Sistema Único de Saúde: considerações sobre a oferta dos serviços e os fluxos de internações na Macrorregião de Saúde Norte de Minas Gerais

Abstract

The Unified Health System (hereby SUS) is one of the biggest public healthcare systems in the world. Its genesis has a close relationship with the north of Minas Gerais, specially with the city of Montes Claros, for this city has hosted a public healthcare experiment considered as a precursor for SUS. In face of the stated above, this study has as its main objective the analysis of the offer on healthcare services and SUS hospitalization flow on the Health Macro-region of the North of Minas Gerais. In particular, it was sought to map the offer on SUS health services on the macro-region was sought, as well as identify the hospitalization flows, to understand the organizational dynamic of these flows through the Bed Regulation Central and consider about the progress and challenges for SUS in the aforementioned region. The adopted methodology prioritized bibliographic research, data collection on SUS Computing Department and Bed Regulation Central, fieldwork in some municipalities data analysis and map elaboration. As a result, it was concluded that there are difficulties in the operationalization of hierarchic healthcare service on the three complexity levels in the studied region. The city of Montes Claros exerts centrality on the offer of services, being necessary that individuals from other municipalities in the macroregion move towards this city in case of need for health care that is not provided by their origin municipality.