Hospital contingency in coping with COVID-19 in Brazil: governmental problems and alternatives

Ciencia e Saude Coletiva

article

Santos, Thadeu Borges Souza¹  Andrade, Laise Rezende de²  Vieira, Silvana Lima¹  Duarte, Joseane Aparecida²  Martins, Juliete Sales¹  Rosado, Lilian Barbosa²  Oliveira, Juliana dos Santos²  Pinto, Isabela Cardoso de Matos² 

[1] Universidade do Estado da Bahia;Universidade Federal da Bahia

关键词: Coronavirus;    Unified Health Systems;    Hospitals;    Hospital Bed Capacity;    Contingency Plans;   

DOI  :  10.1590/1413-81232021264.43472020

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

This paper analyzes the government’s strategic agenda for coping with COVID-19 in Brazil, focusing on hospital care. Twenty-eight Contingency Plans were analyzed in full, one national, 26 at state level, and one from the Federal District. The Public Policy Cycle’s theoretical framework was used, specifically governmental pre-decision and decision to face the pandemic. The evidence revealed convergences between the national and state levels concerning proposals for reorienting care flow, detecting cases, and indicating referral hospitals. However, the state agendas revealed weaknesses in acquiring mechanical ventilation devices, sizing human resources, and regionalizing hospital care. Moreover, few states have established a method for calculating back-end beds, mainly regarding the outlook of opening hospitals of reference or contracting additional ICU beds. We can conclude that the heterogeneous actions explained in the plans show the complex process of coping with COVID-19 in Brazil with its regional inequalities, weaknesses in the state health systems, and reduced coordination by the Ministry of Health.

【 授权许可】

CC BY