In a document, the health sector union proposes a focus on primary care in the SUS


The pandemic exposed weaknesses in the SUS (Unified Health System) and showed points that need improvement, such as encouraging innovation and greater integration between research, industry and public policies. The opinion was shared by the guests of the first panel of the Proposed Health São Paulo seminar, promoted by Sheet last Tuesday (20).

“In the two years of the pandemic, we realized that if we didn’t bring digital transformation to the institutions of the sector, we wouldn’t be successful”, says Francisco Balestrin, president of Sindhosp (Union of Hospitals, Clinics and Laboratories of the State of São Paulo).

According to figures from Datafolha, 20% of Brazilians consider health management to be the country’s biggest problem. The topic is what most worries the interviewees heard in July 2022. Then come the economy (13%), unemployment (10%), hunger/poverty (10%) and inflation (9%).

In the two years of the pandemic, we realized that if we didn’t bring digital transformation to health institutions, we wouldn’t be successful. Every citizen must have access to quality healthcare

Mediated by Folha’s special reporter Cláudia Collucci, the seminar took place in the auditorium of the São Paulo Museum of Image and Sound. During the event, Sindhosp presented a document with proposals for improvement for the São Paulo health system.

The plan covers topics such as strengthening primary care, promoting digital health and training professionals. The goal, says Balestrin, is to optimize the flow of treatment for patients and reduce queues.
Increasing the use of technology was a topic present in most proposals, both for application in clinical processes and in data management. The idea is to increase the speed of information sharing in the sector.

We believe that innovation is the way to accelerate processes that can help in dealing with emergency and chronic problems in the health system.

Balestrin says that about 150 people participated in the preparation of the document. Among them researchers, political agents, class organizations, specialists from the private sector and entities such as Cebrap (Brazilian Center for Analysis and Planning). Sindhosp brings together 51 thousand health establishments.

In the case of digital health promotion, the document provides for the creation of a multidisciplinary committee to structure the project and the creation of laws to regulate the practice and financing of digital care, in addition to the integration of information systems, to create electronic medical records.

For professional training, the union suggests the creation of a computerized system to control and manage the training of professionals, review university curricula and create training programs integrated with state institutions.

Greater integration between the public and private sectors is also one of the proposals in the document to increase the care capacity in hospitals.

The creation of performance indicators to improve the management of contracts in the sector, and the definition of joint agendas, for the prevention and treatment of chronic diseases, are some of the goals established by the entity.

For Gabriela Almeida, director of strategic affairs at pharmaceuticals Janssen, attracting investment from multinational companies, as is the case of the company, and expanding the population’s access to new therapies and medicines is still a challenge. She says it is necessary to “encourage attractive regulatory conditions in the short, medium and long term”, to accelerate partnerships.

The event was sponsored by Sindhosp and Janssen.

Watch the full seminar:

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