PROGRAMA SAÚDE EM AÇÃO. Strengthening the Health Management in the State of São Paulo

Transcrição

1 PROGRAMA SAÚDE EM AÇÃO Strengthening the Health Management in the State of São Paulo

2 Brazilian Public Health System ( Sistema Único de Saúde) "Health is everyone's right and duty of the State, guaranteed through social and economic policies aimed at reducing the risk of disease and other health problems and the universal and equal access to actions and services for its promotion, protection and recovery (Brazilian Federal Constitution of 1988). SUS Pillares: UNIVERSALITY Regionalization Hierarchy Descentralization Social Control EQUITY INTEGRALITY

3 Population: 200,4 million Area: 8,514,876.60km2 Population: 41,692,688 million Area: 248,196km2

4 Demographic growth and Epidemiological Profile COMUNICABLE DISEASES NON- COMUNICABLE DISEASES Triple burden of diseases EXTERN CAUSES a transição demográfica % elderly population BRASIL 15% elderly population 20 MILLIONS 2005 a 2030 more than 40 MILLIONS FONTE: IBGE (2014)

5 median age of the population will jump from 20 to 40 years from 1980 to 2030 Hospital admissions/ inhabitants by age group: 60 years or older: 11,53 15 to 59 years: 5,07 Younger than 15 years: 4,02 fewer children to be educated and more erderlies to be cared for (DATASUS 2011)

6 FRAGMENTED SYSTEM X HEALTH CARE NETWORK HIERARCHYC AND FRAGMENTED SYSTEM POLIARQUIC HEALTH CARE NETWORK HIGH COMPLEXITY MEDIUM COMPLEXITY PRIMARY CARE LOW COMPLEXITY FONTE: MENDES (2009)

7 SUS Regionalization Process and the Health Care Network MAPA SAÚDE, PACTO PELA SAÚDE RRAS RENAME RENASES REDES TEMÁTICAS COAP

8 Portaria GM/MS 399/06 SUS Regionalization Process and the Health Care Network State of São Paulo- Brasil

9 AS REDES DE ATENÇÃO À SAÚDE desafios avanços

10 SÃO PAULO INFRAESTRUCTURE HOSPITAIS 93ESTADUAIS AMES FARMÁCIAS AMBULATORIAIS DE ALTO CUSTO

11 ASSISTÊNCIA Procedimentos hospitalares e ambulatoriais do SUS - por local de ocorrência SP/Brasil Período:2016 GRUPOS/SUBGRUPOS PROCEDIMENTO SÃO PAULO BRASIL PERCENTUAL SP/BRASIL SÃO PAULO BRASIL PERCENTUAL SP/BRASIL Total internações Alta Complexidade (SIH) , bi 3.5 tri 23,72 Total Qtd.Aprovada Alta Complexidade (SIA) , bi 3.4 tri 28,79 Internações Tratamento em Oncologia (Clinico) SIH , bi 299 bi 23,54 Cirurgia em Oncologia (SIH) , bi 459 bi 24,95 Transplantes de Órgãos , bi 509 bi 35,13 Cirurgia do aparelho circulatório , bi 1.5 tri 25,37 Radioterapia ,67 98 bi 401. bi 24,45 Quimioterapia , bi 1.5 tri 26,52 Pet-CT ,92 13 bi 29 bi 45,89 Tomografia , bi 527 bi 34,83 Ressonância Magnética ,15 92 bi 290 bi 32,06 TRS , bi 2.7 tri 23,23 Fonte: Ministério da Saúde Sistema de Informações hospitalares e ambulatoriais do SUS (SIH/SUS e SAI/SUS)

12 SUS- São Paulo Challenges Financial insufficiency Dislocation between the attention levels Lack of guidelines Lack of standardization of the work process Patient uninformed Unengaged professional Inefficiency of the system, besides the high number of appointments and procedures

13 PROGRAMA SAÚDE EM AÇÃO RMC VALE DO JURUMIRIM LITORAL NORTE ITAPEVA VALE DO RIBEIRA

14 Objectives of the Program Territorialization Qualified professional Paients registration Electronic medical records Unidade Básica de Saúde Model Health Care pathways Acess regulation Deliverable Health Services Informatization Strenghtening bonds

15 PROGRAMA SAÚDE EM AÇÃO Consultancy studies in development Diagnose an evalluation of São Paulo Health Care Networks UBS current costs Development of Health Care Pathways Hypertension, Diabetes, Mental Health, Child, Elderly and Pregnant/ Puerperum Definition of Professional Competencies in primary care Medical transportation plan Stategic plan for countinuing education Improvement of the regulatory model Proposition of HR retention strategies Development and implementation of the SES training program for professionals in the central and regional area

16 Unidade Básica de Saúde (Primary health care center)

17 Regional Hospitals

18 SUS- São Paulo Challenges AAAAA Renal replacement therapy Oncology Cardiology Child Cardiology Orthopedics Health Promotion and Prevention Programs Mental Health Non comunicable diseases

19 SUS- São Paulo Challenges Specific data base Governance of the Public Health System Institutional support to SES/SP Integrative Care Partnership Center For Integrated Care Edinburgh University and West Wales University Governmental regulation in health

20 PROGRAMA SAÚDE EM AÇÃO OBRIGADO! Fátima Bombarda Coordenadora de Redes UCP/SES-SP Nelson Yatsuda Coordenadoria de Regiões de Saúde- Assistente do Coordenador