0187/2018 - Determinantes sociais, condicionantes e desempenho dos serviços de saúde em países da América Latina, Portugal e Espanha. Social determinants, conditions and performance of health services in Latin American countries, Portugal and Spain.
A comparação é um recurso importante para identificar tendências ou intervenções que melhorem a qualidade dos serviços. Os países ibero-americanos não têm sido objeto de estudos dessa ordem, embora Portugal e Espanha venham acumulando um conhecimento relevante na condução de sistemas nacionais orientados pela atenção primária.O trabalho apresenta os resultados da matriz analítica do Observatório Iberoamericano de Políticas e Sistemas de Saúde, discutindo aspectos que se destacaram no acompanhamento dos sistemas de serviços da Argentina, Brasil, Colômbia, Espanha, Paraguai, Peru e Portugal, ao longo da primeira década do século XXI. Foi feita a análise de séries temporais de quarenta e cinco indicadores que apresentavam maior grau de completitude, divididos em determinantes sociais, condicionantes e desempenho. Três tendências são comuns a quase todos os países: aumento de sobrepeso, desequilíbrio da balança comercial em produtos farmacêuticos e aumento nos gastos dos sistemas. Este padrão de convergência mostra a necessidade de mudanças no modo de regular, organizar e prestar serviços com práticas e políticas públicas que garantam um cuidado integral, mas incorporem ações intersetoriais e de promoção permitindo a sustentabilidade dos sistemas.
Palavras-chave:
sistemas de saúde; tecnologia de informação; América Latina; Espanha; Portugal
Abstract:
Comparison is an important resource for identifying trends or interventions that improve the quality of services. Although Portugal and Spain have accumulated a relevant knowledge in the conduction of national systems oriented by primary care, the Ibero-American countries have not been the object of studies of this order. The paper presents the results of the analytical matrix of the Ibero-American Observatory of Health Policies and Systems. It discusses aspects that have stood out in the monitoring of the service systems of Argentina, Brazil, Colombia, Spain, Paraguay, Peru and Portugal, in the first decade of the 21st century. The analysis of time series of forty - five indicators that presented a greater degree of completeness, divided into social determinants, conditioners and performance were made. Three trends are common to almost all countries: increased overweight, imbalance of the trade balance in pharmaceuticals and increased spending on systems. This pattern of convergence shows the need for changes in the way to regulate, organize and provide health services with public policies and practices that guarantee integral care, including intersectoral actions and health promotion and allowing the sustainability of the systems.
Keywords:
Health systems; information technology; Latin America; Spain; Portugal
Social determinants, conditions and performance of health services in Latin American countries, Portugal and Spain.
Resumo (abstract):
Comparison is an important resource for identifying trends or interventions that improve the quality of services. Although Portugal and Spain have accumulated a relevant knowledge in the conduction of national systems oriented by primary care, the Ibero-American countries have not been the object of studies of this order. The paper presents the results of the analytical matrix of the Ibero-American Observatory of Health Policies and Systems. It discusses aspects that have stood out in the monitoring of the service systems of Argentina, Brazil, Colombia, Spain, Paraguay, Peru and Portugal, in the first decade of the 21st century. The analysis of time series of forty - five indicators that presented a greater degree of completeness, divided into social determinants, conditioners and performance were made. Three trends are common to almost all countries: increased overweight, imbalance of the trade balance in pharmaceuticals and increased spending on systems. This pattern of convergence shows the need for changes in the way to regulate, organize and provide health services with public policies and practices that guarantee integral care, including intersectoral actions and health promotion and allowing the sustainability of the systems.
Palavras-chave (keywords):
Health systems; information technology; Latin America; Spain; Portugal
Eleonor Minho Conill, Xavier, D.R, Piola, Sérgio Francisco, SIlva, S. F., Bascolo, E, Barros,Heglaucio da Silva . Determinantes sociais, condicionantes e desempenho dos serviços de saúde em países da América Latina, Portugal e Espanha.. Cien Saude Colet [periódico na internet] (2018/Abr). [Citado em 08/11/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/determinantes-sociais-condicionantes-e-desempenho-dos-servicos-de-saude-em-paises-da-america-latina-portugal-e-espanha/16720?id=16720&id=16720
