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Outpatient regulation in Primary Care in the municipality of Rio de Janeiro, Brazil, based on the local regulatory

Cesar Luiz Silva Junior1, Kennedy Pereira de Lima Guabiraba2, Gustavo Graça Gomes1

  • 1Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil. cesarluiz54@gmail.com.

Ciencia & Saude Coletiva
|June 1, 2022
PubMed

Insights

Primary Health Care (PHC) regulation in Rio de Janeiro faces challenges like competition and connectivity issues, despite adequate infrastructure. Increased PHC involvement in access regulation is feasible and beneficial.

Area of Science:

  • Public Health
  • Health Services Management

Background:

  • Regulation of care is crucial for efficient healthcare delivery.
  • Primary Health Care (PHC) plays a vital role in managing patient access to services.

Purpose of the Study:

  • To characterize the process of care regulation in Rio de Janeiro's PHC units.
  • To emphasize the outpatient dimension of care regulation.

Main Methods:

  • Cross-sectional study conducted in 2019.
  • Survey involving 114 local regulatory physicians in Rio de Janeiro.

Main Results:

  • Many regulators are trained in Family and Community Medicine; tenure is satisfactory.
  • Adequate infrastructure reported by 52.6%, but connectivity is a frequent issue.
  • Mechanisms for vacancy access create competition, work overload, and inequities; limited interaction with specialized care.

Conclusions:

  • Decentralized regulation has shortcomings but is feasible.
  • Increased PHC participation in access regulation is feasible and contributes to improved access.

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