0014/2023 - SISTEMA DE SAÚDE E VIGILÂNCIA NA FRANÇA E A RESPOSTA À PANDEMIA DE COVID-19 HEALTH SYSTEM, SURVEILLANCE AND THE COVID-19 PANDEMIC RESPONSE IN FRANCE
A França foi o primeiro país europeu a confirmar casos de covid-19, sendo um dos mais afetados pela pandemia na primeira onda. Este estudo de caso analisou as medidas adotadas pelo país no enfrentamento à covid-19, em 2020 e 2021, relacionando com as características do seu sistema de saúde e de vigilância. Como um Estado de bem-estar social, apostou em políticas compensatórias e de proteção da economia, bem como aumentou investimentos em saúde. Houve fragilidade na preparação e atraso na implantação do plano de enfrentamento. A resposta foi coordenada pelo poder executivo nacional, adotando bloqueios rígidos nas duas primeiras ondas, flexibilizando as medidas restritivas nas demais ondas, após o aumento da cobertura vacinal e diante da resistência da população. Enfrentou problemas com testagem, vigilância dos casos e contatos e assistência aos doentes, principalmente na primeira onda. Necessitou modificar as regras do seguro de saúde para ampliar cobertura, acesso e melhor articulação das ações de vigilância. Indica aprendizados sobre os limites do seu sistema de seguro social, mas também as potencialidades de um Estado com capacidade de resposta forte no financiamento de políticas públicas e regulação dos demais setores para enfrentar a crise.
Palavras-chave:
Covid-19. Sistema de Saúde. França. Política Pública. Política de Saúde.
Abstract:
France was the first European country to confirm cases of covid-19, being one of the most affected by the pandemic in the first wave. This case study analyzed the measures adopted by the country in the fight against covid-19, in 2020 and 2021, relating it to the characteristics of its health and surveillance system. As a welfare state, it bet on compensatory policies and protection of the economy, as well as increased investments in health. There was weakness in the preparation and delay in the implementation of the coping plan. The response was coordinated by the national executive power, adopting strict blocks in the first two waves, easing restrictive measures in the other waves, after the increase in vaccination coverage and in the face of population resistance. It faced problems with testing, surveillance of cases and contacts and care for patients, especially in the first wave. It was necessary to modify the health insurance rules to expand coverage, access and better articulation of surveillance actions. It indicates lessons learned about the limits of its social security system, but also the potential of a State with a strong response capacity in the financing of public policies and regulation of other sectors to face the crisis.
Keywords:
Covid-19. Health system. France. Public policy. Health policy.
HEALTH SYSTEM, SURVEILLANCE AND THE COVID-19 PANDEMIC RESPONSE IN FRANCE
Resumo (abstract):
France was the first European country to confirm cases of covid-19, being one of the most affected by the pandemic in the first wave. This case study analyzed the measures adopted by the country in the fight against covid-19, in 2020 and 2021, relating it to the characteristics of its health and surveillance system. As a welfare state, it bet on compensatory policies and protection of the economy, as well as increased investments in health. There was weakness in the preparation and delay in the implementation of the coping plan. The response was coordinated by the national executive power, adopting strict blocks in the first two waves, easing restrictive measures in the other waves, after the increase in vaccination coverage and in the face of population resistance. It faced problems with testing, surveillance of cases and contacts and care for patients, especially in the first wave. It was necessary to modify the health insurance rules to expand coverage, access and better articulation of surveillance actions. It indicates lessons learned about the limits of its social security system, but also the potential of a State with a strong response capacity in the financing of public policies and regulation of other sectors to face the crisis.
Palavras-chave (keywords):
Covid-19. Health system. France. Public policy. Health policy.
Angeli-Silva, L., Santos, J.V.P, Esperidião,M.A. SISTEMA DE SAÚDE E VIGILÂNCIA NA FRANÇA E A RESPOSTA À PANDEMIA DE COVID-19. Cien Saude Colet [periódico na internet] (2023/jan). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/sistema-de-saude-e-vigilancia-na-franca-e-a-resposta-a-pandemia-de-covid19/18640?id=18640
