Teixeira Maria Glória, Costa Maria da Conceição Nascimento, Carmo Eduardo Hage, Oliveira Wanderson Kleber de, Penna Gerson Oliveira
Instituto de Saúde Coletiva, Universidade Federal da Bahia. R. Basílio da Gama s/n, Canela. 40110-040 Salvador BA Brasil.
Instituto Sul Americano de Governo em Saúde. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2018 Jun;23(6):1811-1818. doi: 10.1590/1413-81232018236.09032018.
This article analyses the process of construction of Health Surveillance in Brazil concerning the political, historical and organizational context of this component of the Unified Health System (UHS), by means of its historical view and presentation of the advances, limits, setbacks and perspectives. Throughout trajectory of Health Surveillance, its objects of study and intervention have been expanded, strengthening the integration among the different areas of surveillance, increasing its capacity for prediction and intervention. It evolved from surveillance of people, to surveillance of diseases and now to surveillance of health risks, promoting greater articulation of HS professionals with agents of endemics and Family Health Teams. The first National Health Surveillance Conference, in February 2018, provided opportunities for discussion and formulation of proposals aimed at strengthening HS, expanding its scope of actions with a view to achieving a comprehensive care model. Adequate and audacious alternatives are necessary so that there are no setbacks in the financing modalities in order to maintain and expand the advances achieved in the field of Health Surveillance in Brazil.
本文通过对巴西卫生监督构建过程的历史回顾，以及对其进展、局限、挫折和前景的阐述，分析了在统一卫生系统（SUS）这一组成部分的政治、历史和组织背景下，巴西卫生监督的构建过程。在卫生监督的发展历程中，其研究和干预对象不断扩展，加强了不同监督领域之间的整合，提高了预测和干预能力。它从对人的监督发展到对疾病的监督，现在又发展到对健康风险的监督，促进了卫生监督专业人员与地方病防治人员和家庭健康团队之间的更多协作。2018年2月召开的首届全国卫生监督会议，为讨论和制定旨在加强卫生监督的提案提供了机会，扩大了其行动范围，以期实现全面护理模式。必须要有适当且大胆的替代方案，以使融资方式不会出现倒退，从而维持和扩大巴西卫生监督领域所取得的进展。
