title: Proposal of an Integrated Health Care Network System for Patients with Congenital Heart Defects.
abstract: The perspective of the integrated health system has a network of care with multiple integration dimensions among subsystems as nuclear representation, relating the clinical aspects and governance to the representations and collective values. The normative integration aims to ensure coherence between the system of representations and values of society simultaneously with the interfaces of clinical and functional integration. It builds a bridge with governance, which allows, through their skills, management of all system components, encouraging cooperation, communication and information, in order to ensure the population under their responsibility to access excellence services, exceeding their expectations. The integration of care consists of a durable coordination of clinical practices for those who suffer from health problems in order to ensure continuity and full range of the required professional services and organizations, coordinated in time and space, in accordance with the available knowledge. It is possible to establish the type of health equipment for each level of care for patients with congenital heart diseases. This strategy intends to offer timely care in appropriate moments and places, efficiently, operating cooperatively an interdependently, with ongoing exchange of its resources. Thus, situational integration establishes the system connection with the assessment environment that proposes to carry out value judgment, guided by an objective worldview, about an intervention or any of its components, in order to objectify the decision making.
authors.affiliation: Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil.
authors.forename: Valdester Cavalcante
authors.initials: VC
authors.lastname: Pinto
authors.affiliation: Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil.
authors.forename: Rodrigo Cardoso
authors.initials: RC
authors.lastname: Cavalcante
authors.affiliation: Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil.
authors.forename: Klébia Magalhães P Castello
authors.initials: KM
authors.lastname: Branco
authors.affiliation: Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil.
authors.forename: Candice Torres de Melo Bezerra
authors.initials: CT
authors.lastname: Cavalcante
authors.affiliation: Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil.
authors.forename: Isabel Cristina Leite
authors.initials: IC
authors.lastname: Maia
authors.affiliation: Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil.
authors.forename: Nayana Maria Gomes
authors.initials: NMG
authors.lastname: de Souza
authors.affiliation: Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil.
authors.forename: Kiarelle Lourenço
authors.initials: KL
authors.lastname: Penaforte
authors.affiliation: Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil.
authors.forename: Juan Alberto Cosquillo
authors.initials: JA
authors.lastname: Mejia
authors.affiliation: Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, CE, Brazil.
authors.forename: Waldemiro
authors.initials: W
authors.lastname: Carvalho
mesh_terms: D001938:Brazil; D003191:Comprehensive Health Care / Q000458:organization & administration; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration* / Q000592:standards; D006291:Health Policy; D006330:Heart Defects, Congenital; D006801:Humans