ANA LUIZA D AVILA VIANA
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Medicina Preventiva, Faculdade de Medicina - Docente
LIM/39 - Laboratório de Processamento de Dados Biomédicos, Hospital das Clínicas, Faculdade de Medicina
LIM/39 - Laboratório de Processamento de Dados Biomédicos, Hospital das Clínicas, Faculdade de Medicina
8 resultados
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Agora exibindo 1 - 8 de 8
- Production of knowledge on policy, planning, and management in Journal Ciencia & Saude Coletiva(2020) MACHADO, Cristiani Vieira; LIMA, Luciana Dias de; BOUSQUAT, Aylene; PEREIRA-SILVA, Marcus Vinicius; FERNANDES, Daniela Rangel Affonso; ARTMANN, Elizabeth; VIANA, Ana Luiza D'Avila; LIMA, Sheyla Maria LemosThe area of Policy, Planning and Health Management (PPG) express the intersection between research, intervention and political action. The article analyzes the dynamics of knowledge production about PPG in the Journal Ciencia & Saude Coletiva (C&SC) from 1996 to 2019. The study articulates a bibliometric and qualitative approach to explore the profile of articles in three dimensions: thematic, methodological and authorship/institutional partnerships. 1680 PPG manuscripts were identified, corresponding to 28.3% of the total publications. Thematic analysis showed a strong influence of the context and the implementation of Unified Health System (SUS). Qualitative empirical studies predominated, followed by quantitative and quanti-qualitative studies. The combination of methodological procedures was frequent, with bibliographic review and interviews being the most cited. The average number of authors per article and national institutional partnerships increased. As most articles were published in Portuguese, the challenge of internationalization persists. The PPG area stands out in the Journal C&SC and in the production of scientific knowledge relevant to SUS.
- Regionalização e acesso à saúde nos estados brasileiros: condicionantes históricos e político-institucionais(2012) LIMA, Luciana Dias de; VIANA, Ana Luiza d'Avila; MACHADO, Cristiani Vieira; ALBUQUERQUE, Mariana Vercesi de; OLIVEIRA, Roberta Gondim de; IOZZI, Fabiola Lana; SCATENA, Joao Henrique Gurtler; MELLO, Guilherme Arantes; PEREIRA, Adelyne Maria Mendes; COELHO, Ana Paula SantanaThis article examines the healthcare regionalization process in the Brazilian states in the period from 2007 to 2010, seeking to identify the conditions that favor or impede this process. Referential analysis of public policies and especially of historical institutionalism was used. Three dimensions sum up the conditioning factors of regionalization: context (historical-structural, political-institutional and conjunctural), directionality (ideology, object, actors, strategies and instruments) and regionalization features (institutionality and governance). The empirical research relied mainly on the analysis of official documents and interviews with key actors in 24 states. Distinct patterns of influence in the states were observed, with regionalization being marked by important gains in institutionality and governance in the period. Nevertheless, inherent difficulties of the contexts prejudice greater advances. There is a pressing need to broaden the territorial focus in government planning and to integrate sectorial policies for medium and long-term regional development in order to empower regionalization and to overcome obstacles to the access to healthcare services in Brazil.
- O Pacto pela Saúde e o processo de regionalização no estado de Mato Grosso(2015) MARTINELLI, Nereide Lúcia; VIANA, Ana Luiza d'Ávila; SCATENA, João Henrique GurtlerThe regionalization of health in the state of Mato Grosso started in the 1990s. In this work, it was analyzed the performance of the State Secretary of Health, in the period 2006-2011, by the dimensions: institutional, governance and impacts of regionalization, in order to identify whether the bases established in the presence of the Pact facilitated it or hindered it. Secondary data were used, documents and also interviews with state, region and municipal managers. The rules instituted facilitated, but the regionalized structures had their functions modified; the regionalization process was partially implemented and poses challenges to federal entities to advance in its consolidation.
- The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions(2017) VIANA, Ana Luiza d'Ávila; FERREIRA, Maria Paula; CUTRIM, Maria Alice; FUSARO, Edgar Rodrigues; SOUZA, Miriam Regina de; MOURÃO, Laís; PEREIRA, Ana Paula Chancharulo de Moraes; MOTA, Paulo Henrique dos Santos; IOZZI, Fabíola Lana; UCHIMURA, Liza Yurie TeruyaAbstract Objectives: to analyze the influence and performance on Policy, Structure and Organization dimensions in the regionalization process in five health regions in Brazil. Methods: a quantitative, cross-sectional study using primary data from 217 fulfilled interviews with managers, service providers and representatives of society in five health regions in Brazil. Calculation on the Influence Index that measures the contribution level of three dimensions in regionalization. Results: after analyzing the three dimensions that influence the regionalization process separately, it is necessary to point out that there is a better performance on the Policy dimension in front of all the others; on the other hand, Structure dimension shows itself to be feeble, configuring a real obstacle to progress the regionalization process; Organization occupies an intermediate place in all the regions of the study. The insufficient availability of physical, human and financial resources impedes to advance the regionalization and the achievement of its major objectives, which are the integration of services and coordination care. Conclusions: regionalization follows an uncertain path and without clear direction of its objectives, goals and deployed instruments. The Regional planning, in the case of health, is still a theoretical exercise.
- Descentralização e regionalização: dinâmica e condicionantes da implantação do Pacto pela Saúde no Brasil(2012) LIMA, Luciana Dias de; QUEIROZ, Lucia F. N. de; MACHADO, Cristiani Vieira; VIANA, Ana Luiza d'AvilaDecentralization and regionalization represent constitutional guidelines for the organization of the Unified Health System, which in the last 20 years has required the adoption of mechanisms to coordinate and accommodate federative tensions in Brazil's healthcare sector. This paper analyzes the national implementation of the Health Pact between 2006 and 2010 involving a strategy that reconfigures intergovernmental relations in the sector. The study involved the analysis of documents, official data and interviews with federal, state and municipal managers in the Brazilian states. The content of the national proposal is initially discussed, including its implications for health policy. The different rhythms and degrees of implementation of the Health Pact are then reviewed, with respect to adherence by states and municipalities and the formation of Regional Management Boards. Lastly, the conditioning factors for the multiplicity of experiences observed in the country are identified and the challenges facing progress toward a decentralized and regionalized health system in Brazil are discussed.
- O processo de regionalização do SUS: revisão sistemática(2017) MELLO, Guilherme Arantes; PEREIRA, Ana Paula Chancharulo de Morais; UCHIMURA, Liza Yurie Teruya; IOZZI, Fabíola Lana; DEMARZO, Marcelo Marcos Piva; VIANA, Ana Luiza d’ÁvilaAbstract This review focuses only on specific studies into the SUS regionalization process, which were based on empirical results and published since 2006, when the SUS was already under the aegis of the Pact for Health framework. It was found that the regionalization process is now underway in all spheres of government, subject to a set of challenges common to the different realities of the country. These include, primarily, that committee-structured entities are valued as spaces for innovation, yet also strive to overcome the bureaucratic and clientelist political culture. Regional governance is further hampered by the fragmentation of the system and, in particular, by the historical deficiency in planning, from the local level to the strategic policies for technology incorporation. The analyses enabled the identification of a culture of broad privilege for political negotiation, to the detriment of planning, as one of the main factors responsible for a vicious circle that sustains technical deficiency in management.
- Relações federativas no Programa Academia da Saúde: estudo de dois municípios paulistas(2016) MOTA, Paulo Henrique dos Santos; VIANA, Ana Luiza d'Ávila; BOUSQUAT, AyleneThe aim is the analysis of federal relations in the implementation of the Programa Academia da Saúde (Health Academy Program) in municipalities of the state of São Paulo. We conducted a case study with documental analysis and semi-structured interviews; we used the theoretical framework of the Policy Cycle. There was direct induction of the Ministry of Health in the municipality through standardization, political interests and financial incentive. The participation of the states is bureaucratic and restricted to the Comissão Intergestora Bipartite. Municipalities are financially dependent for implementation. It has not been seen a concrete possibility of adjustments to the program to local and regional realities.
- Perspectivas de região e redes na política de saúde brasileira(2015) ALBUQUERQUE, Mariana Vercesi de; VIANA, Ana Luiza d'ÁvilaRegions and health care networks are strategies recently adopted in the Brazilian health policy. Leading questions: what conceptions of region and health networks inform the policy, how are they combined, at what times and with what objectives? The aim of this study is to analyze the prospects for the region and networks adopted in health policy in the period of 2001-2011. We used the reference of human geography (critical geography) and public policies analysis (historical institutionalism), bibliographic research, documentary research and secondary data. Were defined three induction phases apart from these strategies, guided by different theoretical and political views and national and international interests.