[Dynamics of regionalization and repercussions of gaps in care on health marketing in remote rural municipalities].

This article analyzed the dynamics of regionalization in municipalities within hinterlands and the possible implications of gaps in care for the marketing of health. This is a multiple case study with a qualitative approach, involving 76 semi-structured interviews with municipal, regional, and state managers. The results show that, particularly in the Northern states, the regional scheme did not reflect the social dynamics of the populations and created inadequate flows and unwanted routes.

Water, land, and air: how do residents of Brazilian remote rural territories travel to access health services?

Background: Ensuring adequate and safe means of travel is essential for maintaining and improving the health and well-being of residents of rural communities worldwide. This article maps costs, distances, travel times, and means of elective and urgent/emergency health transport in Brazilian remote rural municipalities.

Methods: Multiple case studies were conducted in 27 remote rural municipalities using a qualitative method.

Challenges to the provision of specialized care in remote rural municipalities in Brazil.

This case study analyses the challenges to providing specialized care in Brazilian remote rural municipalities (RRM). Interviews were conducted with managers from two Brazilian states (Piauí and Bahia). We identified that the distance between municipalities is a limiting factor for access and that significant care gaps contribute to different organizational arrangements for providing and accessing specialized care.

[Interfederative Health Consortium in the State of Bahia, Brazil: implementation, management mechanism, and sustainability of the organizational arrangement in the Brazilian Unified National Health System].

Analysis of the implementation, management, operation and sustainability of the Interfederative Health Consortia and the Regional Specialty Polyclinics, in the State of Bahia, Brazil. This is a single case study of a qualitative nature, with interviews with managers, social control, regulation, legislative, and mayors of municipalities in the member. The results indicate that capital expenditures and permanent cofinancing by the state manager are factors that encourage the participation of vertical consortia.

Additional compensation for health care professionals in COVID-19 pandemic: an essay in the light of health law.

This theoretical-critical assay is intended to perform a detailed reflection on the mandatory payment of an additional compensation to health care professionals during the pandemic caused by COVID-19. For this consideration, academic and opinion articles, as well as national and state legislative proposals, were searched in dialogue with Regulatory Standard 15, which provides for unhealthy activities and operations. After reflection, the position taken is that payment is due for the duration of the pandemic, to all health care professionals working in the frontline against COVID-19.

Primary Health Care sustainability in rural remote territories at the fluvial Amazon: organization, strategies, and challenges.

The article analyzes singularities of the Primary Health Care (PHC) organization in rural remote municipalities (RRM) in the Amazon under the influence of rivers and discusses challenges for comprehensive care in the Unified Health System (SUS). This is a qualitative and quantitative study of multiple cases in seven RRM through the analysis of interviews with managers, visits to services and secondary data. The RRM of the fluvial Amazon are small, with a sparse, dispersed population living in conditions of social vulnerability.

Public health and communication: impasses facing Brazil's National Health System in democratic public opinion formation.

This article discusses the political relations between construction of Brazil's national health system (SUS) and communication. Understanding communication as an underdeveloped field of citizens' rights in Brazil, it proceeds on the hypothesis that the democratic formation of public opinion regarding the SUS is hindered by a media oligopoly in the telecommunication and journalism system. This affects relations between the forces in dispute over construction of the SUS.

Context and organization of primary health care in remote rural communities in Northern Minas Gerais State, Brazil.

The study analyzes the structural characteristics of primary health care (PHC) in its contextual and organizational dimensions in remote rural municipalities (counties) in Northern Minas Gerais State, Brazil. This is a case study with a qualitative approach, using 21 semi-structured interviews with health system administrators and health care workers from the family health teams (EqSF), as well as secondary data. For the contextual dimension, the results show that socioeconomic factors in the remote rural municipalities condition the organization of PHC and leave the population vulnerable, especially in the rural areas of the remote municipalities.

Provision of specialized care in remote rural municipalities of the Brazilian semi-arid region.

Introduction: Specialized care barriers are widespread and multifactorial, with consequences for timely access, health outcomes, and equity, especially in rural contexts. This article aims to identify and analyze arrangements for providing specialized care in the Brazilian remote rural municipalities (RRMs).

Methods: This is a multiple-case qualitative case study developed in seven RRMs located in the Brazilian semi-arid region.