Malformações congênitas; Planejamento em saúde; Gestão em saúde; Redes de Atenção à saúde; Serviços de Saúde Materno-Infantil
Abstract:
This paper aims at presenting a proposal for grouping the cases for the organization of health services and integrated care pathways. This is an exploratory study in the field of health services planning and management, which used, as its methodology, documentary and bibliographic research as well as interviews with specialists by using Nominal Group Technique. From the strategic analysis, four groups were identified: smaller CM; CM with late surgical approach; CM with immediate surgical approach; and CM incompatible with life. The proposition startedthe articulation of clinical, epidemiological and health planning knowledge to assist in the management and organization of congenital malformations care. The strategic analysis proved to be adequate and allowed us to identify case groups that demand a homogeneous set of care strategies and care in health services with a similar profile. This proposal can also contribute to regional planning and management of care for other complex health problems and conditions, which demand the articulation of specialized services and high technological density.
Keywords:
Congenital Malformations; Health planning; Health Management; National Health Networks; Maternal Child Health Services
Strategic Analysis of Malformations Congenital Care: proposal of approach and development of integrated care pathways
Resumo (abstract):
This paper aims at presenting a proposal for grouping the cases for the organization of health services and integrated care pathways. This is an exploratory study in the field of health services planning and management, which used, as its methodology, documentary and bibliographic research as well as interviews with specialists by using Nominal Group Technique. From the strategic analysis, four groups were identified: smaller CM; CM with late surgical approach; CM with immediate surgical approach; and CM incompatible with life. The proposition startedthe articulation of clinical, epidemiological and health planning knowledge to assist in the management and organization of congenital malformations care. The strategic analysis proved to be adequate and allowed us to identify case groups that demand a homogeneous set of care strategies and care in health services with a similar profile. This proposal can also contribute to regional planning and management of care for other complex health problems and conditions, which demand the articulation of specialized services and high technological density.
Palavras-chave (keywords):
Congenital Malformations; Health planning; Health Management; National Health Networks; Maternal Child Health Services