Title |
Managing comprehensive care: a case study in a health district in Bahia State, Brazil
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Published in |
Cadernos de Saúde Pública, March 2016
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DOI | 10.1590/0102-311x00172214 |
Pubmed ID | |
Authors |
Adriano Maia dos Santos, Ligia Giovanella |
Abstract |
This study analyzed management of comprehensive care in a health district in Bahia State, Brazil, at the political, institutional, organizational, and healthcare practice levels and the challenges for establishing coordinated care between municipalities. The information sources were semi-structured interviews with administrators, focal groups with healthcare professionals and users, institutional documents, and observations. A comprehensive and critical analysis was produced with dialectical hermeneutics as the reference. The results show that the Inter-Administrators Regional Commission was the main regional governance strategy. There is a fragmentation between various points and lack of communications linkage in the network. Private interests and partisan political interference overlook the formally agreed-upon flows and create parallel circuits, turning the right to health into currency for trading favors. Such issues hinder coordination of comprehensive care in the inter-municipal network. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 56 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 13 | 23% |
Student > Bachelor | 8 | 14% |
Student > Postgraduate | 6 | 11% |
Student > Doctoral Student | 4 | 7% |
Other | 3 | 5% |
Other | 9 | 16% |
Unknown | 13 | 23% |
Readers by discipline | Count | As % |
---|---|---|
Nursing and Health Professions | 18 | 32% |
Medicine and Dentistry | 15 | 27% |
Economics, Econometrics and Finance | 2 | 4% |
Engineering | 2 | 4% |
Social Sciences | 2 | 4% |
Other | 5 | 9% |
Unknown | 12 | 21% |