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Search Results: 1 - 10 of 9157 matches for " Marta Porto "
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Desarrollo con alma, en busca de la libertad
Marta Porto
Quórum : Revista de Pensamiento Iberoamericano , 2007,
Abstract: Una agenda de desarrollo para Brasil pasa por la profundización y el perfeccionamiento de procesos tales como la democratización, la estabilidad macroeconómica, la reforma de instituciones, la reformulación de políticas públicas y la inserción del país en un escenario político y económico internacional. Para lo que hace falta la participación de un amplio abanico de actores y un profundo cambio en la mentalidad colectiva nacional.
Equidad y distribución geográfica de recursos financieros en los sistemas de salud
Porto, Silvia Marta;
Cadernos de Saúde Pública , 2002, DOI: 10.1590/S0102-311X2002000400004
Abstract: this study focuses on equity in health and specifically the geographic distribution of financial resources. the author reviews the main contemporary theories of social justice and discusses the concept of equity in general and specifically in the health field. based on the discussion of selected international experiences (united kingdom, spain, and italy), the resource allocation working party (rawp) formula used in the united kingdom is identified as the most adequate distributive methodology, sizing the relative needs based on the population's demographic and epidemiological profiles. finally, the results are presented from a simulation performed for the brazilian case, showing that a more equitable geographic distribution of financial resources would require a redistribution favoring the states of the north and northeast. the article concludes by highlighting that a comparison of actual fund outlays by the ministry of health in 1994 and the results of the simulation with the rawp methodology for the brazilian case show that the principles written into brazilian legislation were absent from the geographic distribution of financial resources.
Equidad y distribución geográfica de recursos financieros en los sistemas de salud
Porto Silvia Marta
Cadernos de Saúde Pública , 2002,
Abstract: Este trabajo aborda la temática de la equidad en la salud, pero específicamente, en la distribución geográfica de los recursos financieros. Hace un repaso de las principales teorías de justicia social en el pensamiento contemporáneo y discute el concepto de equidad en general y en el campo de la salud. Tomando como base la discusión de algunas experiencias internacionales (Inglaterra, Espa a e Italia), se identifica como metodología distributiva más adecuada la fórmula RAWP llevada a cabo en Inglaterra, que proporciona dimensiones a las necesidades relativas a partir de los perfiles tanto demográficos como epidemiológicos de la población. Finalmente se presentan los resultados obtenidos en simulación efectuados para el caso brasile o. Los resultados presentados para el caso brasile o permitieron verificar que, para una distribución geográfica de recursos financieros más equitativa, sería necesaria una redistribución en favor de los estados de las regiones Norte y Nordeste. Finalmente se destaca que, la comparación entre la utilización de recursos efectuada en 1994 por el Ministerio de Salud y los resultados obtenidos en la simulación de la metodología RAWP para el caso brasile o muestran que los principios enunciados en la legislación no estuvieron presentes en la distribución geográfica de recursos financieros.
O mix público-privado no Sistema de Saúde Brasileiro: financiamento, oferta e utiliza??o de servi?os de saúde
Santos,Isabela Soares; Ugá,Maria Alicia Dominguez; Porto,Silvia Marta;
Ciência & Saúde Coletiva , 2008, DOI: 10.1590/S1413-81232008000500009
Abstract: this paper analyzes the public-private mix in the brazilian health system from the perspective of health care delivery, utilization and financing. moreover, this quantitative study based on secondary data from official databases contemplates the subsidies granted by the government to the private sector. it shows the existence of some inequalities favoring the population having private health plans, a result of the peculiar participation of the private sector in the brazilian health system not only offering supplementary care but duplicating the coverage offered by the public system (called sus). the analysis is made on the basis of the classification of public-private mix in health systems developed by the oecd in 2004, that helps understanding the kinds of inequalities occurring in each type of public-private mix. the inequalities that occur in the brazilian system must be understood as the result of the duplicated coverage offered by the private market and of the weak public funding for the sus while granting important subsidies to the private sector.
A utiliza??o de servi?os de saúde por sistema de financiamento
Porto,Silvia Marta; Santos,Isabela Soares; Ugá,Maria Alicia Dominguez;
Ciência & Saúde Coletiva , 2006, DOI: 10.1590/S1413-81232006000400013
Abstract: this article analyses, from micro-data of the national sample household survey (pnad/ibge) from 1998 and 2003, the utilisation of health services according to different financing systems. in other words, it analyses if this utilisation has been done through the national health system sus (public and universal health insurance, financed by taxes), through private health insurance (premiums paid by the insured population and/or their employers) or through out-of-pocket payments. the main results are: 1) sus finances most of inpatient and outpatient utilisation and its participation has strongly increased from 1998 to 2003; 2) although the absolute number of outpatient utilisation made through the three systems has increased, sus expansion has been much stronger (it increased 44%) and it corresponded to a slower increase (6,2%) of out-of-pocket utilisation and 3) sus is the main financing system of the two extremes of complexity of health care: primary care and high complexity services.
Molecular characterization of InJR06, a class 1 integron located in a conjugative plasmid of Salmonella enterica ser. Typhimurium
Di Conza,José; Ayala,Juan A.; Porto,Ayelén; Mollerach,Marta; Gutkind,Gabriel;
International Microbiology , 2005,
Abstract: the presence of class 1, 2, and 3 integrons was investigated in four pediatric isolates of salmonella enterica ser. typhimurium (s. typhimurium). a class 1 integron was detected in one s. typhimurium strain, the only one that also showed resistance to various aminoglycoside antibiotics. this integron, called injr06, and the aminoglycoside resistance determinants were located in ps06, a large (≥ 55 kb) conjugative plasmid. a single mobile cassette (encoding the aminoglycoside adenylyltransferase ant(3′′)-ia) was detected in the variable region of injr06, while the architecture of the atti1 and attc sites was conserved.
Effects of host resistance on the isozymatic patterns of Bipolaris sorokiniana (Dematiaceae, Moniliales)
Valim-Labres, Marta E.;Porto, Miguel D.M.;Matsumura, Aida T.S.;
Brazilian Journal of Genetics , 1997, DOI: 10.1590/S0100-84551997000400001
Abstract: nine isolates of bipolaris sorokiniana were inoculated on three cultivars of wheat plants (susceptible, moderately resistant, resistant). eight days after the inoculation, the isolates were recovered (27 isolates) and the following isozymatic patterns were analyzed: esterase, alkaline phosphatase, acid phosphatase, malate dehydrogenase, and superoxide dismutase. the esterase system was the most polymorphic, and the isolates recovered from the susceptible cultivar showed the highest variability. this is evidence that this cultivar exerts low selection pressure on the pathogen
Enfoque comunicativo del Planeamiento Estratégico Situacional en el nivel local: salud y equidad en Venezuela
Heredia-Martínez, Henny Luz;Artmann, Elizabeth;Porto, Silvia Marta;
Cadernos de Saúde Pública , 2010, DOI: 10.1590/S0102-311X2010000600013
Abstract: the article discusses the results of operationalizing situational strategic planning adapted to the local level in health, considering the communicative approach and equity in a parish in venezuela. two innovative criteria were used: estimated health needs and analysis of the actors' potential for participation. the problems identified were compared to the corresponding article on rights in the venezuelan constitution. the study measured inequalities using health indicators associated with the selected problems; equity criteria were incorporated into the action proposals and communicative elements. priority was assigned to the problem of "low case-resolving capacity in the health services network", and five critical points were selected for the action plan, which finally consisted of 6 operations and 21 actions. the article concludes that the combination of epidemiology and planning expands the situational explanation. incorporation of the communicative approach and the equity dimension into situational strategic planning allows empowering health management and helps decrease the gaps from inequality.
Uma analise da utiliza??o de servi?os de saúde por sistema de financiamento: Brasil 1998 -2008
Porto,Silvia Marta; Ugá,Maria Alicia Dominguez; Moreira,Rodrigo da Silva;
Ciência & Saúde Coletiva , 2011, DOI: 10.1590/S1413-81232011001000015
Abstract: this article analyzes the use of health services from the perspective of financing based on pnad/ibge micro-data related to 1998, 2003 and 2008. among the main results, the following can be highlighted: 1) the unified health system (sus) continues to be the major financing agent of most consultations and hospitalizations in brazil; its participation increased significantly between 1998 and 2003 and remained almost stable between 2003 and 2008; 2) sus participation in financing the use of the health services has been predominant in all brazilian regions, especially in the north and north-east, which feature the most precarious socio-economic and health conditions; 3) sus is the major financing agent of the two extreme levels of complexity of health care: primary care and high complexity services. 4) in spite of a significant rise in utilization rates of sus services for consultations and hospitalizations, great inequities can still be observed between the population that exclusively uses sus and that which has private health insurance; 5) there has been an increase in the use of sus health services by part of the population with private health insurance plans.
Descentraliza??o e aloca??o de recursos no ambito do Sistema único de Saúde (SUS)
Ugá,Maria Alícia; Piola,Sérgio Francisco; Porto,Sílvia Marta; Vianna,Solon Magalh?es;
Ciência & Saúde Coletiva , 2003, DOI: 10.1590/S1413-81232003000200008
Abstract: this article deals with the decentralization of the brazilian national health system (sistema único de saúde - sus), particularly referred to the distributive resource allocation process among the three government levels. therefore, it presents, on one hand, the constitutional and legal framework and normative instruments that guide the decentralization process inside the sus. on the other hand, it analyses the regionalization of the resource allocation that has been effectively done by the ministry of health, including direct expenditures as well as financial transfers to states and municipalities. finally, general considerations are done.
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