Pandemia do novo Coronavírus (COVID-19): Impactos, desafios e lições aprendidas para a melhoria da governança das OMH do SSM

Abstract

The pandemic of the new coronavirus (COVID-19) has had severe repercussions on global health systems, as of 2020. Public and private hospitals were subjected to the great challenge of maintaining the conditions of care and hospitalization for their users, without knowledge of the characteristics of the disease. viral disease. The effects of the pandemic challenged health governance in countries with different social and economic conditions. Thus, the main objective of this research was to analyze the impacts, at the international and national levels, and the lessons learned by the Military Hospital Organizations of the Brazilian Navy, in 2020 and 2021, during the COVID-19 pandemic, especially related to the hospital admission capacity. The methodology used is based on bibliographic research, through authors and organizations that are theoretical references in public health, such as: World Health Organization (2020-2022), Ministry of Health (2020-2022) and Board of Health of the Navy (2022), as well as in interviews and questionnaires with health officials, who participated directly in the actions to combat COVID-19. Among the main conclusions of this work, we highlight the certainty that epidemics and pandemics remain recurrent and that the COVID-19 pandemic caused overload in international and national Health Units and in the Navy Health System, especially in relation to care beds. intensive. In this sense, Operation Grande Muralha, by the Brazilian Navy, launched in 2020, was important to increase the reaction of the Navy Health System, guaranteeing service to the Naval Family, in its Naval Districts. Among the lessons learned, the importance of centralized coordination and logistical support stands out. In view of this, the implementation of a monitoring and logistics center for health, on an ongoing basis, can contribute to the governance of the Navy Health System, in situations of pandemics or major catastrophes.