| Primary care |
Addressed PHC expansion and quality until 2013 |
ESF expanded coverage = 2017 70.6% |
The ESF expansion took place in the foreground; however, a slight increase is expected from 2017 |
| Achieves 70.4% coverage in 2016 |
NASF Expansion |
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Expansion of Integrative and Complementary Practices (PIC) to 2018 |
| Urgency care |
In 2012, the 14 municipal UPAs provided 4.2 million calls. Some 5.3 million UPA calls are estimated for 2017 |
In the 2018-2021 period, there are plans to increase the number of hospital beds, establish two CERs and implement the Citizen's Electronic Medical Record |
In the foreground, the focus is on UPAs, and then on hospitals |
| Mental Health |
The goal is to replace long-term psychiatric beds with concomitant CAPS expansion and therapeutic residence |
Yearly implementation of CAPS III and CAPSad III. Expansion of Therapeutic Residential Services (SRT) to 128 SRT by the end of 2020 |
CAPS and SRT with expected expansion |
| Pharmaceutical Care |
REMUME-RIO 2013 contains 386 medicines, totaling 676 items |
REMUME-RIO 2017 contains 503 medicines totaling about 700 items |
REMUME expansion only appears in the background, especially for medicines |
| Planning |
Establishment of the Secretariat of Strategic Management and Integration of the Health Network (SUBGER) |
Creation of the Sub-Secretariat for Regulation, Control and Evaluation (SUBREG) in 2018 |
There are changes in the organization chart in both plans |
| Indicator Goals |
Shows the indicators and calculation method and their goals. Examples:
Primary Care Team Coverage = 50%
ICSAB rate = 30%
Proportion of regulated urgency / emergency admissions = 80%
Normal birth rate = 43%
Proportion of live births to mothers with seven or more prenatal visits = 69%
Child mortality rate = 11.0
Cure ratio of new cases of bacilliferous pulmonary tuberculosis = 78.0 |
Shows the indicators and calculation method, but without setting goals. There are physical goals in absolute numbers. Examples:
Schedule visits and exams for up to 90 days from request date: 73% by 2018 and 80% by 2021
Perform medium complexity outpatient dental procedures at the CEOs: 96,310 in 2018, and 105,065 in 2021 |
Besides indicating a progressive target, the indicators for the 2014-2017 period considered the performance achieved in the period before 2014 |
| Guidelines |
Guideline 1: To achieve universal access to health services with reception and resolution at all levels of care |
Guideline 1: To strengthen public health care and its financing with expansion, streamlining and greater oversight of SUS resources |
The 2014/2017 MHP Guidelines address universalization, SUS principles, prevention and promotion actions, social control, mental health, urgency network, regulatory complex, work management and surveillance
The 2018/2021 MHP Guidelines address surveillance, training, social control, scientific development, network access and model qualification
There is a highlight for PHC, which does not occur in the previous MHP. It explains the increased coverage of the ESF and NASF, as well as refers to mental health, and issues such as appreciation of normal birth, obesity, smoking and violence |
| Guideline 2: To ensure continuity, quality and humanization of care to reduce inequalities through health promotion, prevention, care and surveillance |
Guideline 2: To consolidate the SUS with the development and implementation of policies that include health education integrated with public health policies, with the qualification of Primary Care, including continuing education, health education, teaching-service integration combined with a communication and training, labor and worker valorization policy, committed to ensuring social rights, strengthening social participation and involving the largest number of civil society stakeholders |
| Guideline 3: To expand discussion spaces and information for management, ensuring participation and social control in the elaboration and implementation of public policies, observed the deliberations of the Municipal Health Council |
Guideline 3: To qualify the health care model and ensure access to the adequately regulated and transparent healthcare network as per: a. the epidemiological profile; b. the expansion of primary health care and territory-based mental health devices; c. the regulation of policies and strategies for health prevention and promotion, and life protection geared to healthy eating, tobacco use, obesity control, valorization of normal childbirth, at-risk or vulnerable populations (people living in the streets population, alcohol, crack and other drug users, institutionalized population and home care) and approach to situations of violence in the territory |
| Guideline 4: To implement the drug-dependent care policy, following the Brazilian Psychiatric Reform Guidelines |
Guideline 4: To advocate for the universal and equitable public Unified Health System, as provided for in Law 8.080, thus consolidating the expanded, innovative health care model, with the system's primary care structuring, network regulator and care coordinator, guided by the pillars of network regionalization and hierarchy.
To increase ESF coverage in 3.1, 3.3 from 2020
To increase the NASF - 2021
To increase oral health - 2019 |
| Guideline 5: To improve the urgent care network, articulated with other care networks |
Guideline 5: To ensure the right to social participation with new methods of discussion, implementation and evaluation of actions, programs and strategies that regulate services in order to standardize the health portfolio |
| Guideline 6: To restructure the Municipal Regulatory Complex and qualify the Outpatient and Hospital Regulation System |
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| Guideline 7: To strengthen work management and health worker development |
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| Guideline 8: To reduce risks and health problems to the population through health surveillance |
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