Consórcios Intermunicipais de Saúde: o caso do Paraná, Brasil

Abstract

Inter-municipal health consortia emerged in Brazil's Unified National Health System (SUS) policy in the late 1980s. Municipal health administrators adhered to this strategy with the aim of upgrading health services supplied to the population. This research analyzes the profile of such consortia in Paraná State, focusing on specialized medical care. Data were obtained from reports by the State Health Council and questionnaires sent to all 20 existing municipal health consortia. Governmental Decree no. 1,101 and data published in 2000 on the profile of the health system in Paraná were used as references. Of the 399 municipalities in Paraná State, 81.5% have joined municipal consortia. Specialists are allocated by municipalities (4.4%), the State government (13.6%), or Federal Government (12.8%); another 69.2% are hired by the consortia themselves. The supply of consultations with specialists is either insufficient or inadequately distributed, and there are flaws in the referral and counter-referral system. Municipal health consortia serve as viable instrument for expanding and increasing the capacity of municipalities to supply specialized care, although there is a need for well-defined criteria, planning, and improving of the referral and counter-referral system.

Construção da atenção secundária em saúde bucal: um estudo sobre os Centros de Especialidades Odontológicas em Pernambuco, Brasil

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Consórcios de saúde: estudo de caso exitoso

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Dificuldade de acesso a serviços de média complexidade em municípios de pequeno porte: um estudo de caso

“…According to 64.8% of the directors of the CIS interviewed in this study, it is necessary to contact more specialist doctors that are not offered to be a part of medical teams 32 .…”

“…The professionals also have been searching for lesser work roles. The specialist services dermatology, otorhinolaryngology and ophthalmology are sought after the most [31][32][33] .…”