Analysis of the implementation of a mobile pre-hospital treatment system in five Brazilian state capitals

Cadernos de saúde pública
M C Minayo, S F Deslandes

Abstract

The article presents a description and analysis of the implementation of a pre-hospital treatment system (SAMU) as part of the research project Diagnostic Analysis of the Implementation of a National Policy for the Reduction of Violence and Accidents. Implementation and organization of the SAMU service, together with the related materials, human resources, and equipment, was studied in five Brazilian State capitals with high morbidity and mortality rates from external causes: Curitiba (Paraná), Recife (Pernambuco), Brasília (Federal District), Rio de Janeiro, and Manaus (Amazonas). The study involved four phases, each developing exploratory and analytical cycles, combined with fieldwork, triangulating quantitative and qualitative data. Implementation of the pre-hospital treatment system is now a key health sector asset. Further necessary steps include: comprehensive legislation covering vehicles, personnel, and equipment; closer networking between mobile units and healthcare facilities; focus on information generated in this sub-system, thus facilitating planning; and maintaining and upgrading high qualifications for SAMU crews. The service is officially establishing, standardizing, and regulating a sub-system that is crucial f...Continue Reading

References

Jan 23, 1998·Annals of Emergency Medicine·H E NikkanenL M Jacobs
Aug 12, 1998·Revista da Associação Médica Brasileira·I Y WhitakerM S Koizumi
Jun 7, 1994·Prehospital and Disaster Medicine·A LechleuthnerJ A Kubincanek
May 16, 2002·Resuscitation·Yasuyuki HayashiChiiho Fujii

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Citations

Aug 31, 2010·Ciência & saúde coletiva·Gisele O'Dwyer
Dec 17, 2016·CoDAS·Maria Gabriella Pacheco da SilvaMaria Luiza Lopes Timóteo de Lima
Apr 27, 2011·Cadernos de saúde pública·Cristiani Vieira MachadoCarolina de Oliveira Nogueira
Oct 6, 2010·Ciência & saúde coletiva·Edinilza Ribeiro dos SantosRodrigo Tobias de Sousa Lima
Oct 6, 2010·Ciência & saúde coletiva·Suely Ferreira Deslandes, Edinilsa Ramos de Souza
Aug 10, 2017·Cadernos de saúde pública·Gisele O'DwyerMonica Guimarães Macau Lopes
Apr 20, 2011·Revista de saúde pública·Cristiani Vieira MachadoGisele O'Dwyer
Jul 8, 2016·Ciência & saúde coletiva·Gisele O'DwyerFernanda Gonçalves Salvador
Mar 22, 2013·Revista da Escola de Enfermagem da U S P·Adriana Cristina OliveiraCamila Sarmento Gama
Dec 20, 2016·Cadernos de saúde pública·Angela Maria Blatt OrtigaMaria Cristina Marino Calvo

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