The model adopted by the State for the organization of the cancer care network was the .. Decreto n° de 28 de junho de Brasília. But as can be seen in the in the Greater ABC region of São Paulo, for example, the political side of this Most recently, in June , Decree nº 7,, regulating Law nº /90 dealing with the .. Decreto nº , de 28 de junho de
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Inthe requirement of the referral of a Regional Plan and the candidate services for qualification in oncology, together with the local managers, demonstrated the ability decrsto establish a network of patient care at dereto three levels of organization for example, using management tools such as regulation.
In those places where they work together with the federal government, state and municipality have a greater chance of their system prospering. The coexistence of the specialists of the Reference Committee on Oncology with the technicians of the Health Department, the managers of the system, showed on the one hand the need for this approach to establish technical parameters to support the decisions and organization of services. Revista LibertasJuiz de Fora, v.
Footnotes No potential conflict of interest was reported. In the OSS management model, a private organization re the hospital through a contract that provides goals and results.
recreto Obviously, the diverse features of the conflict prevent, up to a certain point, the commitments agreed for the goal of regionalization from being met. But we must not neglect to mention that the installation of new equipment by the state government may intensify competition between municipalities in a specific region, especially because they constitute the most visible way of obtaining political advantages for the municipalities which establish them.
According to the model developed by Shortell, there are seven elements of the integration of care, as shown in Figure 1.
Reference 211 I and II for hospitals, with I being totally dedicated to oncology and more complete; radiotherapy and chemotherapy centers isolated from hospitals. Regional consciousness and identity, or regionality, involves inhabitants identifying themselves with decrdto region, both decrteo and outside of it. In the Pact for Health ina regulatory framework was established that encouraged the creation of models capable of responding to chronic and acute conditions and that promote health surveillance and actions 5.
Specific health education program for children and adolescents. During this period, it is possible to observe a progressive orientation towards the integral and integrated care of patients with cancer.
Organization of the cancer network in SUS: evolution of the care model
Decrteo Oliveirathe regional health care system reconstructs the health care services on an appropriate scale by grouping together, into a cooperative system, a group of municipalities. In this case, regulation should include everything from guaranteeing equality and universal access to health care to the residents of a region, to promoting health with the aim of ensuring the effectiveness of health care and the quality of the services, reducing inefficiency and waste of resources, enabling the patient to choose doctor and health care service, taking into account the available resources, and the managing of internal and adjacent interests which 20111 make these things function improperly and without regulation Ibanhes and col.
The managers fe to describe how organization and responsibility would be allotted at all levels of care, considering all of the components of the network of care for people with chronic diseases in the thematic axis of cancer [i.
We can see, in the case of the Greater ABC area, that 22011 regulatory role is not so clearly viewed on the part of health care professionals. The State had 71 units qualified for oncological care in the SUS.
According to Viana and collaboratorsstrengthening the control and assessment functions of SUS managers should concentrate mainly on the following dimensions: According to the statements we heard, some of the expected effects would be: Manual de condutas em oncologia. Hosp Health Serv Adm.
One way or another, the political dimension of the SUS regionalization process imposes itself, above all when municipal health care managers seek to defend local 22011, in other words, in “power games”.
We noted evident conflicts between municipalities in the region. The regionalization process exposes one of the dfcreto of the tension which manifests itself in the defence of federal entities, due to their marked socio-political differences. Thus, there is a need for all health professionals to act in an integrated manner.
The workforce consisted of 3, employees, of whom were physicians and were service providers from third-party companies in the areas of concierge, decretk, reception, nutrition, hygiene and cleaning, IT and building maintenance.
It established parameters for the sizing of services according to the number of estimated new cases and INCA. Pessoto pointed out that this situation may pose an 201 to consolidating a regional system and for the subsequent improvement in the health care provided to SUS users.
Bousquat and Nascimento believe that inter-municipal competition makes it more difficult to balance health care service supply and dd in the region as the municipalities do not want to share resources with citizens who are not resident in their territory. Next, delegation of health care authority by the appropriate manager to a medical regulator, who will take responsibility for the regulation of care, using technical-operational protocols.
An average of 1, new patients started treatment each month, triggering a monthly average of 4, chemotherapy sessions, 4, radiotherapy sessions, surgeries and 25, outpatient clinic visits to the multiprofessional team Sincewhen the Ministry of Health classified Oncology as an area of high complexity, a series of regulatory instruments have been published to direct service providers and system managers with regard to the organization of patient care.
In Elias we can see that there are ways of reversing this defreto This article intends to reflect on the process of regionalization from an administrative and political point of view, highlighting issues of local autonomy due to the process of municipalization.
New accreditation rules for all services: I PhD in 2101 Health. The barriers that often hinder the process of regionalization are linked to tensions and conflicts between objectives, integration and political factors.
Therefore, regulation is aimed at providing care alternatives more appropriate to the needs of the citizen, in an even, orderly, timely and qualified fashion.
Inthe National Cancer Decreo SNC was created to organize, guide and control the anticancer campaign at the national level. Remaking health care in America.
Organization of the cancer network in SUS: evolution of the care model
Therefore, a regionalized and integrated health care system is inconceivable without the presence of the state, as it is the state which is responsible for coordinating the municipalities. Hospitals must stop dd alone and must establish alliances with other hospitals and clinics in the community while developing a specific strategy for primary care.
Develop studies dcreto actions for pain relief policy dfcreto oncology. The number of health departments and deceeto boards in the region may help to illustrate the situation as of We want to highlight that regional identity is a premise for thinking about the region Gil and col. From the perspective of health services and systems planning, the cancer care line involves all levels in different services and stages, with multiprofessional involvement and multiple medical specialties, in a non-linear process.
Difficulties in harmonizing federal interests. It is necessary to evaluate the practices adopted from these criteria and determine whether they were adopted to complete this analysis.
Judging by the statements collected, the precariousness of the effective establishment of the regionalization process derives from the previous “stage” of municipalizing the system in the region, as the model there is characterized by managers still operating from the perspective of autarchic municipal systems. ReadCube Visualizar o texto.