Santos Lenir
Instituto de Direito Sanitário Aplicado. R. José Antônio Marinho 450, Jardim Santa Genebra. 13084-783 Campinas SP Brasil.
Cien Saude Colet. 2017 Apr;22(4):1281-1289. doi: 10.1590/1413-81232017224.26392016.
This paper describes a comprehensive effort to develop studies regarding Brazil's Unified Healthcare System (SUS), as a result of the combination of public services in a network that follows a region-based rationale (tripartite organization). The SUS emerges from such an integration and should be organized as such. The intention is to demonstrate that this type of organization is essential, given that Brazil is organized as a Federation, and all three governmental levels are, in a broad sense, equally responsible for healthcare. Healthcare services and actions are a complex set of activities that are interconnected on behalf of citizen health, which is a global concept that cannot be split up. Services must follow this rationale and be organized as such. Thus, healthcare services must be systematically organized to serve everyone equally, regardless of where a citizen lives. This systemic organization requires permanent interaction between federative units to discuss and operationalize reference services, funding and other technical and administrative aspects. These are the essential elements that make the SUS so complex and demand it be organized regionally, as a network of healthcare services.
本文介绍了一项全面的工作，旨在开展有关巴西统一医疗体系（SUS）的研究，该体系是基于区域原则（三方组织）的网络中公共服务相结合的结果。SUS正是源于这种整合，并应按此方式进行组织。目的是表明这种组织类型至关重要，因为巴西是一个联邦制国家，从广义上讲，所有三个政府层级对医疗保健都负有同等责任。医疗保健服务和行动是一系列复杂的活动，它们代表公民健康相互关联，而公民健康是一个不可分割的全球概念。服务必须遵循这一原则并按此进行组织。因此，医疗保健服务必须进行系统组织，以便平等地为每个人服务，无论公民居住在哪里。这种系统组织要求联邦单位之间进行永久互动，以讨论并实施参考服务、资金以及其他技术和行政方面的工作。这些是使SUS如此复杂并要求将其作为医疗服务网络进行区域组织的基本要素。
