0609/2016 - A Reforma dos Cuidados de Saúde Primários em Portugal: Portuguesa, moderna e inovadora. Primary Health Care Reform in Portugal: Portuguese, modern and innovative.
A reforma de 2005 dos cuidados de saúde primários (CSP) portugueses foi uma das mais bem-sucedidas reformas dos serviços públicos do País. O acontecimento mais relevante foi a constituição das Unidades de Saúde Familiar (USF): equipes multidisciplinares voluntárias e auto-organizadas, que prestam cuidados médicos e de enfermagem personalizados a um conjunto de pessoas. Num segundo momento reorganizaram-se as restantes dimensões dos CSP com a criação dos Agrupamentos de Centros de Saúde (ACeS). Apostou-se na governação clínica procurando-se obter ganhos em saúde pela melhoria da qualidade e da participação e responsabilização de todos. Este artigo tem por objetivo caracterizar a reforma de 2005 dos CSP Portugueses com análise das suas dimensões sistémica e local. Trata-se de um estudo de caso de uma reforma na área dos CSP de um sistema de saúde com análise documental e descrição de uma de suas unidades. Esta reforma foi portuguesa, moderna e inovadora. Portuguesa ao não quebrar completamente com o passado, moderna porque se aliou à tecnologia e ao trabalho em rede, e inovadora porque ultrapassou o modelo hierarquizado tradicional. Cumpriu o objetivo de uma reforma: conseguiu melhorias com maior satisfação de todos e ganhos em saúde.
Palavras-chave:
cuidados de saúde primáriosreforma cuidados de saúdeinovação organizacional
Abstract:
The 2005 reform of Portuguese primary health care (PHC) was one of the most successful reforms of the country‘s public services. The most relevant event was the Family Health Units (FHU): voluntary and self-organized multidisciplinary teams that provide personalized medical and nursing care to a group of people. In a second moment, the remaining dimensions of the PPHC were reorganized with the creation of the Health Center Clusters (ACeS). Clinical governance was implemented aiming at achieving gains in health by improving quality and participation and accountability of all. This article aims to characterize the 2005 reform of Portuguese PHC with an analysis of their systemic and local dimensions. This is a case study of a reform in the area of PHC of a health system with documentary analysis and description of one of its units. This reform was portuguese, modern and innovative. Portuguese by not breaking completely with the past, modern because it has allied with technology and networking, and innovative because it broke with the traditional hierarchical model. It fulfilled the goal of a reform: achieved improvements with greater satisfaction of all and gains in health.
Primary Health Care Reform in Portugal: Portuguese, modern and innovative.
Resumo (abstract):
The 2005 reform of Portuguese primary health care (PHC) was one of the most successful reforms of the country‘s public services. The most relevant event was the Family Health Units (FHU): voluntary and self-organized multidisciplinary teams that provide personalized medical and nursing care to a group of people. In a second moment, the remaining dimensions of the PPHC were reorganized with the creation of the Health Center Clusters (ACeS). Clinical governance was implemented aiming at achieving gains in health by improving quality and participation and accountability of all. This article aims to characterize the 2005 reform of Portuguese PHC with an analysis of their systemic and local dimensions. This is a case study of a reform in the area of PHC of a health system with documentary analysis and description of one of its units. This reform was portuguese, modern and innovative. Portuguese by not breaking completely with the past, modern because it has allied with technology and networking, and innovative because it broke with the traditional hierarchical model. It fulfilled the goal of a reform: achieved improvements with greater satisfaction of all and gains in health.
Biscaia, André Rosa, VALENTE HELENO, LILIANA CORREIA . A Reforma dos Cuidados de Saúde Primários em Portugal: Portuguesa, moderna e inovadora.. Cien Saude Colet [periódico na internet] (2016/dez). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/a-reforma-dos-cuidados-de-saude-primarios-em-portugal-portuguesa-moderna-e-inovadora/16035?id=16035
