A5075752559- Health, Nursing, Elderly Care
- Healthcare Systems and Reforms
- Public Health in Brazil
- Global Public Health Policies and Epidemiology
- Global Maternal and Child Health
- Healthcare Policy and Management
- Business and Management Studies
- Disaster Response and Management
- Primary Care and Health Outcomes
- Healthcare during COVID-19 Pandemic
- Healthcare Regulation
- Public Health and Social Inequalities
- Global Health Workforce Issues
- Food Security and Health in Diverse Populations
- Global Health Care Issues
- Health Systems, Economic Evaluations, Quality of Life
- COVID-19 epidemiological studies
- COVID-19 and Mental Health
- Diversity and Career in Medicine
- Telemedicine and Telehealth Implementation
- Maternal and Neonatal Healthcare
- COVID-19 and healthcare impacts
- Advanced Radiotherapy Techniques
- Global Healthcare and Medical Tourism
- Medical Education and Admissions
Fundação Getulio Vargas
2020-2025
Escola de Administração de Empresas de São Paulo
2020-2023
Harvard University
2018-2022
Harvard Global Health Institute
2019-2020
European Association of Social Psychology
2020
Universidade Federal do Paraná
2010-2019
Pan American Health Organization (Brasil)
2019
Harvard University Press
2018
Universidade Estadual de Campinas (UNICAMP)
2008-2010
Public Health Agency
2009
BackgroundCOVID-19 spread rapidly in Brazil despite the country's well established health and social protection systems. Understanding relationships between health-system preparedness, responses to COVID-19, pattern of epidemic is particularly important a country marked by wide inequalities socioeconomic characteristics (eg, housing employment status) other risks (age structure burden chronic disease).MethodsFrom several publicly available sources Brazil, we obtained data on risk factors for...
As of December 31, 2020, Brazil had the second-highest burden COVID-19 worldwide. Given absence federal government coordination, it was up to local governments maintain healthcare provision for non-COVID health issues. In this descriptive study, we aimed discuss SUS functionality and resilience, describing impact pandemic on services delivery while considering regional inequalities allocation financing system, infrastructure workforce.We used input-output framework based World Health...
In 2019, the Brazilian government launched a new Primary Health Care (PHC) policy for Unified System (SUS). Called "PrevineBrasil", changed PHC funding municipalities. Instead of inhabitants and Family Strategy (ESF) teams, intergovernmental transfers are calculated from number people registered in services results achieved selected group indicators. The changes will have set impacts SUS health population, which must be observed monitored. this paper, possible effects discussed brief context...
ABSTRACT Objective: To analyze the influence of socioeconomic, demographic, epidemiological factors, and health system structure in evolution COVID-19 pandemic Brazil. Methods: Ecological study with variables extracted from databases, having incidence mortality by until August 23, 2020, Brazilian states, as response variables. The magnitude associations was estimated using Spearman's correlation coefficient multiple regression analysis. Results: In 59.8% variation justified income...
To formulate strategic recommendations to strengthen primary health care (PHC) in Brazil's Unified Health System (SUS) based on expert consultation.The present qualitative study, developed from March August, 2018, included administration of an open questionnaire followed by consensus building among 20 participants representing the five Brazilian regions, selected using criterion recognized professional expertise field PHC. Participants answered online created authors. The findings were...
Resumo Neste artigo, discutimos a resiliência do Sistema Único de Saúde (SUS) diante da pandemia COVID-19. Para análise, utilizamos as categorias analíticas propostas pela Organização Mundial (OMS) para análise sistemas saúde: (i) liderança e governança, (ii) financiamento, (iii) produtos estratégicos saúde, (iv) força trabalho, (v) informação em saúde (vi) prestação serviços. explorar serviços adaptá-la ao contexto brasileiro, subdividimos o bloco correspondente 5 sub-blocos: ações pública...
This paper takes the government transition that took place between 2022 and 2023 in Brazil as a case study aims to analyse how cycle of radical right-wing populist acted dismantle Brazil's national health system foundations. It describes governance was built based on political-clientelism market-privatising interests adoption long-term fiscal austerity policies, whose results are public defunding weakening disorganisation country's system, with significant worsening indicators capacity...
The medical literature has demonstrated that macro-variables and social factors can influence suicide rates. Additionally, science shown women in prominent political positions (such as mayors) the behavior of other women. purpose our work is to demonstrate such reduce rates within a group affected by gender inequality: married We use regression discontinuity methodology quasi-experimental electoral designs (elections with margin victory very close zero) ensure causal inference between...
Abstract Background Shortages and inequitable distribution of physicians is an obstacle to move towards Universal Health Coverage, especially in low-income middle-income countries. In Brazil, expansion medical school enrollment, curricula changes recruitment programs were established increase the number underserved areas. This study seeks analyze impact these measures reduce inequities access education physicians’ distribution. Methods observational that analyzes undergraduate places per...
The study aimed to analyze and compare the prevalence of access medicines associated factors among users Brazilian Unified National Health System (SUS). authors analyzed data from 2013 2019 editions Survey, a nationwide health study, representative population. outcomes were: (1) obtaining SUS all prescribed during care received in itself two weeks prior interview (2) medicines, regardless source. Demographic socioeconomic characteristics were included as independent variables. In 2019, 29.7%...
Globally, cardiovascular diseases are the leading cause of disease burden and death. Timely appropriate provision primary care may lead to sizeable reductions in hospitalizations for a range chronic acute health conditions. In this paper, we study impact Brazil's More Doctors Program (MDP) on due cerebrovascular hypertension. We exploit geographic variation uptake MPD combine coarsened exact matching difference-in-difference methods construct valid counterfactual estimates. use data from...
Many countries employ strategies that rest on the use of an explicitly defined set criteria to identify underserved communities. Yet, we know relatively little about performance community-level targeting in large-scale health programmes. To address this gap, examine community More Doctors Programme (MDP). Our analysis covers all 5570 municipalities period between 2013 and 2017 using publicly available data. We first calculate rate at which vulnerable enrolled MDP. Next, consider two types...
The Radiotherapy Expansion Plan for Brazil's Unified Health System (PER-SUS) was an innovative program designed by the Ministry of in 2012 to provide improvements challenging problem access radiotherapy country. This study sought analyze execution and implementation installations proposed PER-SUS, their capacity address problems Brazil.From first release (February 2015) until October 2021, all PER-SUS monthly progress reports were retrospectively analyzed. beneficiary institutions, project...
O presente artigo faz uma breve síntese de estratégias adotadas pelos gestores saúde da rede pública região Lazio-IT a partir informações coletadas em entrevistas com informantes-chave atualizadas torno um mês após notificação do primeiro caso na Itália. estudo aponta as e mudanças progressivamente introduzidas plano enfrentamento definido por cenários epidemiológicos. Acredita-se análise experiência italiana pode ser grande valia para identificar erros serem evitados caminhos seguidos...
Brazil and Turkey are among the few high-middle-income countries that explicitly chose to strengthen their primary health care (PHC) systems as centerpiece of much broader system reforms aiming narrow inequities in access care. This comparative case study reviews organization Turkey's PHC derive lessons can apply other may consider reforming a way address inequities. The analysis uses Flagship Framework investigate how delivery lead measurable improvements It compares (1) degree...
In the present paper, we take a critical public health perspective that accounts for social determinants of and inequalities to explore challenges healthcare — including mental in Brazil. Brazil, which has been described as country continental dimensions, contrasts, future, was built on principles exploitation land its people, faced many social, economic, political throughout history. The creation Brazil's Unified Health System (Sistema Único de Saúde SUS), providing universal free charge at...
Global health faces a broad spectrum of old and new challenges. Besides epidemiological problems, political conflicts, economic crisis austerity policies are jeopardizing progress towards Universal Health Coverage (UHC), affecting the most vulnerable populations. During 22nd International Union for Promotion Education (IUHPE) World Conference on held in Curitiba, Brazil, 2016, challenges threats global health, addition to wide range innovative experiences promotion, were discussed with...
The novel coronavirus disease (COVID-19) forced rapid adaptations in the way healthcare is delivered and coordinated by health systems. Brazil has a universal public system (Sistema Unico de Saúde-SUS), being main source of care for 75% population. Therefore, saturation was foreseen with continuous increase cases. use Artificial Intelligence (AI) to empower telehealth could help tackle this increasing patient access system. In present study we describe descriptive case report analyzing Laura...
OBJETIVO: Avaliar a efetividade das vacinas desenvolvidas contra covid-19 na redução da mortalidade em pessoas internadas com síndrome respiratória aguda grave (SRAG) causada pelo SARS-CoV-2. MÉTODOS: Trata-se de uma coorte retrospectiva que avaliou fatores riscos e do esquema vacinal duas doses por no estado Paraíba entre fevereiro novembro 2021. As variáveis explicativas foram situação vacinal, presença comorbidades, características socioeconômicas demográficas. Foram realizadas análises...