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  • 1
    In: Revista de Saúde Pública, Universidade de São Paulo. Agência de Bibliotecas e Coleções Digitais, Vol. 51 ( 2017-09-22), p. 8s-
    Abstract: OBJETIVE: To analyze the relationship between access to medicines by the population and the institutionalization of pharmaceutical services in Brazilian primary health care. METHODS: This study is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services 2015), a cross-sectional, exploratory, and evaluative study composed of an information survey in a representative sample of cities, stratified by Brazilian regions. Access was defined based on the acquisition of medicines reported by the patient, ranging between: total, partial, or null. The institutionalization of pharmaceutical services was analyzed based on information provided by pharmaceutical services providers and by those responsible for medicines delivery. Chi-square test and multinomial logistic regression were used in the statistical analysis. RESULTS: Full access to medicines was greater when professionals affirmed there were the following aspects of the dimensions: “management tools,” “participation and social control,” “financing,” and “personnel structure,” with significant associations in the bivariate analysis. The “pharmaceutical care” dimension did not achieve such an association. After multinomial logistic regression, full access was more prevalent when those in charge of pharmaceutical services stated that: they always or repeatedly attend meetings of the Municipal Health Council, OR = 3.3 (95%CI 1.5-7.3); there are protocols for medicines delivery, OR = 2.7 (95%CI 1.2-6.1); there is computerized system for managing pharmaceutical services, OR = 3.9 (95%CI 1.9-8.0); those responsible for medicines delivery reported having participated in a course or training for professionals in the past two years, OR = 2.0 (95%CI 1.1-3.5); there is computerized system for pharmaceutical services management, OR = 4.3 (95%CI 2.4-7.5). CONCLUSIONS: Aspects related to the institutionalization of pharmaceutical services have been strongly related to access to medicines. Our results indicate the need to prioritize its implementation, contributing to its consolidation in Brazil and to the effectiveness of health services regarding the purposes of pharmaceutical services policies
    Type of Medium: Online Resource
    ISSN: 1518-8787 , 0034-8910
    Language: Unknown
    Publisher: Universidade de São Paulo. Agência de Bibliotecas e Coleções Digitais
    Publication Date: 2017
    detail.hit.zdb_id: 2031055-9
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  • 2
    In: BMJ Global Health, BMJ, Vol. 4, No. 5 ( 2019-09), p. e001661-
    Abstract: In the recent decades, Brazil has outperformed comparable countries in its progress toward meeting the Millennium Development Goals. Many of these improvements have been driven by investments in health and social policies. In this article, we aim to identify potential impacts of austerity policies in Brazil on the chances of achieving the sustainable development goals (SDGs) and its consequences for population health. Austerity’s anticipated impacts are assessed by analysing the change in federal spending on different budget programmes from 2014 to 2017. We collected budget data made publicly available by the Senate. Among the selected 19 programmes, only 4 had their committed budgets increased, in real terms, between 2014 and 2017. The total amount of extra money committed to these four programmes in 2017, above that committed in 2014, was small (BR$9.7 billion). Of the 15 programmes that had budget cuts in the period from 2014 to 2017, the total decrease amounted to BR$60.2 billion (US$15.3 billion). In addition to the overall large budget reduction, it is noteworthy that the largest proportional reductions were in programmes targeted at more vulnerable populations. In conclusion, it seems clear that the current austerity policies in Brazil will probably damage the population’s health and increase inequities, and that the possibility of meeting SDG targets is lower in 2018 than it was in 2015.
    Type of Medium: Online Resource
    ISSN: 2059-7908
    Language: English
    Publisher: BMJ
    Publication Date: 2019
    detail.hit.zdb_id: 2851843-3
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  • 3
    In: Revista de Saúde Pública, Universidade de São Paulo. Agência de Bibliotecas e Coleções Digitais, Vol. 51 ( 2017-09-22), p. 7s-
    Abstract: OBJECTIVE: To characterize the current stage of the institutionalization of pharmaceutical services in Brazilian cities. METHODS: This study is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), a cross-sectional, exploratory, and evaluative study composed by an information survey in a representative sample of cities, stratified by Brazilian regions. We interviewed municipal secretaries of health, responsible for pharmaceutical services, and pharmacists responsible for the dispensing of medicines. The variables selected from the interviews were grouped into five dimensions that defined three stages of pharmaceutical services institutionalization: incipient (0%-34.0%), partial (35.0%-69.0%), and advanced (70.0%-100%), estimated based on the interviewees’ answers. Frequencies were estimated with 95% confidence intervals. For the statistical association analysis, the Chi-square test was applied, with significance level of p 〈 0.05. RESULTS: Our results show a partial and heterogeneous process of institutionalization of pharmaceutical services in Brazil, and an advanced stage in formal structures, such as the municipal health plans and the existence of a standardized list of medicines. The analysed variables in the “organization, structure, and financing” dimension configured stages that range from partial to advanced. The management presented partial institutionalization, positively showing the existence of computerized system, but also disparate results regarding the autonomy in the management of financial resources. Indispensable items related to the structure expressed disparities between the regions, with statistically significant differences. CONCLUSION: The study showed a partial and heterogeneous process of institutionalization of pharmaceutical services in Brazilian cities, showing regional disparities. Variables related to the normative aspects of institutionalization were positively highlighted in all dimensions; however, it is necessary to conduct new studies to evaluate the institutionalization of pharmaceutical services’ finalistic activities
    Type of Medium: Online Resource
    ISSN: 1518-8787 , 0034-8910
    Language: Unknown
    Publisher: Universidade de São Paulo. Agência de Bibliotecas e Coleções Digitais
    Publication Date: 2017
    detail.hit.zdb_id: 2031055-9
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  • 4
    Online Resource
    Online Resource
    FapUNIFESP (SciELO) ; 2022
    In:  Ciência & Saúde Coletiva Vol. 27, No. 6 ( 2022-06), p. 2459-2469
    In: Ciência & Saúde Coletiva, FapUNIFESP (SciELO), Vol. 27, No. 6 ( 2022-06), p. 2459-2469
    Abstract: Abstract This article describes the evolution of municipal financing of the Unified Health System, from 2004 to 2019, considering revenues and expenses from own and non-own sources, analyzes fiscal redistribution, according to population size and average household income, and compares this evolution in two periods, characterized as economic growth (2004-2014) and recession (2015-2019). The study was based on data from the Information System on Public Health Budgets. There was real growth in municipal spending on health from 2004 to 2014 (156.3%), with a drop between 2014 and 2015, followed by a recovery between 2015 and 2019. During the recession period, there was an overall increase in the fiscal dependence of municipalities, indicated by the increase in non-own revenues, even with the decrease in the Federal Government participation in transfers. The growth of own health expenses was lower among municipalities with lower household income, while for non-own expenses it was higher in municipalities with a smaller population size. In short, the results indicate a process of increasing municipal spending on health, as well as the increased fiscal dependence of municipalities to fund health, intensified after the 2015 crisis, which especially affected small and lower income municipalities.
    Type of Medium: Online Resource
    ISSN: 1678-4561 , 1413-8123
    Uniform Title: Financing of health and the fiscal dependency of Brazilian municipalities between 2004 and 2019
    Language: Portuguese , English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2022
    detail.hit.zdb_id: 2078799-6
    SSG: 7,36
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  • 5
    Online Resource
    Online Resource
    FapUNIFESP (SciELO) ; 2022
    In:  Ciência & Saúde Coletiva Vol. 27, No. 11 ( 2022-11), p. 4289-4301
    In: Ciência & Saúde Coletiva, FapUNIFESP (SciELO), Vol. 27, No. 11 ( 2022-11), p. 4289-4301
    Abstract: Resumo Descreve a evolução da estrutura e resultados da Atenção Primária à Saúde (APS) no Brasil, entre 2008 e 2019. Foram calculadas a mediana de variáveis como: despesa per capita em APS por habitante coberto, cobertura da APS e as taxas de mortalidade e internações por condições sensíveis à atenção primária (CSAP) de 5.565 municípios brasileiros estratificados segundo porte populacional e quintil do Índice Brasileiro de Privação (IBP) e analisada a tendência mediana no período. Houve aumento de 12% na mediana da despesa em APS. A cobertura da APS expandiu, sendo que 3.168 municípios apresentaram 100% de cobertura em 2019, contra 2.632 em 2008. A mediana das taxas de mortalidade e internações por CSAP aumentou 0,2% e diminuiu 44,9% respectivamente. A despesa em APS foi menor nos municípios com maior privação socioeconômica. Quanto maior o porte populacional e melhores as condições socioeconômicas dos municípios, menor a cobertura da APS. Quanto maior a privação socioeconômica dos municípios, maiores foram as medianas das taxas de mortalidade por CSAP. Este estudo demonstrou que a evolução da APS foi heterogênea e está associada tanto ao porte populacional como às condições socioeconômicas dos municípios.
    Type of Medium: Online Resource
    ISSN: 1678-4561 , 1413-8123
    Uniform Title: Evolução da estrutura e resultados da Atenção Primária à Saúde no Brasil entre 2008 e 2019
    Language: English , Portuguese
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2022
    detail.hit.zdb_id: 2078799-6
    SSG: 7,36
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  • 6
    Online Resource
    Online Resource
    Universidade Federal da Bahia ; 2018
    In:  Revista de Ciências Médicas e Biológicas Vol. 17, No. 3 ( 2018-12-18), p. 310-
    In: Revista de Ciências Médicas e Biológicas, Universidade Federal da Bahia, Vol. 17, No. 3 ( 2018-12-18), p. 310-
    Abstract: 〈 p 〉 〈 strong 〉 Introdução: 〈 /strong 〉 a cardiopatia reumática crônica (CRC) é a manifestação clínica de maior relevância da febre reumática (FR). É a causa mais comum de insuficiência cardíaca na população infantil e em adultos jovens. 〈 strong 〉 Objetivo 〈 /strong 〉 : 〈 strong 〉 〈 /strong 〉 descrever os índices de morbimortalidade em pacientes com cardiopatia reumática crônica em Salvador, Bahia, Brasil. 〈 strong 〉 Metodologia 〈 /strong 〉 : 〈 strong 〉 〈 /strong 〉 trata-se de um estudo ecológico de série temporal com dados secundários, sobre os índices de morbimortalidade de usuários com doenças reumáticas crônicas do coração, entre o período de 2008 até o ano de 2017, em Salvador, Bahia, Brasil. 〈 strong 〉 Resultados 〈 /strong 〉 : 〈 strong 〉 〈 /strong 〉 foi 〈 strong 〉 〈 /strong 〉 observada uma maior ocorrência de internações e mortalidade em pacientes do sexo feminino. Houve uma maioria de óbitos entre os maiores de 60 anos. De acordo com a raça, internações e óbitos predominaram na população parda, em Salvador (BA), enquanto a cor da pele branca predominou nas ocorrências da população brasileira. 〈 strong 〉 Conclusão 〈 /strong 〉 : 〈 strong 〉 〈 /strong 〉 embora seja observada uma redução nos índices de morbidade e mortalidade dos pacientes com cardiopatia reumática crônica quando comparados com os de anos anteriores, ainda é necessário investir em políticas de saúde para prevenção e controle dessa doença, visto que ela representa um impacto importante nos custos financeiros do Sistema de Saúde. 〈 /p 〉
    Type of Medium: Online Resource
    ISSN: 2236-5222 , 1677-5090
    Language: Unknown
    Publisher: Universidade Federal da Bahia
    Publication Date: 2018
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  • 7
    Online Resource
    Online Resource
    FapUNIFESP (SciELO) ; 2022
    In:  Ciência & Saúde Coletiva Vol. 27, No. 11 ( 2022-11), p. 4289-4301
    In: Ciência & Saúde Coletiva, FapUNIFESP (SciELO), Vol. 27, No. 11 ( 2022-11), p. 4289-4301
    Abstract: Abstract This paper describes the structure and results of Primary Health Care (PHC) in Brazil between 2008 and 2019. The medians of the following variables were calculated: PHC spending per inhabitant covered, PHC coverage, and rates of mortality and hospitalizations due to primary care sensitive conditions (PCSC), in 5,565 Brazilian municipalities stratified according to population size and quintile of the Brazilian Deprivation Index (IBP), and the median trend in the period was analyzed. There was a 12% increase in median PHC spending. PHC coverage expanded, with 3,168 municipalities presenting 100% coverage in 2019, compared to 2,632 in 2008. The median rates of PCSC mortality and hospitalizations increased 0.2% and decreased 44.9%, respectively. PHC spending was lower in municipalities with greater socioeconomic deprivation. The bigger the population and the better the socioeconomic conditions were in the municipalities, the lower the PHC coverage. The greater the socioeconomic deprivation was in the municipalities, the higher the median PCSC mortality rates. This study showed that the evolution of PHC was heterogeneous and is associated both with the population size and with the socioeconomic conditions of the municipalities.
    Type of Medium: Online Resource
    ISSN: 1678-4561 , 1413-8123
    Uniform Title: Evolution of the structure and results of Primary Health Care in Brazil between 2008 and 2019
    Language: Portuguese , English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2022
    detail.hit.zdb_id: 2078799-6
    SSG: 7,36
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  • 8
    In: American Journal of Respiratory and Critical Care Medicine, American Thoracic Society, Vol. 201, No. 7 ( 2020-04-01), p. 789-798
    Type of Medium: Online Resource
    ISSN: 1073-449X , 1535-4970
    RVK:
    Language: English
    Publisher: American Thoracic Society
    Publication Date: 2020
    detail.hit.zdb_id: 1468352-0
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  • 9
    In: TAXON, Wiley, Vol. 71, No. 1 ( 2022-02), p. 178-198
    Abstract: The shortage of reliable primary taxonomic data limits the description of biological taxa and the understanding of biodiversity patterns and processes, complicating biogeographical, ecological, and evolutionary studies. This deficit creates a significant taxonomic impediment to biodiversity research and conservation planning. The taxonomic impediment and the biodiversity crisis are widely recognized, highlighting the urgent need for reliable taxonomic data. Over the past decade, numerous countries worldwide have devoted considerable effort to Target 1 of the Global Strategy for Plant Conservation (GSPC), which called for the preparation of a working list of all known plant species by 2010 and an online world Flora by 2020. Brazil is a megadiverse country, home to more of the world's known plant species than any other country. Despite that, Flora Brasiliensis , concluded in 1906, was the last comprehensive treatment of the Brazilian flora. The lack of accurate estimates of the number of species of algae, fungi, and plants occurring in Brazil contributes to the prevailing taxonomic impediment and delays progress towards the GSPC targets. Over the past 12 years, a legion of taxonomists motivated to meet Target 1 of the GSPC, worked together to gather and integrate knowledge on the algal, plant, and fungal diversity of Brazil. Overall, a team of about 980 taxonomists joined efforts in a highly collaborative project that used cybertaxonomy to prepare an updated Flora of Brazil, showing the power of scientific collaboration to reach ambitious goals. This paper presents an overview of the Brazilian Flora 2020 and provides taxonomic and spatial updates on the algae, fungi, and plants found in one of the world's most biodiverse countries. We further identify collection gaps and summarize future goals that extend beyond 2020. Our results show that Brazil is home to 46,975 native species of algae, fungi, and plants, of which 19,669 are endemic to the country. The data compiled to date suggests that the Atlantic Rainforest might be the most diverse Brazilian domain for all plant groups except gymnosperms, which are most diverse in the Amazon. However, scientific knowledge of Brazilian diversity is still unequally distributed, with the Atlantic Rainforest and the Cerrado being the most intensively sampled and studied biomes in the country. In times of “scientific reductionism”, with botanical and mycological sciences suffering pervasive depreciation in recent decades, the first online Flora of Brazil 2020 significantly enhanced the quality and quantity of taxonomic data available for algae, fungi, and plants from Brazil. This project also made all the information freely available online, providing a firm foundation for future research and for the management, conservation, and sustainable use of the Brazilian funga and flora.
    Type of Medium: Online Resource
    ISSN: 0040-0262 , 1996-8175
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 2081189-5
    detail.hit.zdb_id: 204216-2
    SSG: 12
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  • 10
    In: Ecology, Wiley, Vol. 100, No. 6 ( 2019-06)
    Abstract: Scientists have long been trying to understand why the Neotropical region holds the highest diversity of birds on Earth. Recently, there has been increased interest in morphological variation between and within species, and in how climate, topography, and anthropogenic pressures may explain and affect phenotypic variation. Because morphological data are not always available for many species at the local or regional scale, we are limited in our understanding of intra‐ and interspecies spatial morphological variation. Here, we present the ATLANTIC BIRD TRAITS , a data set that includes measurements of up to 44 morphological traits in 67,197 bird records from 2,790 populations distributed throughout the Atlantic forests of South America. This data set comprises information, compiled over two centuries (1820–2018), for 711 bird species, which represent 80% of all known bird diversity in the Atlantic Forest. Among the most commonly reported traits are sex ( n  = 65,717), age ( n  = 63,852), body mass ( n  = 58,768), flight molt presence ( n  = 44,941), molt presence ( n  = 44,847), body molt presence ( n  = 44,606), tail length ( n  = 43,005), reproductive stage ( n  = 42,588), bill length ( n  = 37,409), body length ( n  = 28,394), right wing length ( n  = 21,950), tarsus length ( n  = 20,342), and wing length ( n  = 18,071). The most frequently recorded species are Chiroxiphia caudata ( n  = 1,837), Turdus albicollis ( n  = 1,658), Trichothraupis melanops ( n  = 1,468), Turdus leucomelas ( n  = 1,436), and Basileuterus culicivorus ( n  = 1,384). The species recorded in the greatest number of sampling localities are Basileuterus culicivorus ( n  = 243), Trichothraupis melanops ( n  = 242), Chiroxiphia caudata ( n  = 210), Platyrinchus mystaceus ( n  = 208), and Turdus rufiventris ( n  = 191). ATLANTIC BIRD TRAITS ( ABT ) is the most comprehensive data set on measurements of bird morphological traits found in a biodiversity hotspot; it provides data for basic and applied research at multiple scales, from individual to community, and from the local to the macroecological perspectives. No copyright or proprietary restrictions are associated with the use of this data set. Please cite this data paper when the data are used in publications or teaching and educational activities.
    Type of Medium: Online Resource
    ISSN: 0012-9658 , 1939-9170
    URL: Issue
    RVK:
    Language: English
    Publisher: Wiley
    Publication Date: 2019
    detail.hit.zdb_id: 1797-8
    detail.hit.zdb_id: 2010140-5
    SSG: 12
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