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Type: Artigo
Title: Decentralization Of Health Management: The Path Traveled To Date, Problematic Points And Prospects
Title Alternative: Descentralização Da Gestão: Caminho Percorrido, Nós Críticos E Perspectivas
Author: Pinafo E.
Carvalho B.G.
Nunes E.F.P.A.
Abstract: The scope of this study was to analyze the decentralization of health management at city level and its implications for comprehensive access and care for users. A “scoping review” located 1,902 references. After being subjected to the criteria of inclusion and exclusion by judges, 27 articles were selected and charted. The research revealed the following issues: what it was possible to establish by the process; problematic points in charting the path and prospects of decentralization. The following aspects were identified: increased access to primary care through increasing the number of professionals and family health teams; planning, evaluation and inter-sector aspects were seen as problematic; planning and management instruments are limited, and cities face difficulties in relation to medium and high complexity care. Funding is still a barrier to the advancement of decentralization, few studies have analyzed the guarantee of access to medium and high complexity care and studies that define the reality of small cities are needed. Several challenges were identified, such as the need for implementation of the regionalization process, shared management and an inter-federative network that ensures comprehensive access to health care. © 2016, Associacao Brasileira de Pos - Graduacao em Saude Coletiva. All rights reserved.
Subject: Comprehensive Health Care
Health Management
Unified Health System
Universal Access To Health Care Services
Editor: Associacao Brasileira de Pos - Graduacao em Saude Coletiva
Citation: Ciencia E Saúde Coletiva. Associacao Brasileira De Pos - Graduacao Em Saude Coletiva, v. 21, n. 5, p. 1511 - 1524, 2016.
Rights: aberto
Identifier DOI: 10.1590/1413-81232015215.18942015
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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