Olímpio J. Nogueira V. Bittar

Organizações sociais de saúde: o modelo do Estado de São Paulo

The experience with a new model of public health services management, introduced in the Sao Paulo State is analyzed in this paper based on the characterization of the specificity of the law that referring to the creation of Social Organizations of Health. It has still as a referential the state management of the Single Health System given by the antecedents and actual situation. The data showed were collected from reports produced by the technical team responsible by the agreement between the Health Secretary of State and the Public Health Faculty ¾ Sao Paulo University. The results achieved showed from the fixed aim in the management agreement, by the Secretary, for the first year of activity a satisfactory performance by the Social Organizations of Health. The paper discuss the perspectives of a new model and the actual politics, taking in care the threatens and opportunities. The authors distinguish aspects related to a new regulation linked to process, results and systems since health regional demand.

Cirurgia de revascularização miocárdica: resultados do Sistema Único de Saúde

FUNDAMENTO: A cirurgia de revascularizacao do miocardio (CRM) e a cirurgia cardiaca mais frequentemente praticada no pais, sendo a maior parte realizada pelo Sistema Unico de Saude (SUS). OBJETIVO: Avaliar os resultados da CRM, nao associada a outros procedimentos. METODOS: Analisaram-se as informacoes do banco de dados SIH/DATASUS, disponibilizado on-line. Esse banco de dados contem informacoes relativas a: sexo, idade, permanencia hospitalar, valor da autorizacao de internacao hospitalar (AIH), numero de cirurgias realizadas por hospital e mortalidade hospitalar. Avaliaram-se apenas as CRM realizadas sem procedimentos associados. RESULTADOS: Entre 2005 e 2007 foram realizadas 63.529 cirurgias em 191 hospitais. Foram excluidos 16 hospitais de muito baixo volume cirurgico, restando 63.272 cirurgias para analise final. A mortalidade hospitalar total foi de 6,22%, sendo maior nos hospitais de pequeno volume do que nos de grande volume (> 300 cirurgias no periodo), 7,29% versus 5,77% (p 65 anos), 4,21% versus 9,36% (p<0,001). Encontrou-se uma pequena variacao no valor da AIH entre a regiao Sul, R

Myocardial revascularization surgery (MRS): results from National Health System (SUS)

7.214,63 e Nordeste, R

Consequences of the Prolonged Waiting Time for Patients Candidates for Heart Surgery

6.572,03 (p<0,01). A distribuicao regional de cirurgias foi desigual, Sul e Sudeste concentram 77% delas. CONCLUSAO: A CRM realizada pelo SUS tem mortalidade maior nos hospitais de baixo volume, nas mulheres e nos idosos. Futuros estudos prospectivos se fazem necessarios.BACKGROUND Myocardial revascularization surgery (MRS) is the most common surgery in this country, with most being performed through the National Health System(SUS). OBJECTIVES To assess MRS results when not associated to other procedures. METHODS The information from the Hospital Information System (SIH/DATASUS) made available online was submitted to analysis. The data include information on gender, age, hospital stay period, hospital admission authorization (AIH) costs, number of surgeries at each hospital, and in-hospital mortality rate. Only MRS with no associated procedures were analyzed. RESULTS A total of 63,529 surgeries were performed in the period between 2005 and 2007 at 191 hospitals. Sixteen hospitals reporting very low surgery volume were excluded. The remaining total number of surgeries came down to 63,272 for the final analysis. In-hospital mortality rate was 6.22%, with small surgery volume hospitals reporting higher rate than high volume hospitals (>or=300 surgeries in the time period under study), 7.29% versus 5.77% (p<0.001). Average hospital stay time length was 12 days, with no difference having been reported between low (12.08+/-5.52) and high volume (12.15+/-7.70) hospitals. Males reported lower mortality rate than females - 5.20% versus 8.25% (p<0.001), similarly to younger individuals when compared to the elderly (>or= 65 years of age), 4.21% versus 9.36% (p<0.001). A slight variation was observed in AIH values between the Southern Region (R

Produtividade em hospitais de ensino no estado de São Paulo, Brasil

7.214,63 - approximately US

Distribuiçäo dos recursos humanos em oito hospitais gerais de Säo Paulo

3,600.00) and the Northeastern Region (R

Cirugía de revascularización miocárdica: resultados del Sistema Único de Salud

6.572,03 - approximately US

Conseqüências do prolongamento do tempo de espera em pacientes candidatos à cirurgia cardiáca

3,280.00) (p<0.01). Regional distribution of surgeries was not comparable in all regions in the country, with Southern and Southeastern Regions having reported 77% of them. CONCLUSION MRS performed by SUS has reported high mortality rate in low volume hospitals, among women, and among the elderly. Future prospective studies are deemed to be necessary.

Funcionários por leito: estudo em alguns hospitais públicos e privados

FUNDAMENTO: A cirurgia de revascularizacao do miocardio (CRM) e a cirurgia cardiaca mais frequentemente praticada no pais, sendo a maior parte realizada pelo Sistema Unico de Saude (SUS). OBJETIVO: Avaliar os resultados da CRM, nao associada a outros procedimentos. METODOS: Analisaram-se as informacoes do banco de dados SIH/DATASUS, disponibilizado on-line. Esse banco de dados contem informacoes relativas a: sexo, idade, permanencia hospitalar, valor da autorizacao de internacao hospitalar (AIH), numero de cirurgias realizadas por hospital e mortalidade hospitalar. Avaliaram-se apenas as CRM realizadas sem procedimentos associados. RESULTADOS: Entre 2005 e 2007 foram realizadas 63.529 cirurgias em 191 hospitais. Foram excluidos 16 hospitais de muito baixo volume cirurgico, restando 63.272 cirurgias para analise final. A mortalidade hospitalar total foi de 6,22%, sendo maior nos hospitais de pequeno volume do que nos de grande volume (> 300 cirurgias no periodo), 7,29% versus 5,77% (p 65 anos), 4,21% versus 9,36% (p<0,001). Encontrou-se uma pequena variacao no valor da AIH entre a regiao Sul, R

Inúmeros números do planejamento de saúde

7.214,63 e Nordeste, R