Evidence map›Paper›PMID 38629666›Full record

ArticleRevista de saude publica2024

Challenges to implementing planning processes in Brazilian health regions.

Oswaldo Yoshimi Tanaka, Marco Akerman, Marília Cristina Prado Louvison, Aylene Bousquat, Nicanor Rodrigues da Silva Pinto, Ana Lígia Passos Meira, Lídia Pereira da Silva Godoi, Ana Paula Chancharulo E Morais Pereira, Sandra Maria Spedo, Monique Batista de Oliveira and 2 more

Abstract read
In one paragraph

Article in Revista de saude publica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Oswaldo Yoshimi TanakaUniversidade de São Paulo. Faculdade de Saúde Pública. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0002-5653-0794
Marco AkermanUniversidade de São Paulo. Faculdade de Saúde Pública. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0003-1522-8000
Marília Cristina Prado LouvisonUniversidade de São Paulo. Faculdade de Saúde Pública. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0003-1630-3463
Aylene BousquatUniversidade de São Paulo. Faculdade de Saúde Pública. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0003-2701-1570
Nicanor Rodrigues da Silva PintoUniversidade Federal de São Paulo. Programa de Pós-Graduação em Saúde da Família. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0001-8327-0900
Ana Lígia Passos MeiraUniversidade de São Paulo. Faculdade de Saúde Pública. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0003-0776-5543
Lídia Pereira da Silva GodoiUniversidade de São Paulo. Faculdade de Saúde Pública. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0002-0213-1616
Ana Paula Chancharulo E Morais PereiraUniversidade do Estado da Bahia. Departamento de Ciências da Vida. Salvador, BA, Brasil.ORCID http://orcid.org/0000-0003-1940-5254
Sandra Maria SpedoUniversidade Federal de São Paulo. Programa de Pós-Graduação em Saúde da Família. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0001-5951-5314
Monique Batista de OliveiraUniversidade de São Paulo. Faculdade de Saúde Pública. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0002-7642-0971
Ilana EshriquiHospital Israelita Albert Einstein. Centro de Estudos Pesquisa e Prática em Atenção Primária à Saúde e Redes. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0001-7010-919X
Marcio Anderson Cardozo ParesqueHospital Israelita Albert Einstein. Centro de Estudos Pesquisa e Prática em Atenção Primária à Saúde e Redes. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0001-6539-4395

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo recognize elements that facilitated or hindered the PlanificaSUS implementation stages.

methodsA multiple case study was carried out in four pre-selected health regions in Brazil-Belo Jardim (PE), Fronteira Oeste (RS), Sul-Mato-Grossense (MT) and Valença (BA) using systemic arterial hypertension and maternal and child care as tracer conditions. Participant observation (in regional interagency commissions) and in-depth interviews with key informants from state and municipal management and primary health care and specialized outpatient care service professionals within the project were carried out in these four regions. Analysis was built according to political, technical-operational, and contextual dimensions.

resultsThe political dimension evinced that the regions found the project an opportunity to articulate states and municipalities and an important political bet to build networks and lines of care but that there remained much to be faced in the disputes related to building the Unified Health System (SUS). In the technical operational dimension, it is important to consider that primary health care stimulated a culture of local planning and favored traditional tools to organize and improve it, such as organizing registrations, agendas, and demands. However, centralized training and planning-inducing processes fail to always respond to local needs and can produce barriers to implementation.

conclusionsIt is worth considering the central and regional role of state managers in the commitment related to the project and the effect of mobilizing primary health care and expanding its power. There remains much to be faced in the disputes at stake in bullring SUS.

Indexed as

Health Plan ImplementationBrazil

Identifiers

PMID38629666
PMCPMC11037912

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.