 lawsuits collected from the electronic archives of the Court of Justice of São Paulo, where beneficiaries sue health plan companies because of treatment coverage denial. Using correspondence and thematic analysis, some associations between denials and allegations showed to be significant, suggesting companies’ strategic patterns. It was possible to identify different strategic practices adopted by companies to avoid complying with institutional guidelines, and to observe that certain regulatory features can contribute to non-compliance strategies. The article contributes to the institutional literature by identifying organizational practices meant to successively circumvent and confront institutional prescriptions, indicating that health plan companies apparently design specific strategies to respond to beneficiaries’ demands.

The family health system: analysis of a health survey in Sao Paulo, Brazil

2010 ◽  
Vol 65 (6) ◽  
pp. 483-490 ◽  
Author(s):  
J. R. M. Brandao ◽  
R. J. Gianini ◽  
H. M. D. Novaes ◽  
M. Goldbaum
Keyword(s):  
Health System ◽  
Health Survey ◽  
System Analysis ◽  
Family Health ◽  
Sao Paulo ◽  
São Paulo ◽  
The Family
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