Health care networks

被引:176
作者
Mendes, Eugenio Vilaca [1 ]
机构
[1] Secretaria Estado Saude Minas Gerais, BR-30150050 Belo Horizonte, MG, Brazil
来源
CIENCIA & SAUDE COLETIVA | 2010年 / 15卷 / 05期
关键词
Comprehensive health care; Demographic transition; Health transition; Chronic disease; LATE-LIFE DEPRESSION; COLLABORATIVE CARE; RANDOMIZED-TRIAL; INTEGRATED CARE; MANAGEMENT;
D O I
10.1590/S1413-81232010000500005
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The demographic and epidemiologic transition resulting from aging and the increase of life expectation means an increment related to chronic conditions. The healthcare systems contemporary crisis is characterized by the organization of the focus on fragmented systems turned to the acute conditions care, in spite of the chronic conditions prevalence, and by the hierarchical structure without communication flow among the different health care levels. Brazil health care situation profile is now presenting a triple burden of diseases, due to the concomitant presence of infectious diseases, external causes and chronic diseases. The solution is to restore the consistence between the triple burden of diseases on the health situation and the current system of healthcare practice, with the implantation of health care networks. The conclusion is that there are evidences in the international literature on health care networks that these networks may improve the clinical quality, the sanitation results and the user's satisfaction and the reduction of healthcare systems costs.
引用
收藏
页码:2297 / 2305
页数:9
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