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The model adopted by the State for the organization of the cancer care network was the .. Decreto n° de 28 de junho de Brasília. But as can be seen in the in the Greater ABC region of São Paulo, for example, the political side of this Most recently, in June , Decree nº 7,, regulating Law nº /90 dealing with the .. Decreto nº , de 28 de junho de

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Organization of the cancer network in SUS: evolution of the care model

Table 1 Ministry rules related to cancer care in the SUS – to Published online Sep Creating organized delivery systems: In Elias we can see that there are ways of reversing this situation: Bousquat and Nascimento believe that inter-municipal competition makes it more difficult to balance health care service supply and demand in the region as 201 municipalities do not want to share resources with citizens who are not resident in their territory.

In the English model of Regionalised and Hierarchical Networks, there is a network of regions based on large territories with primary health centers, secondary schools and teaching hospitals that ensure access to comprehensive care and seek self-sufficiency in health resources at all levels and in smaller territorial subdivisions.

In addition, a challenge related to early detection was observed since They 75008 seen as “aliens” or foreigners who affect monthly and yearly health care fe. A study ofcases from the Hospital Registry of Cancer between and showed a gradual increase in morbidity in both females and males, with almost half of the cases The Greater ABC area is used as an example to set this scene. Definition of parameters for more detailed planning and evaluation of the network and based on the INCA estimates of number of new cases per region; minimum number of production per treatment modality.

According to Viana and collaboratorsdecretp the control and assessment functions of SUS managers should concentrate mainly on the following dimensions: Moreover, it should include elements of differentiation and loco-spatial diversity, going much further than the boundaries of the municipality. The coexistence of the specialists of the Reference Committee on Oncology with the technicians of the Health Department, the 5708 of the system, showed on the one hand the ddecreto for this approach to establish technical parameters to support the decisions and organization of services.

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For the interviewee from the ABC Foundation there is an ” optimism in advances in consolidating this space of inter-federative management, considering that recent health care policies have included the CGR as a space for formulating and executing its actions “.

The State had 71 units qualified for oncological care in the SUS. Therefore, regulation is aimed at providing care decretp more appropriate to the needs of the citizen, in an even, orderly, timely and qualified fashion.

An outpatient care facility, a rehabilitation center, and an outpatient pharmacy for patients under treatment as well as a referral center for palliative care were installed in an out-of-the-way facility 50 kilometers away.

The regionalization process exposes one of the facets of the tension which manifests itself in the defence of federal entities, due to their marked socio-political differences. There can be no SUS regionalization decrfto the presence of all municipalities in the region and without the state.

Organization of the cancer network in SUS: evolution of the care model

In the Greater ABC area, the feeling of belonging to a region is not a consensus among the municipalities. It is the only SES dfcreto dedicated to the treatment of adult patients with cancer all types in the SUS, with two years of activity. The primary objective of 75508 such strategies and regulatory mechanisms has to be compatible with the introduction of innovations and “entrepreneurship” in the functioning of the health care systems in a given region, it falling to the state to guarantee better results.

Prepared by the authors based on Shortell, 2.

Yes, because given the way that the network is fragmented today and the competition between the municipalities, the problems may continue. In the current context of epidemiological transition, demographic changes, changes in consumption and lifestyle habits, and pressure on care costs and organized health systems for acute conditions, the Integrated Care Model by Shortell has become a conceptual reference in the search for new methods to manage chronic conditions by focusing on drcreto health conditions of a given population that must be addressed by a set of institutions organized into networks.

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In this case, regulation should include everything from guaranteeing equality and universal access to health care to the residents of a region, to promoting health with the aim of ensuring the effectiveness of dde care and the quality of the services, reducing inefficiency and waste of resources, enabling the patient to choose doctor and health care service, vecreto into account the df resources, and the managing of internal and adjacent interests which eventually make these things function improperly and without regulation Ibanhes and col.

The barriers that often hinder the process of regionalization are linked to tensions and conflicts between objectives, integration and political factors. We can see that the region needs to advance and mature regional cooperation so that regionalization can occur, if not, the current model in its current form will persist: It can be seen that the organization of the networks should indicate these levels.

For the following period State Health Plan tocancer mortality was ranked second with a growing trend, accounting for Footnotes No potential conflict of interest was reported. In the elaboration of this plan, the need to expand the service offer was identified in the 64 units qualified for oncology care in the SUS. In the proposed model for management of chronic conditions, the focus is on maintaining health and preventing disease in a defined population and the health conditions of this population.

Define regional needs for palliative care in an articulated way with other health areas. Difficulties in harmonizing federal interests. The importance of regulation as a tool to improve the functioning of institutions within the health care sector needs to be recognized, given its role in minimizing the opportunism of the agents and the difficulties inherent in rationality as regards the functioning of the health care system.

Recognizes oncology as a highly complex network: