دورية أكاديمية
[Implementation of the Mobile Emergency Medical Service in Brazil: action strategies and structural dimension].
| العنوان: | [Implementation of the Mobile Emergency Medical Service in Brazil: action strategies and structural dimension]. |
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| عنوان ترانسليتريتد: | O processo de implantação do Serviço de Atendimento Móvel de Urgência no Brasil: estratégias de ação e dimensões estruturais. |
| المؤلفون: | O'Dwyer G; Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil., Konder MT; Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil., Reciputti LP; Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil., Macedo C; Hospital do Coração, São Paulo, Brasil., Lopes MGM; Secretaria de Atenção à Saúde, Ministério da Saúde, Brasília, Brasil. |
| المصدر: | Cadernos de saude publica [Cad Saude Publica] 2017 Aug 07; Vol. 33 (7), pp. e00043716. Date of Electronic Publication: 2017 Aug 07. |
| نوع المنشور: | Journal Article |
| اللغة: | Portuguese |
| بيانات الدورية: | Publisher: Escola Nacional De Saúde Pública, Fundação Oswaldo Cruz Country of Publication: Brazil NLM ID: 8901573 Publication Model: Electronic Cited Medium: Internet ISSN: 1678-4464 (Electronic) Linking ISSN: 0102311X NLM ISO Abbreviation: Cad Saude Publica Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2012->: Rio De Janeiro : Escola Nacional De Saúde Pública, Fundação Oswaldo Cruz Original Publication: Rio de Janeiro : A Escola, |
| مواضيع طبية MeSH: | Program Evaluation*, Ambulances/*organization & administration , Emergency Medical Services/*organization & administration , National Health Programs/*organization & administration, Ambulances/standards ; Brazil ; Emergency Medical Services/standards ; Geographic Mapping ; Health Services Research ; Qualitative Research ; Surveys and Questionnaires |
| مستخلص: | The Mobile Emergency Medical Service (SAMU) was the first component of the National Policy for Emergency Care implemented in Brazil in the early 2000. The article analyzed the implementation of mobile pre-hospital emergency care in Brazil. The methods included document analysis, interviews with state emergency care coordinators, and an expert panel. The theoretical reference was the strategic conduct analysis from Giddens' Structuration Theory. The results showed uneven implementation of the SAMU between states and regions of Brazil, identifying six patterns of implementation, considering the states' capacity to expand the population coverage and regionalize the service. Structural difficulties included physician retention, poorly equipped dispatch centers, and shortage of ambulances. The North and Northeast were the country's most heavily affected regions. SAMU is formatted as a structuring strategy in the emergency care network, but its performance suffered the impact of limited participation by primary care in the emergency network and especially the lack of hospital beds. |
| تواريخ الأحداث: | Date Created: 20170810 Date Completed: 20171011 Latest Revision: 20220330 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1590/0102-311X00043716 |
| PMID: | 28792986 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1678-4464 |
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| DOI: | 10.1590/0102-311X00043716 |