What does the UK National Health Service have to teach Brazil?

I will use this brief introduction to directly compare what the NHS and SUS offer. Patience is a journey and computer access.

Different dimensions

I begin by highlighting the purpose of each system. Of the UK’s more than 67 million people, only 11% (about 7.3 million people) have access to private healthcare. So 90% of NHS users.

On the other hand, in Brazil, where the percentage of people with health plans doubles, the absolute numbers are higher than in England: there are more than 49 million beneficiaries, which is 23% of the total. Population and, even among them, access to SUS is stable, with the National Immunization Program or by using SAMU – take the most common examples.

But it is always unfair to see a difference in the size and number of lives employed in the two systems. It is true that the NHS can be characterized as a small model in relation to the scope of the SUS, but this does not do justice to its prominence as an example of incentivized aid. So, I am trying to understand you better Method of action.

The NHS, for example, is a Hierarchical help systemWhose entrance is always one Family doctorcalled GP (English abbreviation General practitioner, i.e., a general practitioner). A standard consultation – for example, an arm pain – goes as follows: the patient calls a telephone exchange on a predetermined day – which is usually in the morning – and reports his problem to a health professional. A nurse. Sometimes, the problem can be solved there with the prescription of medicines sent to the pharmacy near the patient’s residence. But if care is needed, the GP will return throughout the day to have a good chat with the patient and do an anamnesis – all over the phone!

It is important to emphasize that the GP makes all the requests for tests that he deems necessary for the case, and only if he is unable to progress in treatment, the patient is referred to a specialist with the diagnostic results.

Whatever the form of contact, whether digital or face-to-face, I understand that this is the appropriate service model and that it should be sustainable in Brazil very soon. However, for all its experience with this type of service, the NHS is going through a cycle of uncertainty, one of the main reasons being that GPs are left to simply perform bureaucratic functions, which could be replaced by the use of technology to monitor. The entire patient journey and the use of artificial intelligence support the clarification of tests and diagnoses. The worst factor is that these tasks reduce the maintenance time to care for the sick.

I imagine we will encounter something similar in Brazil. A particularly experienced family doctor will regulate the health care of every citizen, wherever he/she may be: Digital health or in face-to-face consultations.

An attentive group

In Brazil, in turn, the project Family Welfare Strategy (ESF), created in 1994 at the beginning of SUS – under another name, it is true -, uses the same concept of improving primary care based on the work of family doctors, specialists, nurses and a multidisciplinary team. Aides, Nurses and Social Workers. Everyone pays their attention to the community and closely monitors the incidence of chronic diseases.

As the model was successful in its clinical and financial outcomes, Complementary Health began to invest heavily in developing its own health programs. Primary focus and providing users with personalized service for an application Prophylactic medicine Truly. In this sense, I cite the operators Habvita and Prevent Senior, together with some Unimeds, which have already been able to adopt this model in a well-organized way.

However, other health operators continue to offer free access, meaning that the beneficiary can consult any doctor of his choice, whenever he wants, and undergo all the tests he requests. But this “free access” means repeating exams, laboratory and imaging diagnoses, sometimes in addition to unnecessary consultations, amplifying already high ones.

Of course, I understand that every citizen wants to do what they want and have freedom even with their own health, but everyone should know that this action has an endless cost.

In my view, the solution lies precisely in the organization’s hierarchy, that is, determining whether the gateway to complementary health is through the family physician or a group of general practitioners responsible for caring for a group of people. Society – Like England.

The future is hierarchical

Imagine if Brazilian allied health was inspired by both the NHS and the SUS and created its own teams of general practitioners to serve groups of beneficiaries? Some operators follow this route, it is true, but I am referring to the system as a whole.

This type of hierarchy that I am referring to would expand from the hierarchy that already regulates interactions in Brazil, and would not be limited to accepting or rejecting the process. Rather, he accompanies the patient throughout the patient journey, always seeking the best clinical outcome.

This follow-up includes all of the patient’s medical history Data integration Through the systems, the patient becomes the true owner of their health data and the movement to choose a general practitioner to monitor them closely. In recent years, we have been traveling the world understanding how technology can help save lives. We also looked at how our Global Health adheres to the best we see in the world, with integration of the entire journey and tracking of all patient data. That’s when the Health management Better assistance can be provided at a lower cost. Healthcare management is moving in this direction.