Management strategies to expand access to supply of specialized services in the municipality of Rio de Janeiro, Brazil, between 2021 and 2024.

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2025-02-12 DOI:10.1590/1413-81232025307.18862024
Fernanda Adães Britto, André Luis Paes Ramos, Audrey Fischer, Paula Bortolon
{"title":"Management strategies to expand access to supply of specialized services in the municipality of Rio de Janeiro, Brazil, between 2021 and 2024.","authors":"Fernanda Adães Britto, André Luis Paes Ramos, Audrey Fischer, Paula Bortolon","doi":"10.1590/1413-81232025307.18862024","DOIUrl":null,"url":null,"abstract":"<p><p>This study is to describe the management models adopted by the capital city of Rio de Janeiro in the area of health units between 2021 and 2024. An ecological, time-series, descriptive study was carried out using public data from official systems and documentary analysis of formal partnership instruments signed by the Municipality of Rio de Janeiro. The results were presented by identifying the problem situation for each level of care and the alternative management model adopted by the Direct Administration. The evolution of health indicators during the period of change in management was analyzed. The Social Health Organizations model was resumed in the management of all Primary Health Care (PHC) units, with a return to PHC coverage and complete teams. In specialized care, Civil Society Oganizations were hired to set up surgical specialty centers in hospital units, with a five-fold increase in the number of surgeries offered. In hospital care, two models have gained prominence: the Municipal Public Company and the Public-Private Partnership.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e18862024"},"PeriodicalIF":1.2000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ciencia & saude coletiva","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1590/1413-81232025307.18862024","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/12 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

Abstract

This study is to describe the management models adopted by the capital city of Rio de Janeiro in the area of health units between 2021 and 2024. An ecological, time-series, descriptive study was carried out using public data from official systems and documentary analysis of formal partnership instruments signed by the Municipality of Rio de Janeiro. The results were presented by identifying the problem situation for each level of care and the alternative management model adopted by the Direct Administration. The evolution of health indicators during the period of change in management was analyzed. The Social Health Organizations model was resumed in the management of all Primary Health Care (PHC) units, with a return to PHC coverage and complete teams. In specialized care, Civil Society Oganizations were hired to set up surgical specialty centers in hospital units, with a five-fold increase in the number of surgeries offered. In hospital care, two models have gained prominence: the Municipal Public Company and the Public-Private Partnership.

在2021年至2024年期间,在巴西里约热内卢市扩大专业服务供应的管理战略。
本研究旨在描述巴西首都里约热内卢在2021年至2024年期间在卫生单位领域采用的管理模式。利用官方系统的公共数据和对里约热内卢市政府签署的正式伙伴关系文件的文献分析,进行了一项生态、时间序列、描述性研究。通过确定每个护理级别的问题情况和直接管理部门采用的替代管理模式,提出了结果。分析了管理体制变革时期健康指标的演变。在所有初级卫生保健单位的管理中恢复了社会卫生组织的模式,恢复了初级卫生保健的覆盖范围和完整的工作队。在专科护理方面,聘请民间社会组织在医院单位设立外科专科中心,提供的手术数量增加了五倍。在医院护理方面,有两种模式获得了突出的地位:市政公共公司和公私伙伴关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Ciencia & saude coletiva
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.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信