Distribuição espacial do atendimento à saúde em Santa Catarina: os hospitais de pequeno porte frente a estratégia de saúde da família

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

31/03/2010

RESUMO

The overall objective is to assess the current situation of Small Hospitals (SHs) in Santa Catarina, their functions within the National Health System (NHS) and its relationship with the Family Health Strategy (FHSs). The research presents some data about the situation of hospitals with no more than 50 beds. The hospitals are part of a system of health care population. Their functions include activities to prevent illness, restoring health, education and research. Due technological development and progress in the recovery of health in many disease situations, the trend is that fewer people are hospitalized. Works currently much in the perspective of short-term hospitalizations in environments with high technology, which in most cases is not what happens in small hospitals. The Family Health Strategy is seen as a way of reorienting the care model, operated by the establishment of multidisciplinary teams in primary health care and has being implemented in Brazil since 1994. They are teams that responsible for monitoring a set number of families, located in a geographical area. The teams works with actions for health promotion, prevention, recovery, rehabilitation of diseases and appeals more frequent, and in maintaining the health of this community. This is a cross- sectional study based on data collected from the questionnaires. A questionnaire was developed and sent to every hospital in Santa Catarina, that have between 5 and 50 beds and another instrument that was directed to the municipal health districts where are installed the Small Hospitals. The data were analyzed and compared with the literature on these two segments of health actions in the Brazilian Health System. The conclusion is that after the advent of the NHS in 1988, the creation of new small Hospitals continued to exist and the sample by us studied, the vast majority of hospitals studied, belongs to the private sector and all are classified as General Hospital, been unique possibility of hospital care in most cities studied. We can see that, with investment in primary health care, there is a decrease in the number of hospitalizations, and decreases the length of stay of persons in the hospital when the hospitalization is inevitable. At the same time, there is an increase in the number of attendances at the emergency room in most small hospitals (28.5%) and the number of exams and outpatient services (57%) that are made by these hospitals. This brings the consolidation of the NHS as a network, where different institutions have specific roles and need to organize better, to deal with new demands. The Family Health Strategy is implemented in all the cities studied, reaching the majority, 100% coverage in the cities studied

ASSUNTO(S)

hospitais de pequeno porte estratégia saúde da família sistema Único de saúde saude publica sistema Único de saúde (brasil); hospitais - administração - santa catarina; família- saúde e higiene - santa catarina small hospitals family health strategy national health system

ACESSO AO ARTIGO

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