Mendes Eugênio Vilaça
Secretaria de Estado de Saúde de Minas Gerais, Belo Horizonte, MG, 30150-050.
Cien Saude Colet. 2010 Aug;15(5):2297-305. doi: 10.1590/s1413-81232010000500005.
The demographic and epidemiologic transition resulting from aging and the increase of life expectation means an increment related to chronic conditions. The healthcare systems contemporary crisis is characterized by the organization of the focus on fragmented systems turned to the acute conditions care, in spite of the chronic conditions prevalence, and by the hierarchical structure without communication flow among the different health care levels. Brazil health care situation profile is now presenting a triple burden of diseases, due to the concomitant presence of infectious diseases, external causes and chronic diseases. The solution is to restore the consistence between the triple burden of diseases on the health situation and the current system of healthcare practice, with the implantation of health care networks. The conclusion is that there are evidences in the international literature on health care networks that these networks may improve the clinical quality, the sanitation results and the user's satisfaction and the reduction of healthcare systems costs.
由老龄化和预期寿命增加导致的人口结构和流行病学转变意味着慢性病相关情况的增加。当代医疗保健系统的危机表现为,尽管慢性病普遍存在,但医疗重点却集中在针对急性病护理的碎片化系统组织上,以及不同医疗保健层级之间缺乏沟通的层级结构。由于传染病、外部因素和慢性病同时存在,巴西的医疗保健状况目前呈现出疾病的三重负担。解决方案是通过建立医疗保健网络,恢复健康状况下疾病的三重负担与当前医疗实践系统之间的一致性。结论是,国际医疗保健网络文献中有证据表明,这些网络可以提高临床质量、卫生成果和用户满意度,并降低医疗保健系统成本。