0345/2019 - Indicadores de monitorização e desempenho nas unidades de saúde familiar e os objetivos do desenvolvimento sustentável na saúde (ODS 3): Uma análise comparada em Portugal no período de 2013-2018.
Publicado
Author:
• Baltazar Ricardo Monteiro - Monteiro, B. R. - <ricardo.monteiro.baltazar@gmail.com>ORCID: https://orcid.org/0000-0002-4876-9439
Abstract:
The scale of transformation needed to achieve all Sustainable Development Goals (SDGs) is considerable. The third SDG (SDG3) is explicitly health-related to ensure healthy lives and well-being for all, at all ages. Primary care (PHC), in this context, is the backbone of a health system that can improve people\'s health, reduce spending and reduce inequalities. A strong system orientation towards PHC must be temporally stable since its reformulation. This analysis uses the instrumental case study. This type of case study offers the opportunity to learn about events. We analyzed and debated 13 indicators, comparing over time, the results obtained by the typology of health facilities in Portugal: USF-A, USF-B, UCSP, UCSP-M.The results shown are discrepant when comparing USF and UCSP and may contribute to deepening access inequalities. This is a problem related to clinical governance and not to the health unit model. Empowering coordination and improving the effectiveness of middle management is crucial.
