Desafios à coordenação dos cuidados em saúde: estratégias de integração entre níveis assistenciais em grandes centros urbanos

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dc.contributor.author de Almeida, Patty Fidelis
dc.contributor.author Giovanella, Lígia
dc.contributor.author Magalhães de Mendonça, Maria Helena
dc.contributor.author Escorel, Sarah
dc.date.accessioned 2012-07-03T14:40:05Z
dc.date.available 2012-07-03T14:40:05Z
dc.date.issued 2010-02
dc.identifier.citation Almeida, P. F., Giovanella, L., Magalhães de Mendonça, M. H., & Escorel, S. (2010). Desafios à coordenação dos cuidados em saúde: estratégias de integração entre níveis assistenciais em grandes centros urbanos. Cad. Saúde Pública, 26 (2): 286-298. es
dc.identifier.uri http://hdl.handle.net/10625/49661
dc.description Title and abstract provided in English en
dc.description.abstract This article analyzes the development of instruments for coordination between the Family Health Strategy and other levels in the health system, with a focus on measures to promote coordination linked to the “integration among levels of care”. The results of case studies in four large cities indicate the presence of mechanism for integration among levels of care, suggesting concern with guaranteeing comprehensive care. The principal strategies identified here were: creation and strengthening of regulatory structures in the Municipal Health Secretariats and family health units with decentralization of roles to the local level, organization of flows, electronic patient charts, and expansion in the supply of specialized services at the municipal level. However, lack of integration among different providers, insufficient formal flows for hospital care, and absence of policies for medium complexity care were detected as barriers to the guarantee of comprehensive care, making the network’s integration incomplete. en
dc.format.mimetype application/pdf
dc.language.iso pt
dc.rights.uri http://creativecommons.org/licenses/by-sa/2.5/za
dc.subject PRIMARY HEALTH CARE en
dc.subject SYSTEMS INTEGRATION en
dc.subject HEALTH SERVICES en
dc.subject HEALTH SYSTEM en
dc.subject CONTINUITY OF PATIENT CARE en
dc.subject HEALTH INFORMATION en
dc.subject URBAN AREAS en
dc.title Desafios à coordenação dos cuidados em saúde: estratégias de integração entre níveis assistenciais em grandes centros urbanos en
dc.title.alternative Challenges for healthcare coordination: strategies for integrating levels of care in large cities en
dc.type Journal Article (peer-reviewed) en
idrc.project.number 103460
idrc.project.componentnumber 103460041
idrc.project.title Teasdale-Corti Global Health Research Partnership en
idrc.copyright.holder Almeida et al.
idrc.copyright.oapermissionsource CC BY-SA 2.5 en
idrc.dspace.access Open Access en
idrc.rims.adhocgroup IDRC SUPPORTED en
dc.relation.journal Cad. Saúde Pública


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