التفاصيل البيبلوغرافية
| العنوان: |
Difficulties in accessing services that are of medium complexity in small municipalities: a case study. |
| عنوان ترانسليتريتد: |
Dificuldade de acesso a serviços de média complexidade em municípios de pequeno porte: um estudo de caso. |
| المؤلفون: |
Silva CR; Universidade Estadual do Norte do Paraná. Rodovia BR-369 Km 54, Vila Maria. 86360-000 Bandeirantes PR Brasil. camilarsilva@hotmail.com., Carvalho BG; Universidade Estadual de Londrina. Londrina PR Brasil., Cordoni L Júnior; Universidade Estadual de Londrina. Londrina PR Brasil., Nunes EFPA; Universidade Estadual de Londrina. Londrina PR Brasil. |
| المصدر: |
Ciencia & saude coletiva [Cien Saude Colet] 2017 Apr; Vol. 22 (4), pp. 1109-1120. |
| نوع المنشور: |
Journal Article |
| اللغة: |
Portuguese; English |
| بيانات الدورية: |
Publisher: Associação Brasileira de Pós-Graduação em Saúde Coletiva Country of Publication: Brazil NLM ID: 9713483 Publication Model: Print Cited Medium: Internet ISSN: 1678-4561 (Electronic) Linking ISSN: 14138123 NLM ISO Abbreviation: Cien Saude Colet Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: Rio de Janeiro : Associação Brasileira de Pós-Graduação em Saúde Coletiva, [1996]- |
| مواضيع طبية MeSH: |
Health Services Accessibility*, Delivery of Health Care/*organization & administration , Health Services/*supply & distribution, Brazil ; Cities ; Delivery of Health Care/statistics & numerical data ; Humans ; Private Sector ; Specialization |
| مستخلص: |
The study aimed to describe the specialized health services and to identify areas of greater difficulty of access to specialized consultations offered by SUS in small cities in the 18th Regional Health Area of Paraná State, Brazil, using case study methodology. The data were collected between January and April 2015. Managers, management teams and the board of directors of the CIS (Consórcio Intermunicipal de Saúde) were interviewed. The 21 studied specialist areas were rated like Sufficient Quota, Insufficient Quota, Inexistent Supply, and Assistance Gap. The services with more difficulty of access were Vascular Surgery, Proctology, Geriatrics, Endocrinology, and Neurology, considered Inexistent Supply/Assistance Gap, and Orthopedics, Neuro-pediatrics, Urology, Rheumatology, Ophthalmology, and Otorhinolaryngology, were considered Insufficient Share. Contribute to the magnitude of the problem: lack of specialist doctors, private sector dependence and de decrease of the Federal and State Governments in financing the Health Sistem. Therefore, the gap in specialized healthcare is complex and difficult to solve in the short-terms, proving that this services have become a "bottleneck" in the SUS. |
| تواريخ الأحداث: |
Date Created: 20170427 Date Completed: 20180222 Latest Revision: 20220408 |
| رمز التحديث: |
20240829 |
| DOI: |
10.1590/1413-81232017224.27002016 |
| PMID: |
28444038 |
| قاعدة البيانات: |
MEDLINE |
Full Text Finder