A Technological Architecture for an Ecosystem for Regulating Access to Health Services in Brazil: Integration, Interoperability and Equity in the Distribution of Resources
Regulation of access to health services; Equity in the distribution of health services; Interoperability standards; Health data management
The systems for regulating access to health services in the SUS face various challenges that compromise the efficiency and quality of care. Among the main problems are the fragmentation of information systems, which hinders the smooth exchange of data between different health units, and the lack of interoperability, making the integration and coordination of care difficult. Furthermore, inadequate management of health data, characterized by incompleteness and lack of standardization, compromises decision-making and the efficient allocation of resources.In light of this scenario, this doctoral thesis presents the development of a specialized technological architecture for regulating access to health services in Brazil. The proposed platform aims to integrate all lines of care into a single system, providing centralized control of the Programação Pactuada e Integrada (PPI), management of contracts with service providers, and strict compliance with audit standards. Additionally, the platform offers the population transparent access to information about their position in the waiting line, promoting greater equity and efficiency in the distribution of health services. The developed technological architecture is based on international interoperability standards, such as HL7 FHIR, ensuring the standardization and integration of data between different health systems. This approach not only facilitates real-time information exchange but also guarantees the security and integrity of shared data. Consequently, it is expected to transform the management of health services in Brazil, providing significant improvements in the quality of care, transparency, and user confidence in the health system.