{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:14:15Z","timestamp":1753888455184,"version":"3.41.2"},"reference-count":54,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 1","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Trab. educ. sa\u00fade"],"abstract":"<jats:p>Resumo Apresentamos li\u00e7\u00f5es que resultaram de atividades de capacita\u00e7\u00e3o dos gestores conduzidas em Portugal no contexto da reforma da aten\u00e7\u00e3o prim\u00e1ria em sa\u00fade e nos pa\u00edses africanos de l\u00edngua oficial portuguesa, em termos do planejamento e da gest\u00e3o dos servi\u00e7os hospitalares e de sa\u00fade p\u00fablica. Descrevemos tr\u00eas programas de forma\u00e7\u00e3o-a\u00e7\u00e3o realizados pela Unidade de Sa\u00fade P\u00fablica Internacional do Instituto de Higiene e Medicina Tropical de Lisboa, com o apoio de parceiros portugueses e internacionais como a Organiza\u00e7\u00e3o Mundial da Sa\u00fade e o Instituto de Medicina Social da Universidade do Estado do Rio de Janeiro. Os programas foram desenvolvidos na base da identifica\u00e7\u00e3o das necessidades de compet\u00eancias dos participantes e focaram a resolu\u00e7\u00e3o de problemas concretos com o objetivo de ajudar os gestores a enfrentar as dificuldades inerentes aos processos de reforma. Apesar do seu valor intr\u00ednseco, por si s\u00f3 n\u00e3o se mostram suficientes, uma vez que s\u00e3o sempre necess\u00e1rios outros mecanismos, como o acompanhamento continuado dos gestores, sistemas de incentivos coerentes com os objetivos das reformas, ferramentas e recursos (financiamento, sistemas de informa\u00e7\u00e3o, pessoal qualificado suficiente) adequados para implementar as mudan\u00e7as. Al\u00e9m disso, a sustentabilidade das interven\u00e7\u00f5es de fortalecimento das capacidades carece de apoio continuado dos decisores pol\u00edticos.<\/jats:p>","DOI":"10.1590\/1981-7746-sol00252","type":"journal-article","created":{"date-parts":[[2020,3,17]],"date-time":"2020-03-17T01:35:37Z","timestamp":1584408937000},"source":"Crossref","is-referenced-by-count":0,"title":["FORMA\u00c7\u00c3O EM GEST\u00c3O PARA APOIO \u00c0 REFORMA DA ATEN\u00c7\u00c3O PRIM\u00c1RIA \u00c0 SA\u00daDE EM PORTUGAL E PA\u00cdSES AFRICANOS LUS\u00d3FONOS"],"prefix":"10.1590","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0506-1294","authenticated-orcid":false,"given":"Lu\u00eds Velez","family":"Lap\u00e3o","sequence":"first","affiliation":[{"name":"Universidade Nova de Lisboa,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5976-3454","authenticated-orcid":false,"given":"Gilles","family":"Dussault","sequence":"additional","affiliation":[{"name":"Universidade Nova de Lisboa,  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