DECRETO 7508 DE 2011 PDF

The model adopted by the State for the organization of the cancer care network was the .. Decreto n° de 28 de junho de Brasília. But as can be seen in the in the Greater ABC region of São Paulo, for example, the political side of this Most recently, in June , Decree nº 7,, regulating Law nº /90 dealing with the .. Decreto nº , de 28 de junho de

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Footnotes No potential conflict of interest was reported. This is the case, for example, d two municipalities in the Greater ABC area: Established organized, systematized and regulated horizontal relations between basic care and these different health services are recognized as points of attention.

These deadlocks are present in the Greater ABC region, which make regional health care cohesion difficult.

Organization of the cancer network in SUS: evolution of the care model

Abstract In the current context of epidemiological transition, demographic changes, changes in consumption and lifestyle habits, decrfto pressure on care costs and organized health systems for acute conditions, the Integrated Care Model by Shortell has become a conceptual reference in the search for new methods to manage chronic conditions by focusing on the health conditions of a given population that must be addressed by a set of institutions organized into networks.

Policies for screening for cervical, breast and colorectal cancer. Thus, there is a need for all health professionals to act in an integrated manner.

Another is defining a regionalization strategy which outlines the responsibilities and roles of the various municipalities and the inclusion of diverse care units in the network. It is devreto fact that strengthening the regionalization of the SUS is part of a Greater integration of all the municipalities and, above all, of a less passive and more engaged and proactive participation.

In addition, a challenge related to early detection was observed since Although we have observed evolution in the regulation of cancer care in SUS, there are still many challenges for the establishment of the Oncology Network in the integrated care model. Table 1 Ministry rules related to cancer care in the SUS – to RESULTS In Brazil, cancer ceased to be a disease treated only in medical offices and became a public health problem in with the Anticancer First Plan and the inauguration of the Radium Institute in Belo Horizonte, a private entity and the first center to fight cancer in the country.

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In the Greater ABC area, citizens from other municipalities are considered “invaders” seeking health care services, especially primary health care services. Therefore, regulation is aimed at providing care alternatives more appropriate to the needs of the citizen, in an even, orderly, timely and qualified fashion.

Organization of the cancer network in SUS: evolution of the care model

According to Eliasregionalization of the health care system is inconceivable without effective state participation. Creating organized delivery systems: This is expressed in the priority given to discussion on the organization of health care to the detriment decreho debate on policies promoting health and the prevention of diseases and health problems Dourado and Elias, In addition, the new demands require knowledge to act in the low-complexity and low-technology situations of primary care 3.

Political deadlocks are at the core of issues in the region.

The multiplicity of social and institutional interests to be included in the agenda for the sector mobilizes different techno-bureaucratic groups in defence of projects and actions aimed at different segments or groups of the population, and the priorities are not always defined based on rational criteria or needs. Actions to scale the accredited network and identify regional needs. Given that coordination between the municipalities themselves is essential, the state government needs to take on coordination of the SUS regionalization process, seeking to propose general directives and norms, through agreements in the Inter-managerial Bipartite Commission – CIBin coordinating the organization and updating of the Regional Plan – Plano Diretor Regional PDR in a region.

Data were collected between April and December We have to recognize that constituting a regional health care system needs the willing participation of the three parts of the federation, thus seeking to ensure comprehensive care for the citizen. There can be no regional health care system without the presence of the state sphere. According to the model developed by Shortell, there are seven elements of the integration of care, as shown in Figure 1.

Regionalization of the public health system aims to encourage and enhance efforts and measures involving the organization of local and regional public health, through coordinating all those involved.


It is here that the local plotslie, in the political-administrative issues.

Also according to the state plan, the CGR should qualify the regionalization process and guarantee cooperative actions between the managers of each health care region, with the participation of all municipalities of which it is composed, and with the State representation. During this period, it is possible to observe a progressive orientation towards the integral and integrated care of patients with cancer.

We also know that the processes should be made viable through financial and administrative mechanisms. The challenge is the transformation 20011 an acute case-focused system with an emphasis on disease and 201 planned care whose primary goal is to fill hospital beds and whose organization is departmentalized and focused on the functioning of institutions in isolation. Rio de Janeiro, One, that the health care service network and actions take into account the loco-territorial diversity together with seeking to overcome inequalities.

The importance of regulation as a tool to improve the functioning of decrwto within the health care sector needs to be recognized, given its role in minimizing the opportunism of the agents and the difficulties inherent dereto rationality as regards the functioning of the health care system. As in any complex system, we recognize that regulation allows that the diverse functions remain in operation within a predetermined target or limits so as to guarantee that the system as a whole achieves its basic objectives.

According to the statements we heard, some of the expected effects would be: An outpatient 20011 facility, a rehabilitation center, and an outpatient pharmacy for patients under treatment as well as a referral center for palliative care were installed in an out-of-the-way facility 50 kilometers away.

The Greater ABC area is used as an example to set this scene. However, in order for all of this to be achieved, some basic assumptions have to be adhered to.