Barretos’ County Matrix Support in Public Health - Deployment and Initial Results

IF 1.6 4区医学 Q3 PRIMARY HEALTH CARE

Primary Health Care Research and Development Pub Date : 2019-01-01 DOI:10.15761/hpc.1000174

Guilherme Carvalho Freire, Martins Fideles dos Santos Neto, A. Sankarankutty, Miriam Cristina Marchioreto de Oliveira, Marilene Oliveira Simeão, Nathalia Figueiredo Maia, Nicole Mayara Dias Souza, A. Longatto-Filho, J. L. Brisotti, E. Mauad

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引用次数: 0

Abstract

Aims: Brazil offers universal, integral and free healthcare to all its citizens through its Unified Health System (SUS). Within Brazil, the state of São Paulo has the most complex health network and comes closest to offering the comprehensive healthcare as per the guidelines of SUS. However, constraints to the system include a lack of integration and coordination between the basic healthcare network and specialty outpatient clinics, which hampers both proper access to specialties as well the return to basic care. This inefficiency feeds a pernicious cycle leading to waiting times for specialty care in excess of two years. Methods: In this article we describe the step-by-step implementation of an institutional and matrix support system between specialties and primary care in the county of Barretos, São Paulo, Brazil. Results: The initial results of this coordination and integration demonstrate the feasibility and excellent results such as the reduction in the need for referral to specialty clinics of up to 87%. Conclusion: Matrix support improved significantly the medical care and potentially can reduce costs as well. *Correspondence to: Adhemar Longatto-Filho, PhD, Molecular Oncology Research Center, Barretos Cancer Hospital/Pio XII Foundation, Brazil, Surgical Sciences Research Domain Life and Health Sciences Research Institute (ICVS) School of Medicine University of Minho, Campus de Gualtar, 4710-057 Braga – Portugal, Tel: +351253604827; E-mail: longatto16@hotmail.com or longatto@ med.uminho.pt

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巴雷托斯县公共卫生矩阵支持——部署和初步成果

目标:巴西通过其统一卫生系统(SUS)向所有公民提供普遍、完整和免费的医疗保健。在巴西，圣保罗州拥有最复杂的医疗网络，根据SUS的指导方针，最接近于提供全面的医疗保健。然而，该系统的制约因素包括基本医疗保健网络和专科门诊诊所之间缺乏整合和协调，这既阻碍了适当获得专科服务，也阻碍了恢复基本保健。这种低效率助长了恶性循环，导致专科护理的等待时间超过两年。方法:在这篇文章中，我们描述了在巴西圣保罗巴雷托斯县的专科和初级保健之间逐步实施的制度和矩阵支持系统。结果:这种协调和整合的初步结果证明了可行性和良好的效果，如减少转诊到专科诊所的需求高达87%。结论:基质支持在提高医疗服务质量的同时，具有降低成本的潜力。*通讯:Adhemar longato - filho博士，巴雷托斯肿瘤医院分子肿瘤研究中心/Pio XII基金会，巴西，外科科学研究领域生命与健康科学研究所(ICVS)米尼奥大学医学院，瓜达尔校区，4710-057布拉加-葡萄牙，电话:+351253604827;电子邮件:longatto16@hotmail.com或longatto@ med.uminho.pt

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来源期刊

Primary Health Care Research and Development PRIMARY HEALTH CARE-

CiteScore

2.60

自引率

6.20%

发文量

119

审稿时长

33 weeks

期刊介绍： Primary Health Care Research & Development is aimed specifically at both researchers and practitioners in primary health care, bridging the gap between the two areas. It provides a forum for the publication of international, interdisciplinary research and development in primary health care. It is essential reading for all involved in primary care: nurse practitioners, GPs and health service managers; professional and local groups in community health; researchers and academics; purchasers of primary health care services; allied health practitioners in secondary services and health-related consumer groups.