Remodeling hospital care - an account of experiences in the Federal District of Brazil

Since its creation in 1988, major changes have been made to Brazil's public health system in response to the epidemiological transition and the country's changing economic context and demographics. This article describes the recent healthcare reform implemented in the federal district'...

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Bibliographic Details
Published in:Ciência & saude coletiva 2019-06, Vol.24 (6), p.2147
Main Authors: Uzuelli, Fernando Henrique de Paula, Costa, Ana Carolina Digues da, Guedes, Bruno, Sabiá, Consuelo Ferreira, Batista, Sandro Rogério Rodrigues
Format: Article
Language:eng ; spa
Subjects:
Brazil
Delivery of Health Care - organization & administration
Demographics
Emergency medical services
Emergency Service, Hospital - organization & administration
Epidemiology
Evidence-Based Medicine
Health Care Reform
Hospitals, Public - organization & administration
Humans
Information dissemination
Knowledge management
Models, Organizational
National Health Programs - organization & administration
Organizational structure
Personnel, Hospital - standards
Public Health
Redesign
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Description
Summary:Since its creation in 1988, major changes have been made to Brazil's public health system in response to the epidemiological transition and the country's changing economic context and demographics. This article describes the recent healthcare reform implemented in the federal district's public hospital system. Guided by evidence-based management and a series of regulatory instruments, the reform organized hospital emergency services and secondary outpatient care, regulated health services, and remodeled the organizational structure of the Department of Health. These changes were aimed at promoting integration between health professionals across different levels of care and ensuring the provision of continuing comprehensive care. This approach guarantees efficiency gains in patient treatment, since multifocal and focal professionals work in an integrated manner. By reorganizing work processes and ensuring adequate planning, it was possible to redesign the care model to promote knowledge management and improve access to information and interactivity, thus helping to ensure the provision of quality, value-added care.
ISSN:1413-8123
1678-4561
DOI:10.1590/1413-81232018246.08612019