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Roda de Conversa do Grupo Saúde UrbanaDia Mundial da Saúde 2019
Cobertura Universal de Saúde
O que há de novo?
Maria Inês Azambuja
Departamento de Medicina Social, FAMED/UFRGS
Programa Saúde Urbana UFRGS
No ano passado...
https://www.ufrgs.br/saudeurbana/dia-mundial-da-saude-07-04-2018/
Algumas conclusões em 2018 1• No Brasil há uma discussão toda contra a cobertura universal para uma lista reduzida e a favor do acesso universal
como proposto pelo SUS. (Material apresentado pela Prof. Cristiane Famer Rocha)• O SUS já assegura que não haja risco economico catastrófico, um dos principais argumentos usados pelos autores
para a defesa da proposta de cobertura universal • Por outro lado, temos o que aperfeiçoar com relação ao atendimento. Conhecer este material é importante para
nos ajudar a estruturar melhor o SUS.
• Mas igualmente importante é ter consciência de que • o sistema de saúde não pode assegurar saúde para todos! “Um sistema de saúde viável e de alta qualidade é
necessário, mas não suficiente para alcançar a saúde para todos. Em vez disso, os governos devem fazer uma
avaliação das ameaças mais importantes à saúde de suas populações e direcionar suas ações de acordo. A
UHC sozinha não derrotou o que antes eram doenças infecciosas comuns. Foram necessários amplos
programas políticos que incluíram melhores padrões de vida, moradia melhorada, melhor nutrição e água e
saneamento mais seguros ”. (Richard Horton, Editor do Lancet.
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)30847-X/fulltext
• As políticas de saúde não são neutras! Como nos lembra Anne-Emanuele Birn, “WHOse health agenda? 70 years of struggle over WHO’s mandate” http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)30734-7/fulltext
1 - https://www.ufrgs.br/saudeurbana/wp-content/uploads/2018/06/Azambuja20170405PalestraCoberturaUniversalSaude.pdf
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Agendas ECONÔMICAS Globais
Cobertura Universal da Saúde e
Desenvolvimento Sustentável
Para entendermos o que acontece ou acontecerá aqui precisamos olhar para o Forum Econômico Mundial
“Will the arrival of Globalization 4.0 result in our [...] working together to create new opportunities for humankind? Or will globalization suffer from multiple geopolitical, economic and environmental crises that strain multilateral institutions and hinder efforts to collaborate towards a shared future? Progress in either instance will require a platform that can act as an honest broker among the competing and increasingly conflicting values and ambitions of nations, industries and societies.”
http://www3.weforum.org/docs/WEF_AM19_Meeting_Overview.pdf
11/4/2019
https://www.un.org/en/sections/issues-depth/big-data-sustainable-development.htmlem 11/4/2019
https://www.who.int/universal_health_coverage/un_resolution/en/ dez/2012, ultimo acesso 11/4/2019
The World Economic
Forum, in partnership with
many leading organizations
and experts drawn from
across the healthcare and
technology spectrum, has
developed a global
roadmap for health
informatics standardization,
to be launched in Davos
2019. The roadmap will lay
a guiding foundation for
how global convergence on
a set of health informatics
standards can be achieved
If healthcare is to truly
leverage the power of
data, it is vital that
standards are
developed to break
down silos, thus
improving the
accessibility, utility and
scalability of
healthcare data. Doing
so will have a
profoundly positive
impact on medical
research, drug pricing,
clinical decision
making, patient
empowerment and,
ultimately,
improvement in care
outcomes.
https://www.weforum.org/agenda/2018/12/global-healthcare-data-is-a-vast-untapped-resource-until-now/ em 11/4/2019
https://hackernoon.com/ai-ml-and-big-data-in-healthcare-89c21f31ca9e em 10/4/2019
AI could be particularly powerful in the health care industry. One piece of research from Accenture found that
key clinical health AI applications can potentially create $150 billion in annual savings for the US health care
economy by 2026. Another report from Tractica found that the AI health care market will be worth $34 billion
by 2025.
https://www.weforum.org/agenda/2019/03/why-we-need-a-new-social-contract-for-data-in-healthcare/ em 11/4/2019
Who owns the data? Open data for health carehttps://www.frontiersin.org/articles/10.3389/fpubh.2016.00007/full , em
10/4/2019
Leitura muito recomendada!
Dez 2018
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199467/pdf/jogh-08-020303.pdf
Dez 2018
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199467/pdf/jogh-08-020303.pdf• WORKFORCE Machine learning has become a “General Purpose
Technology and … tends to result in “widespread economic disruption, with concomitant winners and losers”
• Machine learning is a rapidly advancing Technology… A receptive context for AI requires, among others, availability of curated data, an enabling regulatory environment, legal provisions to safeguard citizens’ rights, clear rules on accountability.
• The inconvenient truth is that advances in machine learning are going to originate from or require co-operation with a handful of technology companies that have already invested billions of dollars to aggregate the intellectual capital and necessary computing and storage resources for machine learning. However such concentration accentuates broader concentration in the economy and introduces additional legislative complexity for national governments, which could end up being reliant on a handful of private technology companies for core infrastructure for AI.
As such, novel contracting mechanisms are necessary to work with these private technology companies to enable capture and use of health data at a national scale whilst maintaining privacy and fair attribution of intellectual property created. No such agreement is in place currently and there is no consensus about how to develop one. The absence of an agreed framework for contracting and intellectual property rights provides a significant opportunity for international public health organisations to display leadership…. to safeguard social solidarity to ensure the benefits of AI are broadly shared.
Master clinical medical knowledge at
certificated-doctor-level with deep
learning model
Ji Wu, Xien Liu, Xiao Zhang, Zhiyang
He & Ping Lv (China)
Nature Communications volume 9, Article number: 4352 (2018)https://www.nature.com/articles/s41467
-018-06799-6
O modelo se sai melhor que
estudantes no final do curso e melhor
que experts em disgnósticos, exceto
em “humanidades
A revolução já chegou!
“Will the arrival of Globalization 4.0 result in our [...] working together to create new opportunities for humankind? Or will globalization suffer from multiple geopolitical, economic and environmental crises that strain multilateral institutions and hinder efforts to collaborate towards a shared future? Progress in either instance will require a platform that can act as an honest broker among the competing and increasingly conflicting values and ambitions of nations, industries and societies.”
http://www3.weforum.org/docs/WEF_AM19_Meeting_Overview.pdf
11/4/2019
