ArticleRevista de saude publica2020
Practices and challenges on coordinating the Brazilian Unified Health System.
Article in Revista de saude publica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed.
- Direct versus referred admission to the maternity hospital due to preeclampsia: Does it influence pregnancy outcomes?International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Access to specialized outpatiecare: an analysis of regulation in Brazilian settings.Revista de saude publica · 2026Article
- Technological architecture for a multi-region solution within the regulation of Brazil's Unified Health System.Frontiers in digital health · 2026Article
- Translation and Cultural Adaptation of the Environmental Protectors Against Hospital Work Stress (ENPROS) Scale to Brazilian Portuguese.Healthcare (Basel, Switzerland) · 2024Article
- [Dynamics of regionalization and repercussions of gaps in care on health marketing in remote rural municipalities].Cadernos de saude publica · 2024Article
- Article
- Hospitalizations for congenital syphilis in children under one year old in the state of Pará, Brazilian Amazon: ecological study.BMC pediatrics · 2023Article
- Physical Activity, Public Policy, Health Promotion, Sociability and Leisure: A Study on Gymnastics Groups in a Brazilian City Hall.International journal of environmental research and public health · 2023Article
- [Assessment of the implementation of an care teleregulation project in a Brazilian capital city].Cadernos de saude publica · 2023Article
- Telehealth to support referral management in a universal health system: a before-and-after study.BMC health services research · 2021Article
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Authors and funding
8 authors.
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Abstract
objectiveTo analyze the obstacles and challenges faced by managers and coordination professionals in their practices in municipal coordinating centers.
methodsAn exploratory descriptive study with a qualitative focus, applied in 40 managers and coordination professionals, from September 2017 to November 2018, with semi-structured interviews, resulting in two categories of analysis: limiting factors and factors that facilitate the management and operationalization of the Brazilian Unified Health System (SUS) coordinating sector.
resultsAnalyzing the statements, we found evidence of the following limiting factors: failure in the criteria of referral, unavailability of beds, high demand, systemic difficulties in relation to the coordinating system, procedures of difficult scheduling and execution, increased repressed demand for elective procedures and difficulties in the flow of information between primary care and coordination. In the category of facilitating factors, the most significant possibilities were: expansion of the capability to know the user's reality, improvement in primary care and increase in health financial resources, health training and education and restructuring, in addition to reorganizing internal coordinating procedures.
conclusionThe limiting factors of coordination show the need to promote actions that offer all SUS users full access to health services.
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