Table 1
Rates of health conditions for North-Barretos, South-Barretos, Sao Paulo and Brazil, 2015.
| Rates | North-Barretos | South-Barretos | State of Sao Paulo | Brazil |
|---|---|---|---|---|
| Life expectancy at birth | 74.9 | 75.02 | 75.69 | 73.40 |
| Child mortality | 9.78 | 12.04 | 11.58 | 13.51 |
| Mortality due to ischemic heart diseases (100,000 inhab.) | 63.96 | 46.23 | 67.36 | 54.08 |
| Mortality due to cerebrovascular diseases (100,000 inhab.) | 66.04 | 62.06 | 51.61 | 51.73 |
| Cancer mortality (100,000 inhab.) | 127.91 | 128.06 | 116.33 | 98.47 |
[i] Source: Região and Redes, 2013.
Figure 1
Main institution responsible for the decision-making in primary health care (PHC) and the emergency care network (ECN), North-Barretos and South-Barretos regions, 2015.
Source: Prepared by the authors.
Table 2
Differences and similarities between primary health care and the emergency care network in the North-Barretos and South-Barretos regions, 2015.
| Primary Health Care | Emergency Care Network | |
|---|---|---|
| Services | Primary Care Centre, Family Health Support Centre (NASF), Outpatient medical specialties | Emergency Departments, Walk-in clinics |
| Interfaces | Primary Care Centre | Walk-in clinics |
| Institution responsible for organization | Municipal Health Department | Regional Health Department |
| Space for decisions | Municipal Health Department | Regional Health Department |
| Conflicts for decision making | Municipalities vs. Municipalities | Municipalities vs. Regional Health Department |
| Planning | Diagnosis of health needs | Regional Plan for the provision of services |
[i] Source: Prepared by the authors.
Table 3
Facilitators and barriers to the integration of primary health care and the emergency care network by policy, structure and organization aspects, 2015.
| Integration between primary health care and emergency care network | Facilitators | Barriers |
|---|---|---|
| Policy aspect | Regional Interagency Committee | Lack of integration between the municipal health department and the regional health department in order to provide comprehensive care |
| Structure aspect | Sufficient funding | Distinct criteria for planning mechanisms |
| Organization aspect | Professional training (Pio XII Foundation) | Ineffective interfaces: there is no integration between services |
[i] Source: Prepared by the authors.