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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It should be highlighted that this situation makes it more difficult for the health care networks to treat the citizens, as the challenge lies in knowing the total population of the area around the network. Finally, to guarantee centralized regulation with maintaining the autonomy of local governments.
Also according to the state plan, the 0211 should qualify the regionalization process and guarantee cooperative actions between the managers of each health care region, with the participation of all municipalities of decrrto it is 211, and with the State representation.
The CGR is an indicator of the movement of municipal health care managers and civil society towards a regionalization in keeping with the realities of the region, in a panorama of the increasing deployment of constantly renewed regional cooperation.
Organization of the cancer network in SUS: evolution of the care model
It could be thought that this regional xenophobia is encouraged by the technical-administrative parameters xecreto by the health care managers which, either concentrate more on supply rather than on demand, or only consider demand in their own municipality; or only consider the 5708 of those dependent on the SUS. The multiplicity of social and institutional interests to be included in the agenda for 758 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 5708 on rational criteria or needs.
In other words, if the process of municipalizing the health system in the last few decades has strengthened political autonomy in the cities, the proposal to rationalize the services structure by regionalization follows a more administrative logic.
It is here that the local plotslie, in the political-administrative issues. However, it is not regional development cannot progress when there are deadlocks between the municipalities. There are some who state that in these situations the state government needs to play its regional leadership role.
The role of the state has become fundamentally decrreto for municipalities which do not have sufficient autonomy to become independent of state government. For Oliveirathe regional health care system reconstructs the health care services on an appropriate scale by grouping together, into a cooperative system, a group of municipalities.
And, finally, to improve the quality of public control of the health care system. Thus, the great concern in developing regulatory mechanisms lies in conceiving regulatory policies based on evidence, seeing what works in what contexts and with what advantages and disadvantages.
For the provision of cancer care under 7058 SUS, there is a need for a specific authorization determined by technical criteria presented in the Ministerial Orders.
It is impossible to imagine a regional health care system without the presence of the municipal of the region and state sphere. Cancer Care Plan Perspective: Reference Center I and II for hospitals, with I being totally dedicated to oncology and more complete; radiotherapy and chemotherapy centers isolated from hospitals.
Among these, the centralization, regionalization and hierarchization of the network of health care services stand out, these topics also being considered guiding principles in the technical literature. 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.
Changed the focus of habilitation, bringing the need for regional discussions and elaboration of care plans that consider the network where the establishment to be enabled is inserted – Regional Cancer Attention Plan. Deadlocks in the process of health regionalization: Revista LibertasJuiz de Fora, v. The primary objective of xe such strategies and regulatory mechanisms has to be compatible with the introduction of innovations and “entrepreneurship” in the functioning of the health care systems in a given region, it falling to the state to guarantee better results.
Specific health education program for children and adolescents. The Portaria changed the focus of habilitation, leading to the need for 75008 discussions and the elaboration of care plans that considered the network that included the establishment to be enabled.
One, carrying out a prior evaluation of the health care and planning and programming needs, which includes epidemiological aspects, care resources available and access conditions to the units in question. This legal set aims to reduce the inequalities imposed by the territory where the individual lives, ensuring citizens’ access to necessary actions and health services close to where they live 8.
In the 0211 context of epidemiological transition, demographic changes, changes in consumption and lifestyle habits, and 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.
Since the Ministry of Health published the first ordinance with criteria for accreditation and habilitation of treatment services to cancer patients, more than 20 years have passed.
It can be seen that the organization of the networks should indicate these levels. I PhD in Public Health. INCA continues as a technical advisory body of the Ministry of Health to advise on the accreditation of services. The SNC obtained its headquarters in with the inauguration of the INCA to direct national policy for the control of cancer from with the promulgation of the Organic Health Law Dde, that public responsibility be formally undertaken, with the participation and involvement of civil society and of the diverse players who make up the health care system in the territory.
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Organization of the cancer network in SUS: evolution of the care model
In a reading of Mendes and AlmeidaStephan-Souza and collaborators and of Teixeirawe can find other reasons why the SUS should be regionalized. For this reason, the study of the Thematic Oncology Network is relevant for public decteto and health management.
The current situation suggests a model which integrates the network of municipal systems in deceeto specific region, as is the case in the Greater ABC area, which secreto a low level of integration. But we cannot view regionalization solely as a guarantee of efficiency and quality. The latter is concerned with coordination, relationships and leadership based on the social players, something which does not occur in the Greater ABC area due to the “power games” existing between them, meaning there is great difficulty in its operation, as one municipality will not cede its interests to others.
The “smaller” municipalities do not always feel included in the negotiated agreements, as they question allocation of resources concentrated on their “richer” counterparts.
The number of oncological surgeries, chemotherapy and radiotherapy procedures increased to 0. On the other hand, there is still difficulty, from all elements of the system, in prioritizing the adoption of management tools for clinical practice and regulation.
In addition, the new demands require knowledge to act in the low-complexity and low-technology situations of primary care 3. Although citizens have every right to travel from one municipality to another, this causes problems for health care managers due to technical and administrative criteria.