2014 / Artigos Científicos

Equitable access to health services for children aged 5 to 9 in a medium city of northeasth of Brazil: a result of Family Health Strategy

Abstract: Introduction:
The Brazilian National Health System May Reduce Inequalities In Access To Health Services Through Strategies That Can Reach Those Most In Need With no Access To Care Services.

Objective:
To Identify Factors Associated With The Use Of Health Service By Children Aged 5 To 9 Years In The City Of Sobral, Ceará, Northeastern Brazil.

Results:
Only 558 (17.0%) Children Used Health Care Services In The 30 Days Preceding This Survey. Children With Any Health Condition (or = 3.90) Who Were Frequent Attenders Of Primary Care Strategy Of Organization (the Family Health Strategy, Fhs) (or = 1.81) And Living In The City’s Urban Area (or = 1.51) Were More Likely To Use Health Services. Almost 80% Of Children Used Fhs as Their Referral Care Service. Children From Poorer Families And With Easier Access To Services Were More Likely To Be Fhs Users.

Conclusion:
The Study Showed That Access To Health Services Has Been Relatively Equitable Through The Fhs, a Point Of Entry To The Local Health System.

Social Determinants Of Health; Health Service/utilization; Health Services Accessibility; Equity; Family Health; Child Health Services

2012 / Artigos Científicos

Inteligência de Governança para apoio à Tomada de Decisão

Agradeço a oportunidade de participar dessa discussão que envolve tema tão relevante para o SUS. Oswaldo Tanaka nos brinda com um texto instigante e oportuno, face aos desafios apresentados para o estabelecimento de sistemas universais de saúde, principalmente no que diz respeito aos três domínios analisados: gestão, avaliação e tomada de decisão.

2010

A Context-Aware Framework for Healthcare Governance Decision-Making Systems

Abstract: This work proposes a governance decision-making support model for public health care systems. It encompasses and integrates the family homes in a new intelligent Health Care Information System. In order to support end-user interaction with this system, the proposed model is built on the GINGA middleware developed for the Brazilian Digital TV, whose full access will be country-wide in 2015. Based on five intelligence management domains, namely knowledge, normative, clinical-epidemiological, administrative, and shared, the model relies on an Optical-WiMAX communication infrastructure (Brazilian Digital Belt), which will reach 82% of urban population of the Ceará State in Brazil. In additional, we present a context-aware decision-making support framework, which offers context-aware services that can be reused for implementing the proposed conceptual model.