<p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">Representantes do Minist&eacute;rio da Sa&uacute;de, estados e munic&iacute;pios aprovaram mudan&ccedil;as no modelo de financiamento da aten&ccedil;&atilde;o prim&aacute;ria &agrave; sa&uacute;de, &aacute;rea que abrange o atendimento pelas equipes de sa&uacute;de da fam&iacute;lia e em unidades b&aacute;sicas de sa&uacute;de.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">A mudan&ccedil;a ocorre ap&oacute;s 21 anos. A proposta, conforme a Folha de S.Paulo noticiou em julho, prev&ecirc; que o repasse de recursos do governo federal leve em conta o n&uacute;mero de pacientes cadastrados nas unidades de sa&uacute;de e o desempenho&nbsp;delas a partir de indicadores como qualidade do pr&eacute;-natal e controle de diabetes, hipertens&atilde;o, infec&ccedil;&otilde;es sexualmente transmiss&iacute;veis.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">A vulnerabilidade socioecon&ocirc;mica dos pacientes (como o total de&nbsp;pacientes que recebem benef&iacute;cios como o Bolsa Fam&iacute;lia), a presen&ccedil;a maior de crian&ccedil;as e idosos na regi&atilde;o&nbsp;e a dist&acirc;ncia dos munic&iacute;pios dos grandes centros urbanos tamb&eacute;m ser&atilde;o ponderados nesse novo modelo.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">A ideia &eacute; que, com base nesses crit&eacute;rios, sejam aplicados pesos extras ao valor repassado por paciente. Um munic&iacute;pio rural ou remoto, assim, deve receber duas vezes mais por paciente cadastrado do que um munic&iacute;pio em &aacute;rea urbana.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">J&aacute; aqueles que t&ecirc;m pacientes em situa&ccedil;&atilde;o de vulnerabilidade socioecon&ocirc;mica receber&atilde;o 30% a mais nestes casos.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">O novo modelo passa a valer a partir do pr&oacute;ximo ano, com regras de transi&ccedil;&atilde;o. Nos primeiros meses, o valor deve ser repassado de acordo com a popula&ccedil;&atilde;o. Em seguida, pelo volume de pacientes cadastrados.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">J&aacute; os indicadores de desempenho devem ser ampliados a cada ano, at&eacute; atingir 21 em 2022.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">O secret&aacute;rio de aten&ccedil;&atilde;o prim&aacute;ria em sa&uacute;de, Erno Harzheim, afirma que a proposta foi elaborada em conjunto com estados e munic&iacute;pios.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">Segundo ele, a previs&atilde;o &eacute; que a medida aumente o volume de recursos de aten&ccedil;&atilde;o b&aacute;sica repassado &agrave; maioria das cidades. O total de aumento previsto &eacute; de R$ 2,6 bilh&otilde;es. O valor vir&aacute; de recursos hoje dispon&iacute;veis, mas n&atilde;o utilizados.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">Outros munic&iacute;pios, por&eacute;m, podem ter o volume de recursos reduzido. A perda &eacute; estimada no valor de R$ 290 milh&otilde;es. Para compensar a perda, o minist&eacute;rio diz que, em 2020, esses munic&iacute;pios ainda receber&atilde;o de acordo com o modelo anterior.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">A mudan&ccedil;a tem sido alvo de pol&ecirc;mica.&nbsp;Um grupo de nove entidades na sa&uacute;de enviou uma carta nesta quarta-feira (30) ao ministro da Sa&uacute;de, Luiz Henrique Mandetta, em que alerta sobre riscos da proposta.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">O texto &eacute; assinado pela&nbsp;Abrasco&nbsp;(Associa&ccedil;&atilde;o Brasileira de Sa&uacute;de Coletiva)&nbsp;e&nbsp;Abres (Associa&ccedil;&atilde;o Brasileira de Economia da Sa&uacute;de),&nbsp;entre outras&nbsp;entidades.&nbsp;O grupo reclama da falta de apresenta&ccedil;&atilde;o de uma proposta&nbsp;pr&eacute;via&nbsp;pelo Minist&eacute;rio da Sa&uacute;de&nbsp;a conselhos sociais.</p> <div class="quads-location quads-ad2" id="quads-ad2" style="box-sizing: border-box; margin: 10px; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial; float: none;"> <p style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font: inherit; vertical-align: baseline; text-rendering: optimizelegibility; text-align: center;"><img src="https://cdn-nuneshost.diariogm.com.br/banners/elg-engenharia.jpg" data-pin-no-hover="true" style="box-sizing: border-box; margin: 0px; padding: 0px; border: 0px; font: inherit; vertical-align: middle; max-width: 100%; height: auto;" alt="" /></p> </div> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">&ldquo;Sendo a aten&ccedil;&atilde;o prim&aacute;ria em sa&uacute;de a matriz central do SUS, qualquer altera&ccedil;&atilde;o no seu financiamento, em especial quando pode amea&ccedil;ar sua sustentabilidade, causa preocupa&ccedil;&atilde;o e deve ter ampla discuss&atilde;o social&rdquo;,&nbsp;informa o documento.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">O grupo diz ainda que a proposta&nbsp;fere o princ&iacute;pio da universaliza&ccedil;&atilde;o do SUS&nbsp;ao centrar o modelo&nbsp;de repasses apenas pelo n&uacute;mero de pacientes cadastrados, e n&atilde;o pelo total da popula&ccedil;&atilde;o que pode ser atendida.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">Tamb&eacute;m diz ver risco&nbsp;de&nbsp;preju&iacute;zo a alguns munic&iacute;pios, al&eacute;m de&nbsp;interfer&ecirc;ncias pol&iacute;ticas&nbsp;caso n&atilde;o houver crit&eacute;rios claros para avalia&ccedil;&atilde;o dos indicadores que determinar&atilde;o os repasses.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">&ldquo;Em tese, a nova pol&iacute;tica de financiamento da aten&ccedil;&atilde;o prim&aacute;ria ser&aacute; executada em 2020, ano de elei&ccedil;&otilde;es municipais. De modo que, se o crit&eacute;rio de repasse dos recursos aos gestores da sa&uacute;de n&atilde;o for objetivo, transparente e impessoal, poder&aacute; haver riscos de coopta&ccedil;&atilde;o pol&iacute;tica&rdquo;,&nbsp;informa.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">&ldquo;&Eacute; o desmonte da concep&ccedil;&atilde;o de acesso universal do SUS&rdquo;, diz Francisco Funcia, especialista na &aacute;rea de economia da sa&uacute;de, para quem o envio de recursos apenas por pacientes cadastrados fere a Constitui&ccedil;&atilde;o.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">J&aacute; o ministro da Sa&uacute;de, Luiz Henrique Mandetta, diz que a medida corrige distor&ccedil;&otilde;es e dever&aacute; medir a real cobertura na aten&ccedil;&atilde;o b&aacute;sica.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">&ldquo;Voc&ecirc; n&atilde;o pode ter 43 mil equipes de sa&uacute;de da fam&iacute;lia e s&oacute; ter 90 milh&otilde;es de pessoas cadastradas&rdquo;, disse. Para ele, a medida dever&aacute; estimular as unidades a cadastrarem os pacientes.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">Hoje,&nbsp;o repasse de recursos &eacute; feito por meio de&nbsp;dois pisos de aten&ccedil;&atilde;o b&aacute;sica, um fixo e um vari&aacute;vel. O primeiro &eacute; um valor (de R$ 23 a R$ 28 por ano) que oscila de acordo com a popula&ccedil;&atilde;o do munic&iacute;pio estimada pelo IBGE.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">J&aacute; o&nbsp;segundo&nbsp;leva em conta o n&uacute;mero de equipes de sa&uacute;de da fam&iacute;lia que o munic&iacute;pio tem,&nbsp;e repassa a cada uma&nbsp;entre R$ 7.100 e R$ 10.600,&nbsp;valor que varia conforme o tipo de equipe.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">Nenhum dos dois pisos leva em conta cadastro de pacientes,&nbsp;situa&ccedil;&atilde;o econ&ocirc;mica e&nbsp;desempenho -da&iacute; a proposta de mudan&ccedil;as,&nbsp;informa a pasta.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">A proposta tem o apoio do Conasems, conselho que representa secret&aacute;rios municipais de sa&uacute;de, para quem a medida prev&ecirc; repasse maior a locais com maior necessidade.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">&ldquo;N&atilde;o estamos mudando a pol&iacute;tica, mas uma portaria de financiamento&rdquo;, diz Mauro Junqueira, que &eacute; secret&aacute;rio-executivo do &oacute;rg&atilde;o. Segundo ele, a proposta deve ser reavaliada a cada quatro meses.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">Para Mandetta, a mudan&ccedil;a deve fazer com que unidades de sa&uacute;de, ao receberem maior remunera&ccedil;&atilde;o por indicadores de doen&ccedil;as, busquem melhoria no desempenho por meio do que chama de &ldquo;competi&ccedil;&atilde;o saud&aacute;vel&rdquo;.</p> <p class="texto" style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">Ap&oacute;s a aten&ccedil;&atilde;o b&aacute;sica, a pasta dever&aacute; fazer ajustes tamb&eacute;m no modelo de aten&ccedil;&atilde;o especializada no pr&oacute;ximo ano, afirma.</p> <p style="box-sizing: border-box; margin: 0px 0px 1.25em; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 16px; line-height: inherit; font-family: Roboto; vertical-align: baseline; text-rendering: optimizelegibility; color: rgb(51, 51, 51); letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">Fonte: Jornal do Brasil.</p>