A gestão da atenção às urgências e o protagonismo federal

作者: Gisele O'Dwyer

DOI: 10.1590/S1413-81232010000500014

关键词: Resource (project management)FacilitatorAllocative efficiencyState (polity)CentralityFederal fundsLegitimacyMedicineProfessional developmentPublic administration

摘要: Attention to the emergency care has been criticized, and since 2002 Brazilian State assumed efforts standardize level of attention. It was proposed analysis documents acts based on Structuration Theory that considers mobilization allocative authoritarian resources as dimensions structure in interaction, which would justify legitimacy exercised establishment regulations. The National Emergency Plan (PNAU) had guides: federal funding, regionalization, professional education, management by urgency committees, expansion network. identified density documental proposals facilitator trend structural resource, innovative due regionalization responsibilization presented several actors alleged centrality user. financing SUS, despite its persistent state embarrassment, no coercive action technology investment. Under current administration there a vigorous structuring network, made strong inflow funds. committees should be investigated points out how fragile labor is.

参考文章(18)
E.A. McGugan, W. Morrison, Primary Care or A&E? a Study of Patients Redirected from an Accident & Emergency Department: Scottish Medical Journal. ,vol. 45, pp. 144- 147 ,(2000) , 10.1177/003693300004500505
Luciana Dias de Lima, Carla Lourenço Tavares de Andrade, Health financing conditions in large cities in Brazil Cadernos De Saude Publica. ,vol. 25, pp. 2237- 2248 ,(2009) , 10.1590/S0102-311X2009001000014
Gisele Oliveira O'Dwyer, Sergio Pacheco de Oliveira, Marismary Horsth de Seta, Evaluation of emergency services of the hospitals from the QualiSUS program Ciencia & Saude Coletiva. ,vol. 14, pp. 1881- 1890 ,(2009) , 10.1590/S1413-81232009000500030
Gisele O´Dwyer, Isabela Escórcio Augusto da Matta, Vera Lucia Edais Pepe, Avaliação dos serviços hospitalares de emergência do estado do Rio de Janeiro Ciencia & Saude Coletiva. ,vol. 13, pp. 1637- 1648 ,(2008) , 10.1590/S1413-81232008000500027
Ruben Araujo de Mattos, Princípios do Sistema Único de Saúde (SUS) e a humanização das práticas de saúde Interface - Comunicação, Saúde, Educação. ,vol. 13, pp. 771- 780 ,(2009) , 10.1590/S1414-32832009000500028
Jairnilson Silva Paim, Carmen Fontes Teixeira, Configuração institucional e gestão do Sistema Único de Saúde: problemas e desafios Ciencia & Saude Coletiva. ,vol. 12, pp. 1819- 1829 ,(2007) , 10.1590/S1413-81232007000700005
Sandro Scarpelini, A ORGANIZAÇÃO DO ATENDIMENTO ÀS URGÊNCIAS E TRAUMA Medicina (Ribeirão Preto. Online). ,vol. 40, pp. 315- 320 ,(2007) , 10.11606/ISSN.2176-7262.V40I3P315-320
Tatiana Wargas de Faria Baptista, Análise das portarias ministeriais da saúde e reflexões sobre a condução nacional da política de saúde Cadernos De Saude Publica. ,vol. 23, pp. 615- 626 ,(2007) , 10.1590/S0102-311X2007000300020
Roberto José Bittencourt, Virginia Alonso Hortale, Interventions to solve overcrowding in hospital emergency services: a systematic review. Cadernos De Saude Publica. ,vol. 25, pp. 1439- 1454 ,(2009) , 10.1590/S0102-311X2009000700002
Maria Cecília de Souza Minayo, Suely Ferreira Deslandes, Análise da implantação do sistema de atendimento pré-hospitalar móvel em cinco capitais brasileiras Cadernos De Saude Publica. ,vol. 24, pp. 1877- 1886 ,(2008) , 10.1590/S0102-311X2008000800016