Specialized care and health transport from a Health Care Network integration perspective

Bibliographic Data

ID16826470
AuthorsPatty Fidelis Almeida (0000-0003-1676-3574, Universidade Federal Fluminense), Kamilla Santos Silva (0000-0002-3324-9254, Universidade Federal da Bahia), Aylene Emilia Moraes Bousquat (0000-0003-2701-1570, Universidade de São Paulo)
Year2022
Volume27
Issue10
Pages4025-4038
Publication date2022-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCiência & Saúde Coletiva (JOURNAL)
Journal identifiersISSN: 1413-8123 • E-ISSN: 1678-4561
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/1413-812320222710.07432022en
OpenAlexW4296078953
LanguageEN
Citations received1
References cited24

The aim of this study was to analyze the organization and provision of specialized care (SC) and health transport in regional polyclinics in the state of Bahia, Brazil. We conducted a qualitative exploratory single case study of a polyclinic based on semi-structured interviews with key informants in municipal and state health services. We sought to identify elements that characterize network-based models of SC. A number of advances were identified, including: an increase in the provision of SC and the scope and quality of services; effective retention of health professionals; provision of health transport; monitoring of SC; and improvements in the regulation of access to care through the use of computerized systems. The following challenges were observed: tailoring SC planning to regional health needs; the promotion of care coordination by Primary Health Care (PHC); the development of strategies to improve communication between SC and PHC professionals; institutionalization of counter-referral; engagement between the polyclinic and spaces for citizen participation; and fostering matrix support, permanent education, teaching-service integration, and research. Despite the intrinsic challenges of SC and the need to strengthen the central role of PHC, the regional polyclinic arrangement is better suited to the integration of the health care networks

Business · Economic growth · Health care · Polyclinic · Referral · Health Systems, Economic Evaluations, Quality of Life · Health, Nursing, Elderly Care · Healthcare Systems and Reforms · Medicine · Nursing