Viacava Francisco, Oliveira Ricardo Antunes Dantas de, Carvalho Carolina de Campos, Laguardia Josué, Bellido Jaime Gregório
Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fiocruz. Av. Brasil 4365, Manguinhos. 21040-360 Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2018 Jun;23(6):1751-1762. doi: 10.1590/1413-81232018236.06022018.
Significant changes have been witnessed in the Brazilian health system over the last 30 years. This article outlines trends in outpatient and hospital care, staffing, and health service use during this period. There was a significant expansion of the public health network, particularly of primary care services, leading to improved access to consultations and a reduction in hospital admissions. However, there is a persistent shortage of health professionals in Brazil's public health system, particularly dentists. Despite improvements in coverage, the public system continues to face serious challenges, particularly with respect to funding, service provision, and its relationship with the private sector.
在过去30年里,巴西卫生系统发生了重大变化。本文概述了这一时期门诊和住院护理、人员配备以及卫生服务利用方面的趋势。公共卫生网络显著扩张,尤其是初级保健服务,这使得门诊就医更加便捷,住院人数减少。然而,巴西公共卫生系统中卫生专业人员持续短缺,尤其是牙医。尽管覆盖范围有所改善,但公共系统仍面临严峻挑战,特别是在资金、服务提供以及与私营部门的关系方面。