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Healthcare regions and their care networks: an organizational-systemic model for SUS

机译:医疗保健区域及其医疗网络:SUS的组织系统模型

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摘要

This paper describes a comprehensive effort to develop studies regarding Brazila??s Unified Healthcare System (SUS), as a result of the combination of public services in a network that follows a region-based rationale (tripartite organization). The SUS emerges from such an integration and should be organized as such. The intention is to demonstrate that this type of organization is essential, given that Brazil is organized as a Federation, and all three governmental levels are, in a broad sense, equally responsible for healthcare. Healthcare services and actions are a complex set of activities that are interconnected on behalf of citizen health, which is a global concept that cannot be split up. Services must follow this rationale and be organized as such. Thus, healthcare services must be systematically organized to serve everyone equally, regardless of where a citizen lives. This systemic organization requires permanent interaction between federative units to discuss and operationalize reference services, funding and other technical and administrative aspects. These are the essential elements that make the SUS so complex and demand it be organized regionally, as a network of healthcare services.
机译:本文描述了一项全面的工作,旨在开发有关巴西的统一医疗保健系统(SUS)的研究,这是基于遵循区域性基本原理(三方组织)的网络中公共服务组合的结果。 SUS是从这样的集成中诞生的,因此应该这样组织。这样做的目的是证明这种组织是必不可少的,因为巴西是联邦组织,从广义上讲,所有三个政府级别对医疗保健均负有同等责任。医疗保健服务和行动是代表公民健康而相​​互关联的一系列复杂活动,这是一个不可分割的全球概念。服务必须遵循此基本原理,并因此进行组织。因此,必须有条不紊地组织医疗保健服务,以平等地为每个人提供服务,无论公民居住在哪里。这个系统性组织要求联邦单位之间进行永久性互动,以讨论和实施参考服务,资金以及其他技术和行政方面。这些是使SUS变得如此复杂并要求将其作为医疗服务网络进行区域组织的基本要素。

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