Maria do Socorro Veloso de Albuquerque

Acessibilidade aos serviços de saúde: uma análise a partir da Atenção Básica em Pernambuco

Analisou-se a acessibilidade aos servicos de saude de Atencao Basica em Pernambuco e os aspectos que favorecem ou dificultam a entrada e a permanencia do usuario no sistema de saude. Trata-se de estudo descritivo de corte transversal com base nos dados do PMAQ-AB. Observou-se a expansao da Atencao Basica com acessibilidade geografica. Porem, as unidades ainda apresentam dificuldades na acessibilidade socio-organizacional: barreiras arquitetonicas para acesso a pessoas com deficiencia e idosos; o acolhimento nao impactou a reorganizacao das acoes programadas; as centrais de regulacao sao insuficientes para garantir o acesso; incipiente resolutividade no apoio diagnostico e nos procedimentos/cirurgias..

Acesso e qualidade: avaliação das Equipes de Saúde Bucal participantes do PMAQ-AB 2012 em Pernambuco

Avaliou-se o acesso e a qualidade das acoes e servicos das Equipes de Saude Bucal participantes do Programa Nacional para Melhoria do Acesso e da Qualidade da Atencao Basica em Pernambuco no ano de 2012. Trata-se de um estudo transversal e descritivo em que se utilizou a base de dados do referido Programa. Foi constatada disponibilidade de equipamentos e insumos odontologicos garantindo a realizacao de procedimentos clinico-cirurgicos, com excecao dos referentes a protese dentaria. Dificuldades para marcacao de consulta ainda sao relatadas pelos usuarios e ainda ha indefinicao dos fluxos de referencia e contrarreferencia para os servicos especializados.

Social and economic impacts of congenital Zika syndrome in Brazil: Study protocol and rationale for a mixed-methods study

Global concern broke out in late 2015 as thousands of children in Brazil were born with microcephaly, which was quickly linked to congenital infection with Zika virus (ZIKV). ZIKV is now known to cause a wider spectrum of severe adverse outcomes-congenital Zika syndrome (CZS)-and also milder impairments. This study aimed to explore the social and economic impacts of CZS in Brazil. Data was collected through mixed methods across two settings: Recife City and Jaboatão dos Guararapes in Pernambuco State (the epicentre of the epidemic), and the city of Rio de Janeiro (where reports of ZIKV infection and CZS were less frequent). Data was collected May 2017-January 2018. Ethical standards were adhered to throughout the research. In-depth qualitative interviews were conducted with: mothers and other carers of children with CZS (approximately 30 per setting), pregnant women (10-12 per setting), men and women of child-bearing age (16-20 per setting), and health professionals (10-12 per setting). Thematic analysis was undertaken independently by researchers from at least two research settings, and these were shared for feedback. A case-control study was undertaken to quantitatively explore social and economic differences between caregivers of a child with CZS (cases) and caregivers with an unaffected child (controls). We aimed to recruit 100 cases and 100 controls per setting, from existing studies. The primary caregiver, usually the mother, was interviewed using a structured questionnaire to collect information on: depression, anxiety, stress, social support, family quality of life, health care and social service use, and costs incurred by families. Multivariable logistic regression analyses were used to compare outcomes for cases and controls. Costs incurred as a result of CZS were estimated from the perspective of the health system, families and society. Modelling was undertaken to estimate the total economic burden of CZS from those three perspectives.

Contratualização em saúde: arena de disputa entre interesses públicos e privados

This research analyzed the public-private composition in the municipal health network and aspects of the contracting/outsourcing process for services over the period from 2001 to 2008. The research method used was a case study with documentary research and interviews. The interviewees were former secretaries of health, directors of regulation and district managers. The categories of analysis used were public funds, care networks and public control. The results showed that the contracting was restricted to philanthropic units. With respect to the other private establishments linked to the public care network, non-compliance with programmatic aspects was detected, such as the lack of regulation of bidding processes required for contracting. Management authorities did not actively pursue building up state public services, or the formation of care networks. The contracted establishments conducted their activities without effective external and internal control mechanisms, which are paramount for the proper use of public resources. The authors conclude that the contracting process does not significantly alter the standard of buying and selling of services and indeed does not enhance the empowering process of the role of the public domain.This research analyzed the public-private composition in the municipal health network and aspects of the contracting/outsourcing process for services over the period from 2001 to 2008. The research method used was a case study with documentary research and interviews. The interviewees were former secretaries of health, directors of regulation and district managers. The categories of analysis used were public funds, care networks and public control. The results showed that the contracting was restricted to philanthropic units. With respect to the other private establishments linked to the public care network, non-compliance with programmatic aspects was detected, such as the lack of regulation of bidding processes required for contracting. Management authorities did not actively pursue building up state public services, or the formation of care networks. The contracted establishments conducted their activities without effective external and internal control mechanisms, which are paramount for the proper use of public resources. The authors conclude that the contracting process does not significantly alter the standard of buying and selling of services and indeed does not enhance the empowering process of the role of the public domain.