Primary Health Care as a post-pandemic economic development strategy in Ceilândia-DF
DOI:
https://doi.org/10.26512/gs.v12i01.35385Keywords:
Primary Health Care, Health Expenditures, Catastrophic Expenditure, Cost-Benefit Analysis, COVID-19Abstract
This theoretical essay sought to reflect on how emergency and strategic actions of the Brazilian health system to face the novel coronavirus can underpin the post-pandemic economic reconstruction. The Administrative Region of Ceilândia, in the Federal District (Distrito Federal- DF), Brazil, was taken as the basis for this exercise: the most populous region of the DF, with medium / low income, with a service-based economy, which was greatly economically affected due tothe social isolation measures and presented a high number of COVID-19 cases and deaths. Ceilândia has been receiving important investments in new hospital beds and more professionals for the tertiary level, although Primary Health Care is known to be more cost-effective for the organization of health systems and capable of saving precious resources of families with health expenses in the private sector, above all in a scenario of a large retraction in the wage bill. It is concluded that investments in the qualification of the primary care network already installed and its expansion are potent strategies for the economic development of Ceilândia in the post-pandemic period.
Downloads
References
Secretaria de Saúde do Distrito Federal. Boletins Informativos DIVEP/SVS – COVID-19. Informes sobre a doença pelo Coronavirus (COVID-19). [citado 2021abr. 05]. Disponível em: http://www.saude.df.gov.br/boletinsinformativos-divep-cieves/
Pesquisadores associados. Observatório PrEpidemia. Boletim COVID-19 DF-17. Situação e Cenários da pandemia de COVID-19 no âmbito do Distrito Federal. 29/dez/2020. [citado 2021abr. 05]. Disponível em: https://www.prepidemia.org/
Carvalho LB. Curto-circuito: o vírus e a volta do Estado. 1. ed. São Paulo: Todavia, 2020.
Instituto de Pesquisa Econômica Aplicada – IPEA. Carta de Conjuntura nº50 – 1º trimestre de 2021. Brasília, 2021. [citado 2021abr. 05]. Disponível em: https://www.ipea.gov.br/portal/index.php?option=com_content&view=article&id=37494&Itemid=3
Boing AC, Bertoldi AD, Posenato LG, Peres KG. The influence of health expenditures on household impoverishment in Brazil. Rev Saude Publica. 2014;48(5):797–807.
Starfield B. Atenção primária: equilibrio entre necessidade de saúde, serviços e tecnologia. Brasília: UNESCO: Ministério da Saúde, 2002. 726p.
Kringos D, Boerma W, Bourgueil Y, Cartier T, Dedeu T, Hasvold T, et al. The strength of primary care in Europe: an international comparative study. Br J GenPract. 2013 Nov;63(616):e742-50.
Macinko J, Mendonça CS. Estratégia Saúde da Família, um forte modelo de Atenção Primária à Saúde que traz resultados. Saúde em Debate. 2018;42(spe1):18–37.
Daumas RP, Azevedo e Silva G, Tasca R, da Costa Leite I, Brasil P, Greco DB, et al. The role of primary care in the Brazilian healthcare system: Limits and possibilities for fighting COVID-19. Cad SaudePublica. 2020;36(6).
Moraz G, Garcez A da S, de Assis EM, dos Santos JP, Barcellos NT, Kroeff LR. Estudos de custo-efetividade em saúde no Brasil: Uma revisão sistemática. Cienc e Saude Coletiva. 2015;20(10):3211–29.
Companhia de Planejamento do Distrito Federal. Boletim COVID-19. [citado2021 abr. 05]. Disponível em: http://www.codeplan.df.gov.br/boletim-covid-19/
Secretaria de Saúde do Distrito Federal. Plano Distrital de Saúde 2020-2023. Brasília, 2019.
Figueiredo JO, Prado NM de BL, Medina MG, Paim JS. Gastos público e privado com saúde no Brasil e países selecionados. Saúde em Debate. 2018;42(spe2):37–47.
Xu K, Evans DB, Kawabata K, Zeramdini R, Klavus J, Murray CJL. Household catastrophic health expenditure: a multicountry analysis. Lancet. 2003;362(9378):111-7.
Guanais FC. The Combined Effects of the Expansion of Primary Health Care and Conditional Cash Transfers on Infant Mortality in Brazil, 1998–2010. Am J Public Health. 2013;103:2000–2006.
Sousa RP, Rasella D, Carepa-Sousa J. Política econômica e saúde pública: equilíbrio fiscal e bem-estar da população. Saúde em Debate. 2018;42(spe3):172–82.
Miclos PV, Calvo MCM, Calvo M, Colussi CF. Avaliação do desempenho das ações e resultados em saúde da atenção básica. RevSaude Publica. 2017;51:1–10.
Shimizu HE, Ramos MC. Avaliação da qualidade da estratégia saúde da família no Distrito Federal. Rev. Bras. Enferm. 2019 Abr; 72( 2 ): 367-374.
Oliveira AF, Marchi ACB, Leguisamo CP, Baldo GV, WawginiakTA. Estimativa do custo de tratar o pé diabético, como prevenir e economizar recursos. Ciênc Saúde Coletiva. 2014;19(6):1663-71.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 ELECTRONIC JOURNAL MANAGEMENT AND HEALTH
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
I declare that this article is original and has not been submitted for publication in any other national or international journal, either in whole or in part. I further declare that once published in the Electronic Journal Management and Health published by the University of Brasília, it will never be submitted by me or any of the other coauthors to any other means of scientific dissemination.
Through this instrument, in my name and in the name of the other coauthors, may I soon copy the copyright of the article to Electronic Journal Management and Health and declare that I am aware that failure to comply with this commitment will subject the violator to penalties and penalties Law of Protection of Rights Authorities (Nº9609, of 02/19/98).
