Ciência & saúde coletiva
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Ciência & saúde coletiva · Apr 2017
Healthcare financing, decentralization and regional health planning: federal transfers and the healthcare networks in Minas Gerais, Brazil.
The Decrees 4279/10 and 7508/11 established norms to guide health politics, with impacts on funding of the Middle and High Complexity Hospital and Outpatient. To verify the effects on the consolidation of care networks in Minas Gerais, we performed an analytical-descriptive study of the National Health Fund from 2006 to 2014. We observed decentralization of responsibilities, accompanied of resources and innovative financing mechanisms, resulting expansion of the network care model. The federal government definitions suggest reduction of the autonomy and limitation of regional solutions.
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Ciência & saúde coletiva · Apr 2017
Multicenter StudyCare for young victims of assault in public emergency services in 2011: Sex differences.
This article aims to describe the characteristics of assaults among youth victims of violence treated in Public Emergency Departments, according to sex. This is a descriptive study using data from the Brazilian Violence and Accidents Surveillance System based on a multicenter survey conducted by the Ministry of Health in 71 public emergency departments, located in 24 state capitals and the Federal District in 2011. Male subjects predominated among the victims (75.1%) and also among aggressors (83.1% and 69.7% of cases of violence against male and female victims, respectively). ⋯ Greater severity of injuries among men was consistent with the higher proportion of deaths in the first 24 hours (2.1%) compared to women (0.2%) (p < 0.001). The violence profile among youth victims treated in Public Emergency Departments was substantially different according to the sex of the victims. The results highlight the need to implement intersectoral policies, in line with the Brazilian Youth Statute.