Proposal of an Integrated Health Care Network System for Patients with Congenital Heart Defects

Abstract

The perspective of the integrated health system has a network of care with multiple integration dimensions among subsystems as nuclear representation, relating the clinical aspects and governance to the representations and collective values. The normative integration aims to ensure coherence between the system of representations and values of society simultaneously with the interfaces of clinical and functional integration. It builds a bridge with governance, which allows, through their skills, management of all system components, encouraging cooperation, communication and information, in order to ensure the population under their responsibility to access excellence services, exceeding their expectations. The integration of care consists of a durable coordination of clinical practices for those who suffer from health problems in order to ensure continuity and full range of the required professional services and organizations, coordinated in time and space, in accordance with the available knowledge. It is possible to establish the type of health equipment for each level of care for patients with congenital heart diseases. This strategy intends to offer timely care in appropriate moments and places, efficiently, operating cooperatively an interdependently, with ongoing exchange of its resources. Thus, situational integration establishes the system connection with the assessment environment that proposes to carry out value judgment, guided by an objective worldview, about an intervention or any of its components, in order to objectify the decision making.

Integration strategies for caring for chronic noncommunicable diseases: a case study

“…HD follows the norms dictated by the municipality, which follows the norms formatted in the Health System. Thus, the knowledge related to SUS guidelines supports performance of health actions by professionals (11,22) .…”

Thoughts Regarding the Situation of the Pediatric Cardiovascular Surgery in Brazil

“…Finally, with us being fully aware of this panorama makes distress an ever-recurring present feeling, as we only get encouragement and hope when we realize efforts, although rare and single, such as this work by Dr. Valdester of utmost importance highlighting the need for even bigger and united efforts, for only then we can make the care of children with congenital heart disease better, more sustainable and ultimately worthy in Brazil [ 2 ] .…”

“…It is necessary and required that the population and especially the Government at all levels understand as this been a highly complexity activity, as it is recognized in the law itself. This system's intrinsic feature implies skilled human resources, adequate infrastructure and, above all, sufficient funding for these three pillars, orchestrated by proper management, able to harmonize allowing treatment of children with congenital heart disease who can grow, study, work, form families, have children, and why not, pay taxes, so that the nation can continue to develop and promote opportunities for future generations [ 2 ] .…”