A5010918997- Health, Nursing, Elderly Care
- Public Health in Brazil
- Maternal and Neonatal Healthcare
- ECG Monitoring and Analysis
- Emergency and Acute Care Studies
- Cardiac electrophysiology and arrhythmias
- Healthcare Policy and Management
- Healthcare Systems and Challenges
- Healthcare Regulation
- Global Maternal and Child Health
- Cardiac pacing and defibrillation studies
- Global Health Care Issues
- Employment and Welfare Studies
- Medical Malpractice and Liability Issues
- Healthcare Systems and Reforms
- Injury Epidemiology and Prevention
- Ion channel regulation and function
- Health Services Management and Policy
- Education and Public Policy
- Youth, Drugs, and Violence
Universidade do Estado do Rio de Janeiro
2014-2019
Fundação Oswaldo Cruz
2013-2017
Escola Nacional de Saúde Pública
2013-2016
The Mobile Emergency Medical Service (SAMU) was the first component of National Policy for Care implemented in Brazil early 2000. article analyzed implementation mobile pre-hospital emergency care Brazil. methods included document analysis, interviews with state coordinators, and an expert panel. theoretical reference strategic conduct analysis from Giddens' Structuration Theory. results showed uneven SAMU between states regions Brazil, identifying six patterns implementation, considering...
The regulation of emergency care has featured prominently in Brazil’s federal health agenda since the 2000s. aim this study was to review up present day implementation National Emergency Care Policy. methods employed were documental review, analysis official data and 11 interviews conducted with federal, state local managers. results analyzed using Giddens’ Structuration Theory, relating cognitive abilities agents their action strategies, view structural dimensions, rules resources provided...
OBJETIVO: Analisar o processo de implantação das unidades pronto atendimento no Brasil. MÉTODOS: Realizou-se análise documental, entrevistas com 24 coordenadores estaduais urgência e um painel especialistas. Analisaram-se questões relativas a: antecedentes trajetória da política; atores envolvidos na implantação; expansão; avanços, limites dificuldades capacidade coordenação estadual. Utilizou-se referencial teórico conduta estratégica teoria estruturação Giddens. RESULTADOS: As foram...
This study aimed to portray the effects of Brazilian financial crisis, and especially in Rio de Janeiro 2013-18 period. We analyzed revenues, expenditure, service provision, health performance indicators from free access restricted data. adopted Giddens' Structuration Theory. Revenues expenditures shrunk, this reduction was higher for investments unlinked revenues. The provision services declined, resulting decreased primary care coverage, outpatient production, total hospital admissions,...
<p>A Política Nacional de Atenção às Urgências foi fruto grande insatisfação com o atendimento nas emergências hospitalares. As UPAs constituíram principal componente pré-hospitalar fixo da política. O objetivo do estudo analisar as portarias ministeriais que regulamentaram a criação das UPAs, procurando compreender seu padrão implantação. Foram analisadas entre 2008 e 2013, à luz Teoria Estruturação, Giddens. No conjunto, essas expressam pretensão fossem instaladas forma estratégica...
This article addresses policymaking related to Emergency Care Units (ECU) in the State of Rio de Janeiro between 2007 and 2013, duly identifying relationships various levels government this process. It prioritized context policy formulation, factors that motivated inclusion maintenance ECUs on state agenda process how was implemented state. The study based literature defines implementation public policies contributions from historic institutionalism. research involved analysis documents,...
No município do Rio de Janeiro, a implantação das Unidades Pronto Atendimento 24h (UPA) foi o fio condutor da política saúde e modelo para estruturação rede urgência emergência (RUE). Este estudo analisou integração UPAs na assistencial município. Foram realizadas nove entrevistas, com gestores centrais locais, analisadas à luz Teoria Estruturação Giddens. Resultados mostraram pouca UPAs, por deficiências estruturais serviços fragmentação gerencial, pela ausência governança unificada. Apesar...
The recent reform of the English National Health Service (NHS) through and Social Care Act 2012 introduced important changes in organization, management, provision public health services England. This study aims to analyze NHS reforms historical context predominance neoliberal theories since 1980 discuss "liberalization" NHS. identifies analyzes three phases: (i) gradual ideological theoretical substitution (1979-1990) - transition from professional logic management commercial logic; (ii)...
Resumo A Rede de Urgência e Emergência (RUE) do município Rio Janeiro foi alvo investimentos reestruturação com a disseminação das Unidades Pronto Atendimento (UPAs). Superlotação, baixa qualidade integração comprometem conformação dessa rede. Buscou-se analisar organização o funcionamento dos fluxos assistenciais estabelecidos na RUE, partir acesso ao leito hospitalar. Foram realizadas 36 entrevistas análise dados bancos primários secundários, utilizando-se estatística descritiva...
Background: Drug-induced increase in QT dispersion has been associated with potentially fatal ventricular arrhythmias.Little is known about the use of psychotropic substances, alone or combination other drugs on dispersion.Objectives: To evaluate impact interval adults.Methods: An observational cohort study was designed involving 161 patients hospitalized from an emergency department at a tertiary hospital, divided into users non-users.Demographic, clinical, laboratory data and used regular...
Abstract Background: Comprehensive health care delivery is a major challenge for the Brazilian Unified Health System. Inadequate coordination among different levels and facilities produces poor access to low degree of integration across care, that worse in emergency delivery. policy has focused on networks development regulation provision. In city Rio de Janeiro, local prioritized an Emergency Care Network. This research aimed at assessing hospital beds diagnostic resources, fundamental...