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Organizational models for health actions in the field of blood and blood products in Brazilian and Spanish regional contexts
Author(s) -
Souza M. K. B.
Publication year - 2018
Publication title -
vox sanguinis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.68
H-Index - 83
eISSN - 1423-0410
pISSN - 0042-9007
DOI - 10.1111/vox.12665
Subject(s) - hemotherapy , context (archaeology) , organizational structure , compromise , exploratory research , service (business) , health care , health services , business , operations management , geography , medicine , political science , marketing , sociology , economic growth , environmental health , population , economics , archaeology , pathology , anthropology , law
Background and objectives This article aims to characterize some elements that define the organizational models of healthcare actions in the field of blood and blood products. Materials and methods This exploratory and qualitative study was carried out based on a documentary survey complemented by interviews with key informants of hemotherapy services from three regional territories in Spain and Brazil. Results It was evidenced demographic, territorial and organizational characteristics, as well as on instruments, resources and individuals involved in the planning, organization and implementation of services and actions in the area. Discussion The demographic characteristics and the territorial distribution showed a direct relation with the variation in the blood supply system, in the service structure and in the involvement of different individuals. The predominance of hospital services was a common feature in the territories studied, especially for transfusion services. Regionalization, centralization and concentration strategies were aimed at implementing the organization models of such services and actions in the territories. The use of planning and information technologies presents variation in the territories studied. Conclusion The limits of organizational models are determined by the context and restriction of its constituent elements – structure, resources, financing, individuals involved – which compromise to some degree the objectives/purposes of the policy.