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Publication
Plano de negócios para a integração vertical de cuidados de saúde
| Name: | Description: | Size: | Format: | |
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| 2.77 MB | Adobe PDF |
Advisor(s)
Abstract(s)
O Serviço Nacional de Saúde (SNS) desempenha um papel estruturante junto da população em termos
de criação de valor imaterial proporcionado pelo bem-estar físico, psíquico e social disponibilizado à
população, decorrente da competente intervenção dos cuidados de saúde primários e cuidados
hospitalares, tendo em conta a necessidade de mitigar os inúmeros desafios que se colocam perante
os cidadãos, comunidade e organizações de prestação de cuidados de saúde.
A conceção tradicional da organização dos cuidados de saúde, assente numa governação que valoriza
a autonomia dos níveis primário e hospitalar, com princípios de coordenação voluntária e referenciação
burocratizada, desvinculados das reais necessidades dos utentes e inflexíveis nas suas próprias
estruturas, tem vindo a ceder diante da evidência demonstrada por modelos que priorizam uma
governação sustentada na garantia do continuum dos cuidados de saúde ao longo do ciclo de vida dos
cidadãos. Esses modelos enfatizam uma abordagem personalizada, centrada no utente e nas suas
necessidades, preocupada com a observação e a mensuração de resultados em saúde.
As Unidade Locais de Saúde resultam da integração vertical dos cuidados de saúde a todos os níveis,
com o intuito de assegurar a promoção da saúde e prevenção da doença no ciclo de vida das pessoas,
integrando as determinantes em saúde e assegurando de forma equitativa e atempada o acesso a
cuidados de saúde.
Pretende-se assim, definir a reorganização da arquitetura orgânica das instituições do SNS envolvidas,
que passam a assumir resposta assistencial ao nível dos cuidados de saúde primários e cuidados
hospitalares de forma integrada.
Mediante a integração vertical de cuidados de saúde, são perspetivadas vantagens neste contexto face
à anterior segregação, numa dinâmica de sustentabilidade, eficiência, eficácia e melhoria da
coordenação entre os diferentes níveis de cuidados de saúde e uma utilização mais eficiente dos
recursos disponíveis, possibilitando maximizar a resposta às necessidades das populações e gerar
ganhos clínicos, através da melhoria da qualidade dos cuidados prestados, promovendo ganhos em
saúde, prevenção de doenças e acompanhamento e proximidade dos utentes, nas diferentes fases do seus ciclos de vida
The National Health Service (NHS) plays a structuring role with the population in terms of creating immaterial value provided by the physical, psychological and social well-being made available to the population, resulting from the competent intervention of primary health care and hospital care, taking into account the need to mitigate the numerous challenges that face citizens, community and health care organizations. The traditional conception of the organization of health care, based on a governance that values the autonomy of the primary and hospital levels, with principles of voluntary coordination and bureaucratized referencing, detached from the real needs of users and inflexible in their own structures, has been yielding to the evidence demonstrated by models that prioritize a governance sustained in the guarantee of the continuum of health care throughout the life cycle of citizens. These models emphasize a personalized approach, centered on the user and their needs, concerned with the observation and measurement of health outcomes. Local Health Units result from the vertical integration of health care at all levels, in order to ensure health promotion and disease prevention in people's life cycle, integrating health determinants and ensuring equitable and timely access to health care. Thus, it is intended to define the reorganization of the organic architecture of the NHS institutions involved, which start to assume a care response at the level of primary health care and hospital care in an integrated way. Through vertical integration of health care, advantages are envisaged in this context versus the existing segregation, in a dynamic of sustainability efficiency, effectiveness and improved coordination between the different levels of health care and a more efficient use of available resources, making it possible to maximize the response to the needs of populations and generate clinical gains, through the improvement of the quality of care provided, promoting gains in health, disease prevention and monitoring and proximity of users in the different phases of their life cycles.
The National Health Service (NHS) plays a structuring role with the population in terms of creating immaterial value provided by the physical, psychological and social well-being made available to the population, resulting from the competent intervention of primary health care and hospital care, taking into account the need to mitigate the numerous challenges that face citizens, community and health care organizations. The traditional conception of the organization of health care, based on a governance that values the autonomy of the primary and hospital levels, with principles of voluntary coordination and bureaucratized referencing, detached from the real needs of users and inflexible in their own structures, has been yielding to the evidence demonstrated by models that prioritize a governance sustained in the guarantee of the continuum of health care throughout the life cycle of citizens. These models emphasize a personalized approach, centered on the user and their needs, concerned with the observation and measurement of health outcomes. Local Health Units result from the vertical integration of health care at all levels, in order to ensure health promotion and disease prevention in people's life cycle, integrating health determinants and ensuring equitable and timely access to health care. Thus, it is intended to define the reorganization of the organic architecture of the NHS institutions involved, which start to assume a care response at the level of primary health care and hospital care in an integrated way. Through vertical integration of health care, advantages are envisaged in this context versus the existing segregation, in a dynamic of sustainability efficiency, effectiveness and improved coordination between the different levels of health care and a more efficient use of available resources, making it possible to maximize the response to the needs of populations and generate clinical gains, through the improvement of the quality of care provided, promoting gains in health, disease prevention and monitoring and proximity of users in the different phases of their life cycles.
Description
Keywords
Cuidados de Saúde Integração Unidade Local de Saúde Health Care Integration Local Health Unit