Estudo das políticas públicas de saúde em Caruaru com ênfase em doenças cardiovasculares

Abstract

The cardiovascular diseases are those which promote the highest number of deaths in the world and Brazil follows this trajectory. The state of Pernambuco as well as the capital and Caruaru have in the last decade a growing and converging trend in the number of deaths. This signals to the inefficiency of health policy in the face of increasing and obvious needs of the population. On the other hand, studies that support the policy maker in policy are virtually nonexistent in the State hinterland. In this regard, from a critical perspective on the role of institutions in the current health system, this dissertation contributes from the methodology of arrangements and local production and innovation systems with a study on public policies in cardiovascular care in Central Caruaru Agreste region of Pernambuco, according to state health subsystem in dimension of target audience watched and infrastructure offered. In conclusion, attention is drawn to: a) there is in ASPIL a large number of local health-related institutions that require a dynamic directed to the extension of the benefits of a better functioning of ASPIL, based on innovation, cooperation and knowledge that translates into benefits for the target population policy, b) there is a commitment by the institutions of the perception of the potential for cooperation in ASPIL that inhibits policies to stimulate knowledge transfer of new initiatives, and through the activities already carried out between actors of ASPIL. Based on these observations , it is present the following suggestions for policy action: i) promote policies that encourage coordination between actors coordinating ASPIL with medical providers, ie, hospitals and public and private clinics; ii) improve the training of professionals both technical and higher level with the expansion of courses in health techniques in local schools and universities, focused on cardiovascular diseases; iii) increase and strengthen the infrastructure of higher education for specific training of medical professionals with specializations in the ASPIL preventive treatments, as well as medium and high complexity; iv) intensifying relations of buying and selling within the ASPIL between the government and local suppliers with a view to provide the supply of inputs and equipment, including specialized stimulate local production; v) include in the local analysis that precedes the development of the notion of political territory for the utilization of tacit knowledge and its transmission channels that feed back into cooperation and dissemination of innovation, as important for cost reduction actions and a closer relationship with the recipients of policy, population served, and, vi) financially stimulate research on ASPIL in universities , in order to have greater clarity of policy goals and ways to achieve them more efficiently.