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By Edson Arpini *
Many ask if we were
prepared The question is, “What does it mean to be prepared?”
For some
to be prepared would be to have hospital beds and ICU support for “when
it was necessary. “For others, making millions of
protection (PPE), suggestions that in addition to being harmless, stay away from
feasibility of implementation, including as a reserve plan.
It’s clear that
Should there be contingency plans, however, what should they be based on? Our
the opinion is that plans should focus on the Unified Health System (SUS), the
of their network activities between cities, towns and communities. SUS meets
this role for being universal, for assistance at various levels of
complexity, by regionalization that differentiates each reality and importance
territory and deep social commitment to the population.
However, in
In recent years, SUS has been the target of systematic attacks and profound devaluations,
with a significant reduction in funding, associated with an aggressive process of
privatization We must emphasize that countries where national systems
guaranteeing assistance also suffered a gradual dismantling, as in England, and
The possibilities of creating a universal system, as in the United States,
they were systematically aborted due to private interests.
Could everything
The SUS structure participated in controlling the spread of the epidemic, although
let us know that the actions carried out come from management bodies guided by
SUS principles?
Yes this could have happened since we have
knowledge for the history of actions throughout the national territory, for having
created an intellectual critical mass that defined concepts related to
national systems, for a solid literature associated with practices
community activities, such as the operational models of the Family Health Strategy and all
The actions that make up its activities. But that did not happen.
Getting back
to the logistics issue, could we do more?
Evident
yes, but we need to maintain staff training programs in all
levels, assess community health workers (CHA) and all who work
at the FHS, with a view to being active on the front lines of fighting
pandemics, which has not yet occurred.
It seems
It is unreasonable for the virus fighting line to focus on the hospital network.
When this is the only alternative,
Our chances of saving lives become very limited. We should
anticipate ourselves by giving ESF teams a decisive role in this process, but still
teams lack this understanding and training to take ownership of
coping tasks, as they do in dozens of other situations.
By
For example, community policing could have been carried out with the aim of
basic health units (UBS), as long as we have it in the planning
teams how to act, guaranteeing the safety and health of
workers, guiding in less complicated cases and recognizing and
forward serious cases, a role already performed by UBS regularly. Respecting
local differences and difficulties, it is time to advance in the formation of these
health workers.
How much
support technologies for hospital areas, we have enormous potential
absolutely inert due to lack of policies and funding, especially in universities
public
The
Facing the pandemic has become an opportunity to bring sectors closer to
that work in an integrated way: technological areas, basic sciences and health
assistance
One
example is the creation of models of ventilatory support equipment for
Patients As revealed in the past few weeks, versatile devices have been created.
and low cost, but to be used in humans we need time to
tests that guarantee patient safety.
There is
years we have fought for these funds and for lines of research that promote
interdisciplinary approach, which could lead to research, patents and
greater appreciation of the social role of the university.
Refering to
teams, we have accumulated in recent years an asset that is a network system with
ability to get to where people live and work, capillarity
which helped us consolidate some concepts, such as the technologies that
assess the welcome and the bond between the team and the population, convened by
Emerson Mehri professor of light technologies as opposed to technologies
as hospital equipment. The lines of care and therapeutic plans.
They interact between these two poles as light and hard technologies.
The suggestion is
that the network is ready to structure and respond in an agile way to
new needs and that this process begins at the graduation of the health area to
these professionals skills must also be developed to form
technical staff, always from an interprofessional perspective based on practices
collaborative
What should we change for the future?
We understand
that creating business plans should be on the agenda of all managers
contingency at the national, state and municipal level for the health area,
forming a set of actions to implement in an agile and orderly way to
respond to epidemiological emergency situations.
Is
essential to invest in SUS as a network, with care technologies in APS, associating
Development of advanced support technologies in the hospital area, with centers.
research with specific resources for this, as well as training and
staff preparation, valuing all professional categories.
* *Edson Arpini He is an adjunct professor of Collective Health at UEM, PhD in Sciences – Health Education at Unicamp, Master of Medicine at UFRJ, supervisor of the pediatric ward HUM / UEM.
* This article does not necessarily reflect the opinion of Forum Magazine
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