The innovative dynamics for the restructuring of the health services

被引:5
|
作者
Costa, Lais Silveira [1 ]
Grabois Gadelha, Carlos Augusto [1 ,2 ,3 ]
Borges, Tais Raiher [4 ]
Burd, Paula [1 ]
Maldonado, Jose [1 ,3 ]
Vargas, Marco [1 ,5 ]
机构
[1] Fundacao Oswaldo Cruz Fiocruz, Grp Pesquisa Inovacao Saude, Escola Nacl Saude Publ Sergio Arouca ENSP, Rio De Janeiro, RJ, Brazil
[2] Minist Saude, Secretaria Ciencia Tecnol & Insumos Estrateg, Brasilia, DF, Brazil
[3] ENSP Fiocruz, CT&I Saude, Rio De Janeiro, RJ, Brazil
[4] Inst Pereira Passos, Rio De Janeiro, RJ, Brazil
[5] Univ Fed Fluminense, Dept Econ, Fac Econ, Niteroi, RJ, Brazil
来源
REVISTA DE SAUDE PUBLICA | 2012年 / 46卷
关键词
Health Services Needs and Demand; organization; administration; Ancillary Services; Hospital; Innovation and Development Policy; Equity in Health; DRUGS;
D O I
10.1590/S0034-89102012000700011
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Challenges posed by demographic and epidemiological changes and by the need to reduce costs have required the restructuring of the health services. Health innovations play a major role in this process, as technologies are fundamental both to expand the access and to adapt the system to the population's needs. However, the generation of health innovation is not based solely on sanitary demands and conditioning factors; on the contrary, it often reflects a trajectory of development and the interests of restricted groups in society. These issues need to be taken into consideration both in the analysis of the complexity of the health dimensions and in the investigation of the potential and challenges for the establishment of a virtuous innovative dynamics for the restructuring of the health services.
引用
收藏
页码:76 / 82
页数:7
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