Organizational models for health actions in the field of blood and blood products in Brazilian and Spanish regional contexts.

Abstract

This article aims to characterize some elements that define the organizational models of healthcare actions in the field of blood and blood products. This exploratory and qualitative study was carried out based on a documentary survey complemented by interviews with key informants of hemotherapy services from three regional territories in Spain and Brazil. It was evidenced demographic, territorial and organizational characteristics, as well as on instruments, resources and individuals involved in the planning, organization and implementation of services and actions in the area. The demographic characteristics and the territorial distribution showed a direct relation with the variation in the blood supply system, in the service structure and in the involvement of different individuals. The predominance of hospital services was a common feature in the territories studied, especially for transfusion services. Regionalization, centralization and concentration strategies were aimed at implementing the organization models of such services and actions in the territories. The use of planning and information technologies presents variation in the territories studied. The limits of organizational models are determined by the context and restriction of its constituent elements - structure, resources, financing, individuals involved - which compromise to some degree the objectives/purposes of the policy.