{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:15:21Z","timestamp":1753888521006,"version":"3.41.2"},"reference-count":27,"publisher":"FapUNIFESP (SciELO)","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Saude soc."],"abstract":"<jats:p>Resumo A integra\u00e7\u00e3o da aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade com a aten\u00e7\u00e3o especializada em hospitais foi um importante desafio colocado ao sistema de sa\u00fade portugu\u00eas. Iniciado em 1999, por interm\u00e9dio de uma experi\u00eancia-piloto, essa integra\u00e7\u00e3o ocorreu com a cria\u00e7\u00e3o de Unidades Locais de Sa\u00fade. Toda a assist\u00eancia (aten\u00e7\u00e3o prim\u00e1ria e especializada) na mesma regi\u00e3o passou a depender de uma s\u00f3 equipe de gest\u00e3o, com as mesmas regras e modelos de funcionamento. Embora o modelo tenha j\u00e1 v\u00e1rios anos e atualmente existam oito Unidades Locais de Sa\u00fade, n\u00e3o h\u00e1 pesquisas que avaliem essa transforma\u00e7\u00e3o. Diante desse objetivo, foi encontrado um artigo publicado na revista Sa\u00fade e Sociedade que avaliou o grau de integra\u00e7\u00e3o da aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade de munic\u00edpio de pequeno porte na Rede de Aten\u00e7\u00e3o \u00e0 Sa\u00fade, cuja metodologia de avalia\u00e7\u00e3o se enquadra perfeitamente no prop\u00f3sito do presente estudo. Assim, foi adotado esse m\u00e9todo de avalia\u00e7\u00e3o, por meio de uma matriz com 25 indicadores com par\u00e2metros de avalia\u00e7\u00e3o pontuados em escala de zero a tr\u00eas. Seguidamente, com o objetivo de mensurar o grau de integra\u00e7\u00e3o, foram aplicados question\u00e1rios aos profissionais de sa\u00fade. A pontua\u00e7\u00e3o final (grau de integra\u00e7\u00e3o) foi calculada pela rela\u00e7\u00e3o entre a soma dos pontos recebidos e esperados, multiplicado por 10. Os resultados mostram um escore nacional de integra\u00e7\u00e3o de 7,03, o que indica a boa integra\u00e7\u00e3o entre aten\u00e7\u00e3o prim\u00e1ria e especializada.<\/jats:p>","DOI":"10.1590\/s0104-12902021180532","type":"journal-article","created":{"date-parts":[[2021,4,21]],"date-time":"2021-04-21T12:49:05Z","timestamp":1619009345000},"source":"Crossref","is-referenced-by-count":1,"title":["Avalia\u00e7\u00e3o do grau de integra\u00e7\u00e3o da aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade com atendimento especializado no modelo de unidade local de sa\u00fade experimentado em Portugal"],"prefix":"10.1590","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6808-7769","authenticated-orcid":false,"given":"Alexandre Morais","family":"Nunes","sequence":"first","affiliation":[{"name":"Universidade de Lisboa,  Portugal"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"issue":"7","key":"ref1","article-title":"A decade of integration and collaboration: the development of integrated health care in Sweden 2000-2010","volume":"11","author":"AHGREN B.","year":"2011","journal-title":"International Journal of Integrated Care"},{"issue":"98","key":"ref2","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1590\/S0103-11042013000300004","article-title":"Estrat\u00e9gias de integra\u00e7\u00e3o entre aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade e aten\u00e7\u00e3o especializada: paralelos entre Brasil e Espanha","volume":"37","author":"ALMEIDA P.","year":"2013","journal-title":"Sa\u00fade em Debate"},{"issue":"4","key":"ref3","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1097\/00004010-198601140-00002","article-title":"Vertical integration: exploration of a popular strategic concept","volume":"11","author":"BROWN M.","year":"1986","journal-title":"Health Care Management Review"},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1097\/00115514-199901000-00007","article-title":"Incentives for vertical integration in healthcare: the effect of reimbursement systems","volume":"44","author":"BYRNE M. 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