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Competências do profissional de Educação Física na Atenção Básica à Saúde; Competencies of the Physical Education Professional in Primary Health Care

Coutinho, Silvano da Silva
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 08/11/2011 PT
Relevância na Pesquisa
96.04%
No Brasil, a implantação da Estratégia Saúde da Família (ESF) se constitui em um arranjo institucional para implementar a Atenção Básica à Saúde (ABS) como eixo estruturante do Sistema Único de Saúde. Tem como compromisso reorganizar as práticas assistenciais em saúde com vistas a promover a mudança no modelo de assistência à saúde da população. Nesse processo, o Ministério da Saúde, entre outras iniciativas, estabelece a Política Nacional de Promoção da Saúde e define, como um dos seus eixos prioritários, o incentivo às ações de práticas corporais/atividades físicas. Recentemente, também foram criados, os Núcleos de Apoio à Saúde da Família, com a intenção de ampliar a abrangência e o escopo das ações e serviços na ABS, incluindo o profissional de educação física como uma das profissões que deverá atuar junto a uma equipe de saúde interdisciplinar. Recentemente, temos observado inúmeros programas e iniciativas envolvendo a presença do profissional de educação física na ABS, e, portanto, nos mobilizamos a desenvolver esta pesquisa com o objetivo de elaborar e analisar as competências que podem ser requeridas do profissional de educação física no contexto da ABS. Os sujeitos da pesquisa são profissionais de educação física que trabalham em programas de promoção das práticas corporais/atividades físicas...

Os cuidados primários à saúde da criança com diabetes mellitus tipo 1 em serviços públicos de saúde: percepção de mães e cuidadores; Primary health care of children with type 1 diabetes mellitus in public health services: perception of mothers and caregivers

Wolkers, Paula Carolina Bejo
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 18/12/2014 PT
Relevância na Pesquisa
96.08%
O cuidado integral à saúde da criança com diabetes mellitus tipo 1, considerando a renovação da Atenção Primária à Saúde (APS) e as diretrizes das Redes de Atenção à Saúde, é de extrema importância no contexto da avaliação dos serviços de saúde, foco do presente estudo. O objetivo geral foi avaliar a atenção à saúde de crianças com diabetes mellitus tipo 1, a partir das percepções de mães/cuidadores, fornecendo subsídios para a organização da atenção à saúde em condições crônicas na infância. Os objetivos específicos foram: caracterizar o perfil das mães/cuidadores e das crianças com diabetes mellitus tipo 1, de acordo com variáveis sociais, epidemiológicas, demográficas, clínicas, situação vacinal das crianças e os motivos de atraso nas vacinas ou da não vacinação; descrever a presença e a extensão dos atributos da APS nos serviços de saúde de atendimento às crianças com diabetes mellitus tipo 1, por meio do questionário PCATool (Primary Care Assessment Tool); analisar a utilização dos serviços de saúde e o grau de afiliação a determinados serviços de saúde; e identificar as experiências e expectativas de mães/cuidadores de crianças com diabetes mellitus tipo 1...

Uzbekistan - Assessment of the Primary Health Care Reform : Transparency, Accountability and Efficiency

World Bank
Fonte: World Bank Publicador: World Bank
Relevância na Pesquisa
96.06%
The main purpose of this report is to assess the degree to which progress has been made by the Government of Uzbekistan in increasing the transparency, accountability, and efficiency of its primary health services, and to identify what further steps could be taken to improve the effectiveness of delivery, some of which may be applicable to other sectors as well. The report examines public spending, public financial management, and human resource management and remuneration in the primary health care sector at the local level. It draws lessons from the experience of Ferghana and Samarkand, two oblasts that have implemented reforms in primary health care, and incorporates the findings drawn from other sources, such as public expenditure data, the laws and regulations governing these systems, and the Service Quality Delivery Survey (SQDS) conducted in 2007. This report discusses the key governance issues related to improving service delivery in the primary health care area, and concludes with recommendations tailored to decision makers at the central and local government levels and those in local facilities.

Improving Primary Health Care Delivery in Nigeria : Evidence from Four States

World Bank
Fonte: World Bank Publicador: World Bank
Relevância na Pesquisa
96.07%
This study aims mainly at understanding the performance of primary health care (PHC) providers in four Nigerian states and the variables driving this performance. The study is primarily based on quantitative surveys at the level of primary health care facilities, health care personnel, and households in their vicinity. These surveys were implemented in four states: Bauchi, Cross River, Kaduna, and Lagos. This study represents the second phase of the Nigeria Health, Nutrition, and Population Country Status Report (CSR). The first phase aimed at analyzing the health situation of the poor and how the health system was performing in terms of meeting their needs. This first phase identified PHC as the weakest chain in the entire health sector and the level of care the poor use the most. This second phase of the CSR is therefore focused on the analysis of the delivery of PHC services. In contrast to the first phase, this study is mainly based on primary data, data collected through facility, health personnel...

Contracting for Primary Health Care in Brazil : The Cases of Bahia and Rio de Janeiro

Araujo, Edson; Cavalini, Luciana; Girardi, Sabado; Ireland, Megan; Lindelow, Magnus
Fonte: World Bank Group, Washington, DC Publicador: World Bank Group, Washington, DC
EN_US
Relevância na Pesquisa
96.09%
This study presents two case studies, each on a current initiative of contracting for primary health services in Brazil, one for the state of Bahia, the other for the city of Rio de Janeiro. The two initiatives are not linked and their implementation has independently sprung from a search for more effective ways of delivering public primary health care. The two models differ considerably in context, needs, modalities, and outcomes. This paper identifies their strengths and weaknesses, initially by providing a background to universal primary health care in Brazil, paying particular attention to the family health strategy, the driver of the basic health care model. It then outlines the history of contracting for health care within Brazil, before analyzing the two studies. The state of Bahia sought to expand coverage of the family health strategy and increase the quality of services, but had difficulty in attracting and retaining qualified health professionals. Rigidities in the process of public hiring led to a number of isolated contracting initiatives at the municipal level and diverse...

Tantalus and the Tyranny of Territory: Pursuing the dream of parity in rural and metropolitan population health outcomes through effective primary health care programmes

Harvey, P.
Fonte: Australian Journal Primary Health, Australian Institute Primary Care & School Public Health Publicador: Australian Journal Primary Health, Australian Institute Primary Care & School Public Health
Tipo: Artigo de Revista Científica
Publicado em //2004 EN
Relevância na Pesquisa
116.01%
Many health professionals and rural health academics are motivated by the challenge of achieving equitable access to health care in rural communities with the implicit vision that fairer access to services might ultimately lead to more equitable health outcomes for people living in rural and remote settings. The purpose of this paper is to put the issue of rural and urban health outcome parity into perspective and assess recent progress towards achieving the ultimate goal of improving rural health status. I will also explore ways in which rural communities might increase their access to and use of primary health care revenue in the future to improve community health outcomes. While some improvements have been achieved across the rural health system in recent times, the fundamental problem of maintaining infrastructure to service community needs in rural areas remains as daunting as ever. Extensive evidence has now been assembled to show that rural people generally enjoy a much lower standard of health care, health outcomes and life expectancy than their urban cousins. The question underlying all of this evidence, however, is... must this always be so? Is it possible to redress the current inequities between rural and urban populations and could new primary health care initiatives...

Effect of removing user fees on attendance for curative and preventive primary health care services in rural South Africa

Wilkinson, David; Gouws, Eleanor; Sach, Marlene; Abdool Karim, Salim S.
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica
Publicado em //2001 EN
Relevância na Pesquisa
105.97%
User fees are used to recover costs and discourage unnecessary attendance at primary care clinics in many developing countries. In South Africa, user fees for children aged under 6 years and pregnant women were removed in 1994, and in 1997 all user fees at all primary health care clinics were abolished. The intention of these policy changes was to improve access to health services for previously disadvantaged communities. We investigated the impact of these changes on clinic attendance patterns in Hlabisa health district. Average quarterly new registrations and total attendances for preventive services (antenatal care, immunization, growth monitoring) and curative services (treatment of ailments) at a mobile primary health care unit were studied from 1992 to 1998. Regression analysis was undertaken to assess whether trends were statistically significant. There was a sustained increase in new registrations (P = 0.0001) and total attendances (P = 0.0001) for curative services, and a fall in new registrations (P = 0.01) and total attendances for immunization and growth monitoring (P = 0.0002) over the study period. The upturn in demand for curative services started at the time of the first policy change. The decreases in antenatal registrations (P = 0.07) and attendances (P = 0.09) were not statistically significant. The number of new registrations for immunization and growth monitoring increased following the first policy change but declined thereafter. We found no evidence that the second policy change influenced underlying trends. The removal of user fees improved access to curative services but this may have happened at the expense of some preventive services. Governments should remain vigilant about the effects of new health policies in order to ensure that objectives are being met.; David Wilkinson...

Esgotamento profissional e depressão em profissionais da estratégia saúde da família no município de São Paulo; Burnout and depression in primary health care workers in São Paulo, Brazil

Silva, Andrea Tenorio Correia da
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 13/08/2015 PT
Relevância na Pesquisa
96.05%
Introdução: A implantação da Atenção Primária à Saúde tem sido prioridade em países de baixa e média renda. No Brasil, a estratégia saúde da família (ESF) foi criada para reorganizar o modelo de Atenção Primária e, atualmente, cerca de 39 mil equipes de saúde da família são responsáveis pelo cuidado de 121 milhões de pessoas no país. Apesar do grande contingente de trabalhadores da saúde na ESF, pouco se pesquisou sobre a saúde mental desses trabalhadores. Esses trabalhadores atuam dentro das comunidades e estão na porta de entrada do sistema de saúde, sendo submetidos a grandes pressões, com repercussões na sua saúde mental, como depressão e esgotamento profissional (burnout), que afetam o trabalhador e a qualidade do cuidado prestado, podendo ameaçar a sustentabilidade da Atenção Primária. Objetivos: Investigar a prevalência de depressão e de esgotamento profissional em trabalhadores da ESF do município de São Paulo e examinar características individuais e relacionadas ao trabalho que podem estar associadas a essas condições. Método: Foi realizado um estudo transversal no município de São Paulo [PANDORA-SP (Panorama of Primary Health Care Workers in São Paulo, Brazil: Depression, Organizational Justice...

Concepções de saúde e cuidado de práticas integrativas/complementares e humanizadoras na atenção básica: uma revisão sistemática; Conceptions of health and care of integrative / complementary and humanizing practices in primary health care: a systematic review

Schveitzer, Mariana Cabral
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 24/02/2015 PT
Relevância na Pesquisa
96.06%
Profissionais são multiplicadores de conhecimento e de concepções de cuidado e saúde. A variedade destas concepções de cuidado e saúde interfere nas práticas assistenciais e no desenvolvimento de políticas públicas. Com isso, pode-se gerar dificuldades, como no desenvolvimento das práticas integrativas/complementares e humanizadoras na Atenção Básica. No Brasil, desde 2006, políticas foram publicadas para transformar as práticas de cuidado, no sentido de acolher e empoderar os usuários, valorizar a integralidade, o protagonismo dos sujeitos e as diferentes racionalidades médicas, como a Política Nacional de Práticas Integrativas/PNPIC e a HumanizaSUS. Essas duas políticas apresentam práticas que podem nos auxiliar a repensar concepções de cuidado e saúde na Atenção Básica. O objetivo desta tese foi construir, a partir da revisão sistemática, quais são as concepções de saúde e cuidado subjacentes às práticas integrativas/complementares e humanizadoras para o atendimento na Atenção Básica. Método: Revisão Sistemática e Metassíntese. Esta revisão considerou estudos que abordaram atitudes/crenças de profissionais da saúde sobre prática/uso de práticas integrativas/complementares e humanizadoras na Atenção Básica. Fontes de informação: artigos científicos publicados nas seguintes bases de dados: AMED...

Nigeria—Improving Primary Health Care Delivery : Evidence from Four States

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Other Health Study; Economic & Sector Work
ENGLISH; EN_US
Relevância na Pesquisa
96.08%
The delivery of quality primary health care (PHC) services can have a large impact on the health of Nigerians. This study aims mainly at understanding the performance of primary health care providers and the variables driving this performance. The study is primarily based on quantitative surveys at the level of primary health care facilities, health care personnel, and households in their vicinity. These surveys were implemented in four states: Bauchi, Cross River, Kaduna, and Lagos. The purpose of this study is three fold: (i) to contribute to the evidence base of the Federal Government's health system reform efforts; (ii) to inform the Bank's and Canadian International Development Agency (CIDA) sector policy dialogue with the Government; and (iii) to inform the current and eventual health support programs of both donors at state level. This study represents the second phase of the Nigeria Health, Nutrition, and Population Country Status Report (CSR). The first phase aimed at analyzing the health situation of the poor and how the health system was performing in terms of meeting their needs. This first phase identified primary health care as the weakest chain in the entire health sector and the level of care the poor use the most. This second phase of the CSR is therefore focused on the analysis of the delivery of PHC services. In contrast to the first phase...

Costa Rica Case Study : Primary Health Care Achievements and Challenges within the Framework of the Social Health Insurance

Montenegro Torres, Fernando
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
EN_US
Relevância na Pesquisa
96.07%
The objective of this paper is to assess the key interventions Costa Rica has developed to expand health coverage for the poor and other vulnerable groups, with an emphasis on its approach to primary health care. Universal health coverage in Costa Rica is provided through a single national health insurance program. This program, which protects the poor without the pitfalls of a fragmented system, and the sustained policies that have enabled the building of a solid primary health care system, is broadly recognized as a success story. At the same, time new challenges are emerging to sustaining the success of Costa Rica's universal health coverage. Social Security of Costa Rica (Caja Costarricense de Seguridad Social, CCSS) faces increased production costs and demographic and epidemiological changes in a rapidly aging population. This report is divided into three broad sections: (1) objective of the case study and health system overview; (2) primary health care and the organization of health services within CCSS; and (3) agenda of key policy decisions for a renewed primary health care approach as part of a more responsive and sustainable health insurance system.

Improving Universal Primary Health Care by Kenya : A Case Study of the Health Sector Services Fund

Ramana, Gandham NV; Chepkoech, Rose; Walelign, Netsanet
Fonte: World Bank, Washington DC Publicador: World Bank, Washington DC
Tipo: Publications & Research :: Working Paper; Publications & Research
EN_US
Relevância na Pesquisa
96.06%
This case study describes the Government of Kenya's initiative to expand the supply of health care and strengthen primary health care through implementation of the Health Sector Services Fund (HSSF), which provides direct cash transfers to primary health facilities. This initiative, launched in 2010, is a direct response to challenges identified by the Public Expenditure Tracking Surveys in making funds for operation and maintenance available to the health facilities, and builds on lessons from initiatives supported by the Danish International Development Agency (DANIDA) in the Coastal Region.

Toward Synergy and Collaboration to Expand the Supply of and Strengthen Primary Health Care in Nigeria’s Federal Context, with Special Reference to Ondo State

Atim, Chris; Bhatnagar, Aarushi
Fonte: World Bank, Washington DC Publicador: World Bank, Washington DC
Tipo: Publications & Research :: Working Paper
EN_US
Relevância na Pesquisa
96.07%
This study examines an innovative example of the expansion of supply and the strengthening of primary health care to improve key health-related Millennium Development Goal, or MDG indicators through synergy and collaboration between the federal Government of Nigeria (FGN) and state governments in an extreme federal context, and with particular reference to Ondo State. That is, the Nigerian Federal Constitution grants the federal government only very limited and indirect influence or control over the fiscal and financial affairs of state and local governments, such that 'plans, budgets, accounts and procurements are not subject to federal control and scrutiny'. Nor must the lower tiers account to the federal level for how funds transferred to them from the central level are used. The rest of case study is organized as follows. Section two describes the design of the HCP, including its interaction with the rest of the health system; section three discusses the targeting, identification, and enrolment system; section four examines the management of public funds within the HCP; section five analyses the management of the benefits package; section six reviews the information environment and monitoring systems of the HCP; section seven summarizes and analyses the evidence on the key theme of the study...

Atenção integral à saúde do homem na visão de trabalhadores hipertensos e diabéticos : possíveis contribuições para a atenção básica; Comprehensive health care regarding men workers with Hipertension and Diabetes : potencial improvements for primary health care

Valéria Cristina Yoshida
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 18/02/2014 PT
Relevância na Pesquisa
96.06%
Uma grande conquista do movimento da Reforma Sanitária garantida pela Constituição de 1988 foi o direito à saúde, regido pelos princípios da universalidade do acesso, equidade e integralidade do cuidado. Em 2013 o SUS completou 25 anos e, embora tenha experimentado vários avanços, ainda enfrenta muitos desafios. Um deles refere-se ao acesso, particularmente dos homens em idade produtiva aos serviços da atenção básica. O reconhecimento de que os homens acessam o sistema de saúde pela atenção especializada levou o Ministério da Saúde a priorizar esta população, por meio da Política Nacional de Atenção Integral à Saúde do Homem, em 2008. Seu objetivo principal é o fortalecimento e a qualificação da atenção básica para a promoção da saúde e a prevenção de agravos evitáveis na população masculina. O presente estudo, de caráter qualitativo, parte do pressuposto de que a atenção básica não tem se constituído em porta de entrada e de seguimento longitudinal para homens trabalhadores, tanto por dificuldades relacionadas à organização destes serviços, quanto por fatores socioculturais, sobretudo ligados às questões de gênero. Nesse contexto, o Ambulatório da CEASA-Campinas, um serviço do SUS localizado dentro de um local de trabalho...

Assessment of the English literacy level of patients in primary health care services in Tshwane, Gauteng province: Part 2

Wasserman,Zelda; Maja,Todd M.; Wright,Susanna C.D.
Fonte: Health SA Gesondheid (Online) Publicador: Health SA Gesondheid (Online)
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2010 EN
Relevância na Pesquisa
105.93%
Low literacy can be described as the inability to read, write or use numbers effectively. The limited ability to read and understand health care instructions directly translates into poor health outcomes. The aim of this study was to assess the English literacy levels of primary health care patients using the Learning Ability Battery (LAB) and the adapted Rapid Estimate of Adult Literacy, Revised (REALM-R) and to determine how the results of the adapted REALM-R correlate with those of the LAB. Data were collected by means of a self-report whereby the participants had to answer the questions that were posed in the LAB and read the words out loud for the adapted REALM-R. The data analysis was performed by means of descriptive and inferential statistics, including the chi-square test and Spearman's rho. The result of the study indicated that in South Africa, school grades achieved and the reading levels of primary health care patients differ with four grades. In terms of the correlation between the results of the adapted REALM-R and those of the LAB, a correlation of r = 0.43 (p < 0.001) could be established. Depending on the cut-off point used for the adapted REALM-R, 67% of the participants had low literacy levels. The study provides evidence of the importance of a validated...

Effect of removing user fees on attendance for curative and preventive primary health care services in rural South Africa

Wilkinson,David; Gouws,Eleanor; Sach,Marlene; Karim,Salim S. Abdool
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/07/2001 EN
Relevância na Pesquisa
105.97%
User fees are used to recover costs and discourage unnecessary attendance at primary care clinics in many developing countries. In South Africa, user fees for children aged under 6 years and pregnant women were removed in 1994, and in 1997 all user fees at all primary health care clinics were abolished. The intention of these policy changes was to improve access to health services for previously disadvantaged communities. We investigated the impact of these changes on clinic attendance patterns in Hlabisa health district. Average quarterly new registrations and total attendances for preventive services (antenatal care, immunization, growth monitoring) and curative services (treatment of ailments) at a mobile primary health care unit were studied from 1992 to 1998. Regression analysis was undertaken to assess whether trends were statistically significant. There was a sustained increase in new registrations (P = 0.0001) and total attendances (P = 0.0001) for curative services, and a fall in new registrations (P = 0.01) and total attendances for immunization and growth monitoring (P = 0.0002) over the study period. The upturn in demand for curative services started at the time of the first policy change. The decreases in antenatal registrations (P = 0.07) and attendances (P = 0.09) were not statistically significant. The number of new registrations for immunization and growth monitoring increased following the first policy change but declined thereafter. We found no evidence that the second policy change influenced underlying trends. The removal of user fees improved access to curative services but this may have happened at the expense of some preventive services. Governments should remain vigilant about the effects of new health policies in order to ensure that objectives are being met.

Improving equity in the provision of primary health care: lessons from decentralized planning and management in Namibia

Bell,Ruth; Ithindi,Taathi; Low,Anne
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2002 EN
Relevância na Pesquisa
105.98%
This paper draws lessons from a review of primary health care services in Windhoek, the capital of Namibia, undertaken by a regional health management team. The review was carried out because of perceived increases in workload and inadequate staffing levels, arising from the rapid expansion of the city associated with inward migration. A survey of the utilization of government clinics was used to develop a more equitable allocation of primary health care services between localities. The survey revealed disparities between patterns of utilization of the services and the allocation of staff: the poorer localities were relatively underprovided. Decisions made centrally on resource allocation had reinforced the inequities. On the basis of the results of the review, the regional health management team redistributed nursing and medical staff and argued for a shift in the allocation of capital expenditure towards the poorer communities. The review demonstrates the potential for regional and provincial health management teams to make effective assessments of the needs of their populations and to promote the equitable delivery of primary health care services. In order to achieve this they need not only to become effective managers, but also to develop population-based planning skills and the confidence and authority to influence the allocation of resources between and within their regions and provinces.

Integration of basic dermatological care into primary health care services in Mali

Mahé,Antoine; Faye,Ousmane; N'Diaye,Hawa Thiam; Konaré,Habibatou Diawara; Coulibaly,Ibrahima; Kéita,Somita; Traoré,Abdel Kader; Hay,Roderick J
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2005 EN
Relevância na Pesquisa
106%
OBJECTIVE: To evaluate, in a developing country, the effect of a short training programme for general health care workers on the management of common skin diseases - a neglected component of primary health care in such regions. METHODS: We provided a one-day training programme on the management of the skin diseases to 400 health care workers who worked in primary health care centres in the Bamako area. We evaluated their knowledge and practice before and after training. FINDINGS: Before training, knowledge about skin diseases often was poor and practice inadequate. We found a marked improvement in both parameters after training. We analysed the registers of primary health care centres and found that the proportion of patients who presented with skin diseases who benefited from a clear diagnosis and appropriate treatment increased from 42% before the training to 81% after; this was associated with a 25% reduction in prescription costs. Improved levels of knowledge and practice persisted for up to 18 months after training. CONCLUSIONS: The training programme markedly improved the basic dermatological abilities of the health care workers targeted. Specific training may be a reasonable solution to a neglected component of primary health care in many developing countries.

Health information technology in primary health care in developing countries: a literature review

Tomasi,Elaine; Facchini,Luiz Augusto; Maia,Maria de Fatima Santos
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/11/2004 EN
Relevância na Pesquisa
105.91%
This paper explores the debate and initiatives concerning the use of information technology (IT) in primary health care in developing countries. The literature from 1992-2002 was identified from searches of the MEDLINE, Latin American and Caribbean Health Science Literature Database (LILACS), Cochrane Library and Web of Science databases. The search identified 884 references, 350 of which were classified according to the scheme described by the Pan American Health Organization (PAHO). For the analysis of advantages, problems and perspectives of IT applications and systems, 52 articles were selected according to their potential contribution to the primary health-care processes in non-developed countries. These included: 10 on electronic patient registries (EPR), 22 on process and programmatic action evaluation and management systems (PPAEM) and 20 on clinical decision-support systems (CDS). The main advantages, limitations and perspectives are discussed.

The use of private-sector contracts for primary health care: theory, evidence and lessons for low-income and middle-income countries

Palmer,Natasha
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2000 EN
Relevância na Pesquisa
105.84%
Contracts for the delivery of public services are promoted as a means of harnessing the resources of the private sector and making publicly funded services more accountable, transparent and efficient. This is also argued for health reforms in many low- and middle-income countries, where reform packages often promote the use of contracts despite the comparatively weaker capacity of markets and governments to manage them. This review highlights theories and evidence relating to contracts for primary health care services and examines their implications for contractual relationships in low- and middle-income countries.