Abstract:
OBJECTIVE:To analyze the obstacles and challenges faced by managers and coordination professionals in their practices in municipal coordinating centers. METHODS:An exploratory descriptive study with a qualitative focus, applied in 40 managers and coordination professionals, from September 2017 to November 2018, with semi-structured interviews, resulting in two categories of analysis: limiting factors and factors that facilitate the management and operationalization of the Brazilian Unified Health System (SUS) coordinating sector. RESULTS:Analyzing the statements, we found evidence of the following limiting factors: failure in the criteria of referral, unavailability of beds, high demand, systemic difficulties in relation to the coordinating system, procedures of difficult scheduling and execution, increased repressed demand for elective procedures and difficulties in the flow of information between primary care and coordination. In the category of facilitating factors, the most significant possibilities were: expansion of the capability to know the user's reality, improvement in primary care and increase in health financial resources, health training and education and restructuring, in addition to reorganizing internal coordinating procedures. CONCLUSION:The limiting factors of coordination show the need to promote actions that offer all SUS users full access to health services.
journal_name
Rev Saude Publicajournal_title
Revista de saude publicaauthors
Bastos LBR,Barbosa MA,Rosso CFW,Oliveira LMAC,Ferreira IP,Bastos DAS,Paiva ACJ,Santos AASDdoi
10.11606/s1518-8787.2020054001512subject
Has Abstractpub_date
2020-02-17 00:00:00pages
25eissn
0034-8910issn
1518-8787pii
S0034-89102020000100221journal_volume
54pub_type
杂志文章abstract:OBJECTIVE:To describe HIV prevalence in pregnant women and the rate of vertical transmission according to socioeconomic status of residential neighborhoods. METHODS:Ecological exploratory study, which used the Information System of Notifiable Diseases database on HIV-positive pregnant women and AIDS in children, repor...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102011005000041
更新日期:2011-08-01 00:00:00
abstract::Campinas is an important industrial centre in the State of S. Paulo, Brazil. 476 registers filed at the Campinas agency of the Brazilian National Social-Welfore Institution, covering the Campinas, Cosmópolis, Paulínia, Sumaré and Valinhos Counties from 1979 to 1989, were analysed. The information obtained from the Not...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101993000300003
更新日期:1993-06-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of fine particulate matter emitted through biomass burning on hospitalizations for respiratory diseases in children living in Manaus, Northern Brazil. METHODS:Descriptive study with ecologic time series design carried out in Manaus from 2002 to 2009. Hospital admission data were ob...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2013047004011
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of hospitalizations and to identify characteristics associated with hospital admission. METHODS:We carried out a population-based cross-sectional study of subjects of both sexes, aged 20-69 years, and who lived in the urban area of Pelotas, Southern Brazil, between 1999 and 2000. S...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010005000026
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVE:Elderly choose between utilizing private or public health care providers based on their socioeconomic, demographic, and epidemiological condition. The purposes of this study was to evaluate how these factors affect the choice of health care provider and to compare the impact of their choice on individual and ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102004000100016
更新日期:2004-02-01 00:00:00
abstract::OBJECTIVE To analyze, stratifield by gender, trends of the new case leprosy detection rates in the general population and in children; of grade 2 disability, and of proportion of multibacillary cases, in the state of Bahia, Brazil from 2001 to 2014. METHODS A time series study based on leprosy data from the National I...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2018052000335
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To analyze the spread of human American visceral leishmaniasis and identify the key municipalities for developing surveillance and control activities. METHODS:The area of the study was composed of the 316 municipalities in the state of Sao Paulo belonging to the five health districts in which human American ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2013047004454
更新日期:2013-08-01 00:00:00
abstract::OBJECTIVE To review studies on the readability of package leaflets of medicinal products for human use. METHODS We conducted a systematic literature review between 2008 and 2013 using the keywords "Readability and Package Leaflet" and "Readability and Package Insert" in the academic search engine Biblioteca do Conheci...
journal_title:Revista de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0034-8910.2015049005559
更新日期:2015-01-01 00:00:00
abstract::OBJECTIVE To evaluate the viability of a professional specialist in intra-hospital committees of organ and tissue donation for transplantation.METHODS Epidemiological, retrospective and cross-sectional study (2003-2011 and 2008-2012), which was performed using organ donation for transplants data in the state of Sao Pa...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2015049005770
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To describe perception of family structures and understanding of a healthy family by Programa Saúde da Família (Family Health Program) team members. METHODS:Research with a qualitative approach, employing the focus group technique, and involving the Program professionals from the city of Campo Bom, Southern ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102009000100012
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVE:A case-control study of patients with pneumonia was conducted to investigate whether wheezing diseases could be a risk factor. METHODS:A random sample was taken from a general university hospital in S. Paulo City between March and August 1994 comprising 51 cases of pneumonia paired by age and sex to 51 non-r...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101997000600001
更新日期:1997-10-01 00:00:00
abstract:OBJECTIVE:To analyze maternal experiences of preeclampsia pregnancy with premature birth at a neonatal intensive care unit. METHODS:A qualitative study using the focus group technique was conducted with 28 women in a facility specialized in high-risk pregnancies in the state of Rio Grande do Norte, Northeastern Brazil...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102007000500003
更新日期:2007-10-01 00:00:00
abstract:OBJECTIVE:To analyze the consumption of ultra-processed foods in the Colombian population across sociodemographic factors. METHODS:We used data from the 2005 National Survey of the Nutritional Status in Colombia. Food consumption was assessed using a 24-hour food recall in 38,643 individuals. The food items were class...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2020054001176
更新日期:2020-02-10 00:00:00
abstract::Information on phlebotomine collections in an area with a high level of human interference, in S. Jorge do Ivaí county, Paraná State, Southern Brazil, is reported. Lutzomyia (Nyssomyia) intermedia (Lutz & Neiva, 1912) was the dominant species. The number of sandflies in domiciles decreased sharply in the second period...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101997000600011
更新日期:1997-10-01 00:00:00
abstract:OBJECTIVE:To examine the normative data of WHODAS 2.0-BO for older Brazilians (World Health Disability Assessment Schedule - Brazilian version for older people) and its distribution according to sex, age, health, subjective health perception, performance in a mobility test and presence of chronic diseases and depressio...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2019053000586
更新日期:2019-01-31 00:00:00
abstract:OBJECTIVE:To identify determinants of protein-energy malnutrition resulting in weight and linear growth deficits in children. METHODS:A cross-sectional study was carried out among 1,041 children (under two years of age) from 10 municipalities in Bahia, Northeastern Brazil, during 1999-2000. Both logistic regression an...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000600018
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVES:To evaluate the reliability, magnitude and direction of the resulting bias in the application of a screening instrument for mental disorders by considering proxy informants in comparison to primary informants. METHODS:Data are taken from a general morbidity community-based survey carried out in 520 randomly...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101997000700003
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVE:To analyze the influence of family income and food prices on the participation of fruits and vegetables in the food purchases of Brazilian households. METHODS:Data analyzed refers to the Household Budget Survey conducted by the Instituto Brasileiro de Geografia e Estatística on a probabilistic sample of 48,4...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010000600005
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVE:To assess the diversity of oviposition containers and buildings where females of Aedes albopictus and Aedes aegypti can be found. METHODS:A study was carried out in the city of Rio de Janeiro, Southern Brazil, between 2002 and 2003. Larvae in different types of buildings were investigated, and immature forms...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000700021
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:Urinalysis is an essential component of the prenatal routine, as urinary tract infections during pregnancy may lead to preterm delivery and neonatal morbidity. The objective of the study was to analyze factors associated to the solicitation of urinalysis during pregnancy. METHODS:During 2004, 4,163 women liv...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102008000300001
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:To identify the maternal characteristics and welcoming actions towards mothers of infants aged less than six months associated with early liquid offer. METHODS:Cross-sectional study performed in 2007, with a representative sample of mothers of infants aged less than six months (n=1,057), users of Primary Hea...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010005000022
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:To assess Brazilian Unified Health System outpatient services delivering care to adults living with AIDS in 2007 and to compare with the assessment conducted in 2001. METHODS:The 636 health services registered in the Ministry of Health in 2007 were invited to respond to a previously validated questionnaire (...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102013000100018
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVE:To assess the behavior of induced abortion as a function of certain demographic variables, for the population of fertile women (15 to 49 years old) residing in the Vila Madalena subdistrict S. Paulo (Brazil). MATERIAL AND METHOD:Two population samples were selected. One sample, with 996 women, investigated t...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101998000100002
更新日期:1998-02-01 00:00:00
abstract::Starting from a paper about closing the gap between sociology and medicine in Brazil and the United Kingdom that was published in 1971, a historical update was made with the aim of reflecting on the new shapes of health-related teaching and research within the social and human sciences, in these two countries. The met...
journal_title:Revista de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0034-89102009000100022
更新日期:2009-02-01 00:00:00
abstract::The distinguishing characteristics of the definitions of health promotion and health education are here examined. Two different planning frameworks, the PRECEDE-PROCEDE and the HELPSAM models are introduced. Solutions can be directed in two major directions are discussed: individual changes and organizational changes....
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101997000200016
更新日期:1997-04-01 00:00:00
abstract:OBJECTIVE:To assess spatial distribution of risks for work-related injuries controlled for nutritional variables and other covariables. METHODS:Hospital-based spatial case-control study with work-related injuries spatial distribution as the main variable of interest. A total of 794 workers were selected between May an...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102008000200014
更新日期:2008-04-01 00:00:00
abstract::The distribution and magnitude of vitamin A deficiency and dietary consumption of 161 children at 6 to 72 months of age in rural zones in Cansancao-Bahia-Brazil were evaluated. The serum retinol levels were measured by the spectrophotometric method (Bassey-Lowry modified by Araujo and Flores). The serum retinol averag...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:
更新日期:1995-08-01 00:00:00
abstract:INTRODUCTION:The results of a study which identified the cost of health interventions in the management of patients with chronic renal disease are presented. MATERIAL AND METHOD:The costing method was based on a consensus technique and the instrumentation of case management through the identification of the materials ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101998000300008
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVE:To analyze whether two simplified indices, "DMF in 6 Teeth"(DMF6T) and "DMF in two quadrants" (DMF2Q), could be indicated for epidemiological surveys of oral health according to dental caries distribution. METHODS:The sample came from epidemiological data in 29 municipalities. A total of 2,378 examinations w...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102005000200021
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the magnitude of morbidity and mortality and describe some of the characteristics of road accident victims. METHODS:The study population was composed of 3,643 victims of road accidents which occurred in Londrina, PR (Brazil), during the first semester of 1996. There were included victims from acc...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102000000200008
更新日期:2000-04-01 00:00:00