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医疗保健融资、分权与区域卫生规划:巴西米纳斯吉拉斯州的联邦转移支付与医疗保健网络

Healthcare financing, decentralization and regional health planning: federal transfers and the healthcare networks in Minas Gerais, Brazil.

作者信息

Moreira Laura Monteiro de Castro, Ferré Felipe, Andrade Eli Iola Gurgel

机构信息

Departamento de Medicina Preventiva e Social, Faculdade de Medicina, Universidade Federal de Minas Gerais. Av. Alfredo Balena 190/724, Santa Efigênia. 30130-100 Belo Horizonte MG Brasil.

出版信息

Cien Saude Colet. 2017 Apr;22(4):1245-1256. doi: 10.1590/1413-81232017224.28252016.

DOI:10.1590/1413-81232017224.28252016
PMID:28444049
Abstract

The Decrees 4279/10 and 7508/11 established norms to guide health politics, with impacts on funding of the Middle and High Complexity Hospital and Outpatient. To verify the effects on the consolidation of care networks in Minas Gerais, we performed an analytical-descriptive study of the National Health Fund from 2006 to 2014. We observed decentralization of responsibilities, accompanied of resources and innovative financing mechanisms, resulting expansion of the network care model. The federal government definitions suggest reduction of the autonomy and limitation of regional solutions.

摘要

第4279/10号和第7508/11号法令制定了指导卫生政策的规范,对中高复杂性医院和门诊的资金投入产生了影响。为了验证对米纳斯吉拉斯州医疗网络整合的影响,我们对2006年至2014年的国家卫生基金进行了一项分析性描述性研究。我们观察到责任的分散,伴随着资源和创新融资机制,导致了网络护理模式的扩展。联邦政府的定义表明自主权的减少和区域解决方案的限制。

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