The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions
Abstract Objectives: to analyze the influence and performance on Policy, Structure and Organization dimensions in the regionalization process in five health regions in Brazil. Methods: a quantitative, cross-sectional study using primary data from 217 fulfilled interviews with managers, service providers and representatives of society in five health regions in Brazil. Calculation on the Influence Index that measures the contribution level of three dimensions in regionalization. Results: after analyzing the three dimensions that influence the regionalization process separately, it is necessary to point out that there is a better performance on the Policy dimension in front of all the others; on the other hand, Structure dimension shows itself to be feeble, configuring a real obstacle to progress the regionalization process; Organization occupies an intermediate place in all the regions of the study. The insufficient availability of physical, human and financial resources impedes to advance the regionalization and the achievement of its major objectives, which are the integration of services and coordination care. Conclusions: regionalization follows an uncertain path and without clear direction of its objectives, goals and deployed instruments. The Regional planning, in the case of health, is still a theoretical exercise.
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Instituto de Medicina Integral Prof. Fernando Figueira
2017
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oai:scielo:S1519-382920170006000032017-12-05The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensionsViana,Ana Luiza d'ÁvilaFerreira,Maria PaulaCutrim,Maria AliceFusaro,Edgar RodriguesSouza,Miriam Regina deMourão,LaísPereira,Ana Paula Chancharulo de MoraesMota,Paulo Henrique dos SantosIozzi,Fabíola LanaUchimura,Liza Yurie Teruya Health policy Regional planning Abstract Objectives: to analyze the influence and performance on Policy, Structure and Organization dimensions in the regionalization process in five health regions in Brazil. Methods: a quantitative, cross-sectional study using primary data from 217 fulfilled interviews with managers, service providers and representatives of society in five health regions in Brazil. Calculation on the Influence Index that measures the contribution level of three dimensions in regionalization. Results: after analyzing the three dimensions that influence the regionalization process separately, it is necessary to point out that there is a better performance on the Policy dimension in front of all the others; on the other hand, Structure dimension shows itself to be feeble, configuring a real obstacle to progress the regionalization process; Organization occupies an intermediate place in all the regions of the study. The insufficient availability of physical, human and financial resources impedes to advance the regionalization and the achievement of its major objectives, which are the integration of services and coordination care. Conclusions: regionalization follows an uncertain path and without clear direction of its objectives, goals and deployed instruments. The Regional planning, in the case of health, is still a theoretical exercise.info:eu-repo/semantics/openAccessInstituto de Medicina Integral Prof. Fernando FigueiraRevista Brasileira de Saúde Materno Infantil v.17 suppl.1 20172017-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292017000600003en10.1590/1806-9304201700s100003 |
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Viana,Ana Luiza d'Ávila Ferreira,Maria Paula Cutrim,Maria Alice Fusaro,Edgar Rodrigues Souza,Miriam Regina de Mourão,Laís Pereira,Ana Paula Chancharulo de Moraes Mota,Paulo Henrique dos Santos Iozzi,Fabíola Lana Uchimura,Liza Yurie Teruya |
spellingShingle |
Viana,Ana Luiza d'Ávila Ferreira,Maria Paula Cutrim,Maria Alice Fusaro,Edgar Rodrigues Souza,Miriam Regina de Mourão,Laís Pereira,Ana Paula Chancharulo de Moraes Mota,Paulo Henrique dos Santos Iozzi,Fabíola Lana Uchimura,Liza Yurie Teruya The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions |
author_facet |
Viana,Ana Luiza d'Ávila Ferreira,Maria Paula Cutrim,Maria Alice Fusaro,Edgar Rodrigues Souza,Miriam Regina de Mourão,Laís Pereira,Ana Paula Chancharulo de Moraes Mota,Paulo Henrique dos Santos Iozzi,Fabíola Lana Uchimura,Liza Yurie Teruya |
author_sort |
Viana,Ana Luiza d'Ávila |
title |
The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions |
title_short |
The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions |
title_full |
The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions |
title_fullStr |
The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions |
title_full_unstemmed |
The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions |
title_sort |
regionalization process in brazil: influence on policy, structure and organization dimensions |
description |
Abstract Objectives: to analyze the influence and performance on Policy, Structure and Organization dimensions in the regionalization process in five health regions in Brazil. Methods: a quantitative, cross-sectional study using primary data from 217 fulfilled interviews with managers, service providers and representatives of society in five health regions in Brazil. Calculation on the Influence Index that measures the contribution level of three dimensions in regionalization. Results: after analyzing the three dimensions that influence the regionalization process separately, it is necessary to point out that there is a better performance on the Policy dimension in front of all the others; on the other hand, Structure dimension shows itself to be feeble, configuring a real obstacle to progress the regionalization process; Organization occupies an intermediate place in all the regions of the study. The insufficient availability of physical, human and financial resources impedes to advance the regionalization and the achievement of its major objectives, which are the integration of services and coordination care. Conclusions: regionalization follows an uncertain path and without clear direction of its objectives, goals and deployed instruments. The Regional planning, in the case of health, is still a theoretical exercise. |
publisher |
Instituto de Medicina Integral Prof. Fernando Figueira |
publishDate |
2017 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292017000600003 |
work_keys_str_mv |
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