Lessons Learned from the Implementation of a Specialized Health Care Network in the Municipality of Porto Alegre, Brazil

Abstract

The Pan American Health Organization (PAHO) has promoted Integrated Health Services Networks as an innovative policy option for universal health coverage. In 2001, a Health Care model based on Health Attention Networks (RASs), and adopting the Primary Care Strategy (PHC), was designed in Porto Alegre/Brazil to meet health needs, by following the guidelines of the Unified Health System (SUS). The model advocates a view of health that entails preserving the autonomy of both individuals and groups and improving the management of a decentralized, regional and hierarchical system. In accordance with the Strategic Matrix, we introduced a called "Specialized Health Care Network" ESP, following the Methodology of Checkland and built the first "Problem Tree". By adopting a question- and -answer approach, the paper examines the lessons learned, by putting into effect a systematic step-by-step implementation of this Network. Since there are no bibliographical references to similar experiences in Brazil.

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