Gestão do trabalho, da educação, da informação e comunicação na atenção básica à saúde de municípios das regiões Sul e Nordeste do Brasil Management of work, education, information, and communication in primary healthcare in cities in Southern and Northeastern Brazil
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ID: 62422
2010
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Abstract
A descentralização das ações no Sistema Único de Saúde requer competências específicas para a gestão municipal. As demandas incluem o gerenciamento de equipes de trabalho, estrutura física e tecnológica, e organização de insumos e estratégias. Por meio de inquérito epidemiológico estudou-se a gestão do trabalho, da educação, da informação e da comunicação na atenção básica à saúde de 41 municípios com mais de 100 mil habitantes das regiões Sul e Nordeste do Brasil. Evidenciou-se uma escassa profissionalização dos gestores e limitações importantes das estruturas e instrumentos de gestão. A precarização do trabalho é um problema relevante na atenção básica. A supervisão do trabalho está pouco direcionada ao planejamento e às práticas de saúde. A educação permanente de trabalhadores se limita a particularidades das ações de saúde. Geralmente, a informação em saúde no âmbito municipal se restringe à coleta e transferência de dados às esferas estadual e federal. Já a comunicação não se constitui em uma estratégia efetiva de vinculação entre gestores, trabalhadores, população e controle social.
Decentralization in Brazil's Unified National Health System is challenging the management capability at the local level. Municipalities are required to operate health teams, provide infrastructure, technology, and supplies for the health services, and organize the work process. An epidemiological survey assessed the management of work, education, information, and communication in primary care services in 41 municipalities with more than 100,000 inhabitants each in the Northeast and South of the country. Health professionals and administrators were insufficiently trained for their daily responsibilities, and the infrastructure and management tools were deficient. Precarious work contracts (lack of formal job stability) for health workers is a serious problem in Brazil's primary care system. The work supervision was weakly linked to health care and planning. Continuing education for the health team was limited, and health information focused only on collection of data to send to the State and Federal management levels. Thus far health communication has been ineffective as a tool to connect primary care managers and professionals to the population and society.
Decentralization in Brazil's Unified National Health System is challenging the management capability at the local level. Municipalities are required to operate health teams, provide infrastructure, technology, and supplies for the health services, and organize the work process. An epidemiological survey assessed the management of work, education, information, and communication in primary care services in 41 municipalities with more than 100,000 inhabitants each in the Northeast and South of the country. Health professionals and administrators were insufficiently trained for their daily responsibilities, and the infrastructure and management tools were deficient. Precarious work contracts (lack of formal job stability) for health workers is a serious problem in Brazil's primary care system. The work supervision was weakly linked to health care and planning. Continuing education for the health team was limited, and health information focused only on collection of data to send to the State and Federal management levels. Thus far health communication has been ineffective as a tool to connect primary care managers and professionals to the population and society.
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silveira2010gestocadernos
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| Authors | Silveira, Denise Silva da;Facchini, Luiz Augusto;Siqueira, Fernando Vinholes;Piccini, Roberto Xavier;Tomasi, Elaine;Thumé, Elaine;Silva, Suele Manjourany;Dilélio, Alitéia Santiago;Maia, Maria de Fátima dos Santos; |
| Journal | Cadernos de saude publica |
| Year | 2010 |
| DOI |
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| Keywords |
Medicine
public aspects of medicine
history of scholarship and learning. the humanities
architecture
urban groups. the city. urban sociology
regional planning
city planning
aesthetics of cities. city planning and beautifying
political science
electronic computers. computer science
primary health care
decentralization
health management
|
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