integralidade da atenção e integração de serviços de saúde: desafios para avaliar a implantação de um "sistema sem muros" comprehensive health care and integrated health services: challenges for evaluating the implementation of a "system without walls"

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ID: 133643
2004
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Abstract
Neste texto, partimos do pressuposto de que a integralidade da atenção é um eixo prioritário da investigação e avaliação dos serviços e sistemas de saúde, estruturados como redes assistenciais interorganizacionais que articulam dimensões clínicas, funcionais, normativas e sistêmicas em sua operacionalização, reconhecendo que nenhuma organização reúne a totalidade dos recursos e competências necessárias para a solução dos problemas de saúde de uma população, em seus diversos ciclos de vida. Em virtude da complexidade desse "sistema sem muros", que elimina as barreiras de acesso entre os diversos níveis de atenção, em resposta às necessidades de saúde nos âmbitos local e regional, julgamos oportuno compartilhar algumas "lições preliminares" aprendidas em experiências pessoais e na literatura sobre a integração de serviços, que nos parecem de interesse comum aos pesquisadores e gestores comprometidos com a sua implantação.
The premise of this paper is that comprehensive health care is a major component in the investigation and evaluation of health services and systems, structured as inter-organizational health care networks articulating clinical, functional, normative, and systemic dimensions in their operationalization and based on the understanding that no organization combines all the necessary resources and capabilities to solve the health problems of a population with its various life cycles. Given the complex nature of this "system without walls", eliminating barriers to access in the various health care levels in response to local and regional health, we take this opportunity to share a few "preliminary lessons" from our experience and from the literature on integrated health services which may interest researchers and managers concerned with the implementation of such services.
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hartz2004cadernosintegralidade Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Zulmira M. de Araújo Hartz, André-Pierre Contandriopoulos
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Journal iberian conference on information systems and technologies, cisti
Year 2004
DOI
10.1590/S0102-311X2004000800026
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2004000800026
Keywords
health services systems integrationmedicinepublic aspects of medicine

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