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[全面性与医疗技术:关于对巴西统一国家卫生系统全面性原则构建的概念性贡献的叙述]

[Comprehensiveness and healthcare technologies: a narrative on conceptual contributions to the construction of the comprehensiveness principle in the Brazilian Unified National Health System].

作者信息

Kalichman Artur Olhovetchi, Ayres José Ricardo de Carvalho Mesquita

机构信息

Centro de Referência e Treinamento DST/AIDS, Secretaria de Estado da Saúde de São Paulo, São Paulo, Brasil.

Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil.

出版信息

Cad Saude Publica. 2016 Aug 8;32(8):e00183415. doi: 10.1590/0102-311X00183415.

Abstract

Comprehensiveness is the most challenging principle for building health reform in the Brazilian Unified National Health System (SUS). This study aims to identify critical moments in the conceptual debate on comprehensiveness and its contributions to reflection on healthcare technologies in the SUS. The essay addresses some conceptual constructs that approach comprehensiveness as an underlying principle in health programs and actions at various levels and in various dimensions of the healthcare organization - from intersubjective interactions to the organization of regional networks. The study was based on a non-systematic literature review on comprehensiveness and related themes in the Brazilian public health field in the last five decades. The study proposed a chronology/typology spanning the 1960s to the 2010s, divided into four significant periods or categories. The narrative is not intended to be exhaustive, but to build a comprehensive reference base capable of contributing to analyses, assessments, and debates on healthcare organization in the SUS according to the comprehensiveness principle.

摘要

全面性是巴西统一国家卫生系统(SUS)进行卫生改革最具挑战性的原则。本研究旨在确定关于全面性概念辩论中的关键时刻及其对SUS中医疗技术反思的贡献。本文探讨了一些概念构建,这些构建将全面性视为卫生保健组织各个层面和各个维度(从主体间互动到区域网络组织)的卫生项目和行动的一项基本原则。该研究基于对过去五十年来巴西公共卫生领域中全面性及相关主题的非系统性文献综述。该研究提出了一个从20世纪60年代到21世纪10年代的年表/类型学,分为四个重要时期或类别。本叙述并非详尽无遗,而是旨在构建一个全面的参考基础,能够根据全面性原则为SUS中的卫生保健组织分析、评估和辩论做出贡献。

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