Nelson Ibañez

Atenção básica e dinâmica urbana nos grandes municípios paulistas, Brasil

The Baseline Studies on the Project for Expansion and Consolidation of the Family Health Strategy created primary health care indicators and models for the 62 municipalities with more than 100,000 inhabitants in Sao Paulo State, Brazil, and identified varying patterns for these indicators and models in relation to different urban dynamics in the State. The studies showed the need to reflect on health in relation to urban land use. The main objective was to gain a better understanding of how urban dynamics influence the health systems profile, organization, and operation, based on which it was possible to extract some hypotheses and discussions regarding how urbanization in Sao Paulo State creates challenges for the expansion and consolidation of primary health care and the Family Health Program in these municipalities.

Um olhar histórico sobre a questão regional e os serviços básicos de saúde no Estado de São Paulo

Com notavel vigor, nos ultimos anos, o debate da saude publica brasileira tem sedimentado a ideia de que a organizacao regional da atencao primaria a saude e um passo inicial obrigatorio para a consecucao dos principios da universalidade, equidade e integralidade do Sistema Unico de Saude (SUS). Ideario que contrapoe em definitivo o peso historico mobilizado pela descentralizacao como essencia do processo de organizacao dos servicos nos estados, mas explicita a insuficiencia do modelo burocratico de gestao e dos papeis classicos das instâncias governamentais, com reflexo particular na aptidao gerencial das Secretarias de Estado da Saude. Sendo assim, este artigo busca contribuir com uma visao historica geral da trajetoria, as concepcoes, as mudancas gerenciais e o papel da instância estadual na conformacao da organizacao regional e dos servicos basicos de saude no estado de Sao Paulo. Sob o referencial da historia do discurso e balizado pela introducao do modelo dos centros de saude distritais nos anos 1920 como origem mais remota do discurso contemporâneo da atencao basica, o texto se estrutura sobre a identificacao de quatro fases dinâmicas, marcadas por reformas que alteram de modo incisivo a questao regional e dos servicos basicos no estado.

Development policy for the Brazilian health industry and qualification of national public laboratories

As inovações tecnológicas jogam papel decisivo no processo de desenvolvimento das sociedades, visto que contribuem para gerar crescimento econômico e bem-estar da população. O Estado possui grande importância e centralidade nesse processo, pois pode induzir fortemente o comportamento, as estratégias e as decisões relativas à inovação. O presente artigo tem por objetivo investigar a atual política de desenvolvimento produtivo em saúde no Brasil e seus reflexos sobre a capacitação dos laboratórios públicos nacionais. Para essa finalidade, contextualiza os diferentes ciclos de interação entre a política de saúde e a sua base produtiva, discute a estratégia do governo brasileiro para o desenvolvimento, a transferência e a absorção de tecnologia na área da saúde (as parcerias para o desenvolvimento produtivo) e apresenta duas parcerias vigentes envolvendo laboratórios públicos para a produção de medicamentos e vacinas.

Unidades de Pronto Atendimento (UPAs): características da gestão às redes de atenção no Paraná

As Unidades de Pronto Atendimento (UPAs) sao classificadas, segundo a Politica Nacional de Atencao as Urgencias, de acordo com a capacidade fisica instalada, o numero de leitos disponiveis, gestao de pessoas e a capacidade diaria de realizar os atendimentos medicos. Objetivou-se identificar as caracteristicas estruturais e de planejamento do servico das UPAs as redes de atencao no Parana. E um estudo de casos com entrevistas semiestruturadas com os coordenadores das UPAs, realizadas em 2012. Os dados foram armazenados e analisados em frequencias absolutas e relativas. As UPAs necessitam estar integradas em uma politica de Redes de Atencao a Saude para ampliar a sua resolutividade.

Workforce management in Emergency Care Units: government strategies and profile of healthcare professionals

In the late 2000s, the expansion of Emergency Care Units (UPAs) in Brazils policy for provision of urgent healthcare included hiring a large contingent of health professionals. This article analyzes government strategies for workforce management and the profile of these professionals in the UPAs in the State of Rio de Janeiro, which has the largest number of such units in the country. The methods included document analysis, interviews with managers, and visits to the UPAs and interviews with coordinators, physicians, and nurses. The results showed that the workforce management strategies varied over time and according to administrative sphere (state versus municipal). The so-called Social Organizations became the main hirers of health professionals in the UPAs, since they allowed management flexibility. However, there were problems with selection and stability, with a predominance of young professionals with limited experience and high physician turnover. Instability associated with outsourced hiring reinforced the view of work at the UPA as a temporary job.In the late 2000s, the expansion of Emergency Care Units (UPAs) in Brazil’s policy for provision of urgent healthcare included hiring a large contingent of health professionals. This article analyzes government strategies for workforce management and the profile of these professionals in the UPAs in the State of Rio de Janeiro, which has the largest number of such units in the country. The methods included document analysis, interviews with managers, and visits to the UPAs and interviews with coordinators, physicians, and nurses. The results showed that the workforce management strategies varied over time and according to administrative sphere (state versus municipal). The so-called Social Organizations became the main hirers of health professionals in the UPAs, since they allowed management flexibility. However, there were problems with selection and stability, with a predominance of young professionals with limited experience and high physician turnover. Instability associated with outsourced hiring reinforced the view of work at the UPA as a temporary job.

Gestão do trabalho nas Unidades de Pronto Atendimento: estratégias governamentais e perfil dos profissionais de saúde

In the late 2000s, the expansion of Emergency Care Units (UPAs) in Brazils policy for provision of urgent healthcare included hiring a large contingent of health professionals. This article analyzes government strategies for workforce management and the profile of these professionals in the UPAs in the State of Rio de Janeiro, which has the largest number of such units in the country. The methods included document analysis, interviews with managers, and visits to the UPAs and interviews with coordinators, physicians, and nurses. The results showed that the workforce management strategies varied over time and according to administrative sphere (state versus municipal). The so-called Social Organizations became the main hirers of health professionals in the UPAs, since they allowed management flexibility. However, there were problems with selection and stability, with a predominance of young professionals with limited experience and high physician turnover. Instability associated with outsourced hiring reinforced the view of work at the UPA as a temporary job.In the late 2000s, the expansion of Emergency Care Units (UPAs) in Brazil’s policy for provision of urgent healthcare included hiring a large contingent of health professionals. This article analyzes government strategies for workforce management and the profile of these professionals in the UPAs in the State of Rio de Janeiro, which has the largest number of such units in the country. The methods included document analysis, interviews with managers, and visits to the UPAs and interviews with coordinators, physicians, and nurses. The results showed that the workforce management strategies varied over time and according to administrative sphere (state versus municipal). The so-called Social Organizations became the main hirers of health professionals in the UPAs, since they allowed management flexibility. However, there were problems with selection and stability, with a predominance of young professionals with limited experience and high physician turnover. Instability associated with outsourced hiring reinforced the view of work at the UPA as a temporary job.

Gestión del trabajo en las unidades de atención de urgencias: estrategias gubernamentales y perfil de los profesionales de salud

In the late 2000s, the expansion of Emergency Care Units (UPAs) in Brazils policy for provision of urgent healthcare included hiring a large contingent of health professionals. This article analyzes government strategies for workforce management and the profile of these professionals in the UPAs in the State of Rio de Janeiro, which has the largest number of such units in the country. The methods included document analysis, interviews with managers, and visits to the UPAs and interviews with coordinators, physicians, and nurses. The results showed that the workforce management strategies varied over time and according to administrative sphere (state versus municipal). The so-called Social Organizations became the main hirers of health professionals in the UPAs, since they allowed management flexibility. However, there were problems with selection and stability, with a predominance of young professionals with limited experience and high physician turnover. Instability associated with outsourced hiring reinforced the view of work at the UPA as a temporary job.In the late 2000s, the expansion of Emergency Care Units (UPAs) in Brazil’s policy for provision of urgent healthcare included hiring a large contingent of health professionals. This article analyzes government strategies for workforce management and the profile of these professionals in the UPAs in the State of Rio de Janeiro, which has the largest number of such units in the country. The methods included document analysis, interviews with managers, and visits to the UPAs and interviews with coordinators, physicians, and nurses. The results showed that the workforce management strategies varied over time and according to administrative sphere (state versus municipal). The so-called Social Organizations became the main hirers of health professionals in the UPAs, since they allowed management flexibility. However, there were problems with selection and stability, with a predominance of young professionals with limited experience and high physician turnover. Instability associated with outsourced hiring reinforced the view of work at the UPA as a temporary job.

La política de desarrollo productivo en salud en Brasil y la cualificación de los laboratorios públicos nacionales

As inovações tecnológicas jogam papel decisivo no processo de desenvolvimento das sociedades, visto que contribuem para gerar crescimento econômico e bem-estar da população. O Estado possui grande importância e centralidade nesse processo, pois pode induzir fortemente o comportamento, as estratégias e as decisões relativas à inovação. O presente artigo tem por objetivo investigar a atual política de desenvolvimento produtivo em saúde no Brasil e seus reflexos sobre a capacitação dos laboratórios públicos nacionais. Para essa finalidade, contextualiza os diferentes ciclos de interação entre a política de saúde e a sua base produtiva, discute a estratégia do governo brasileiro para o desenvolvimento, a transferência e a absorção de tecnologia na área da saúde (as parcerias para o desenvolvimento produtivo) e apresenta duas parcerias vigentes envolvendo laboratórios públicos para a produção de medicamentos e vacinas.

A política de desenvolvimento produtivo da saúde e a capacitação dos laboratórios públicos nacionais

As inovações tecnológicas jogam papel decisivo no processo de desenvolvimento das sociedades, visto que contribuem para gerar crescimento econômico e bem-estar da população. O Estado possui grande importância e centralidade nesse processo, pois pode induzir fortemente o comportamento, as estratégias e as decisões relativas à inovação. O presente artigo tem por objetivo investigar a atual política de desenvolvimento produtivo em saúde no Brasil e seus reflexos sobre a capacitação dos laboratórios públicos nacionais. Para essa finalidade, contextualiza os diferentes ciclos de interação entre a política de saúde e a sua base produtiva, discute a estratégia do governo brasileiro para o desenvolvimento, a transferência e a absorção de tecnologia na área da saúde (as parcerias para o desenvolvimento produtivo) e apresenta duas parcerias vigentes envolvendo laboratórios públicos para a produção de medicamentos e vacinas.