Advances, challenges, and prospects for the Unified Health System (SUS) resilience.

IF 1.1 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2025-02-21 DOI:10.1590/1413-81232025306.22072024

Marco Antonio Catussi Paschoalotto, Eduardo Alves Lazzari, Marcia C Castro, Rudi Rocha, Adriano Massuda

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Abstract

This study aims to present and discuss the advancements, challenges, and prospects of Brazilian UHS resilience. An exploratory and qualitative study was conducted to achieve this objective involving 30 interviews with academic experts and practitioners in the health system resilience analysis dimensions. The collected data were analyzed through inductive content analysis. The results present 32 advancements, 40 challenges, and 32 prospects of the UHS resilience divided into the following dimensions and subdimensions: Governance - leadership, politics, and regulatory complex; Financing - generation and allocation; Resources - workforce, infrastructure, medicines, and information technology; Service delivery - primary care and specialized care; and Context - social determinants of health. Therefore, these results show the UHS's resilience in the last two significant external shocks - the political and COVID-19 pandemic - and point out aspects to be implemented, monitored, and evaluated by public health managers in the future.

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统一卫生系统（SUS）弹性的进展、挑战和前景。

本研究旨在介绍和讨论巴西UHS复原力的进展、挑战和前景。为实现这一目标，开展了一项探索性和定性研究，涉及对卫生系统弹性分析维度的学术专家和从业人员的30次访谈。对收集到的数据进行归纳性内容分析。结果显示了UHS弹性的32个进展，40个挑战和32个前景，分为以下维度和子维度：治理-领导，政治和监管综合体；融资-产生和分配；资源——劳动力、基础设施、药品和信息技术；提供服务——初级保健和专门保健；环境——健康的社会决定因素。因此，这些结果显示了UHS在最近两次重大外部冲击（政治和COVID-19大流行）中的复原力，并指出了公共卫生管理人员未来需要实施、监测和评估的方面。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.60

自引率

11.80%

发文量

533

审稿时长

12 weeks

期刊介绍： Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.