Resolution And Continuity Of Primary Health Care: Reference And Counter-Reference In The Sus (Unified Health System)
Journal Title: Health Systems and Policy Research - Year 2017, Vol 4, Issue 1
Abstract
Objective: Understand the implications of reference and counter-references related to the resolution and continuity of primary health care (PHC). Methods: This is the Study of Cases of Multiple Holistic qualitative, based on the Comprehensive Sociology of Everyday Life, with the participation of 41 professionals and managers of PHC in the municipality of the State of Minas Gerais, Brazil. Results: Although the system of reference and counter-reference has the purpose of facilitating the process of (re) forward, which is not the reality of the researched scenarios. Users suffer from a lack of population coverage by the Family Health Strategy, with the lack of consultation quotas for medical specialists and other professionals; of procedures; of tests and medicines; lack of professional commitment and training of professionals in order to work in the Unified Health System (SUS). Scarce resources and poor organization in the system of reference and counter-reference concretize many problems in health care networks in solving the problems in the PHC and accessibility. Conclusion: Although the SUS dating from the last century and being legislatively speaking quite resolute, still suffers from a lack of resources and inability responding to every demand by municipal services. The implementation of SUS goes beyond the mere extension of quotas, material resources and for diagnostics, infrastructure and human resources. It depends on the paradigm shift: the user as the center of attention in Health.
Authors and Affiliations
Maria Beatriz Rodrigues Criscuolo, Duane Ferreira Melo, Selma Maria da Fonseca Viegas
Keywords
Related Articles
- EP ID EP302022
- DOI 10.21767/2254-9137.100065
- Views 81
- Downloads 0
Economic Crises, Inequity and Health Systems: The Importance of Mitigating the Impact on the Population
In this article the proposition that health systems are an essential tool in order to mitigate the impact which the economic crises have on the population will be analysed and explained. These play a relevant role in the...
Access to a Skilled Birth Attendant in Bangladesh: What We Know and what Health System Framework can Teach Us
Despite some visible progress in some areas of health sectors, Bangladesh is still struggling to sustain efforts towards decreasing Maternal Mortality Rate (MMR). Evidence shows that there is lower access to skilled birt...
Addressing Mater Dei HospitalâÂÂs Bed Occupancy Challenge: The Role of Improved Influenza Vaccine Uptake
Statistics from the triennial 2010-2013, Mater Dei Hospital Activity Analyses suggest that pressure on bed occupancy is at its greatest during the months from December to March. For the “top five” medical causes for hosp...
The Impact of Supportive Supervision on the Implementation of HRM processes; A Mixed-Methods study in Tanzania
Background: Supportive supervision is a key determinant of service quality and provider performance, and is particularly pertinent to low-resources settings where supervisors are pivotal to the performance of health work...
Challenges Facing Implementation Of Referral System For Quality Health Care Services In Kiambu County, Kenya
The right to the highest attainable standard of health is a fundamental human right and, central to this right within a hierarchical health system, is the existence of a well-functioning referral system that allows for c...