A Remarkable Example of Advanced Primary Care in Brazil

This week, I had the distinct privilege of traveling to Sao Paulo, Brazil, at the invitation of the Institute for Healthcare Improvement (IHI) to participate in a two-day meeting and the Latin American Forum on Quality and Safety in Health Care. The event was held at the impressive Hospital Israelita Albert Einstein, a stunning state-of-the-art facility seamlessly connected to its educational center and medical school. 

Albert Einstein Hospital is renowned as one of the finest healthcare institutions in Brazil. Despite its privileged status, the hospital embraces a responsibility to serve the underprivileged. Their commitment mirrors our own mission at GBMC HealthCare to provide health, healing, and hope to all people. 

During my visit, I was moved by the hospital's dedication to serving the impoverished communities surrounding them. In the neighborhood of Paraisopolis, one of Sao Paulo's largest and poorest favelas, the hospital provides advanced primary care – free of charge. The primary care location is integrated with a mental health facility, ensuring that patients with mental health needs receive immediate, comprehensive support. This collaboration is a partnership with the city, funded by a blend of federal, state, and private resources. It is similar in concept to our collaborative care contract with Sheppard Pratt, which enables us to address both medical and psychiatric needs and link primary care patients to mental health services when necessary. 

One of the most inspiring aspects of the set-up in Paraisopolis was the joy among the staff. Every individual I encountered had a radiant smile, and it was clear that they felt genuine satisfaction from serving their community. 

While GBMC may not match the size or resources of Albert Einstein Hospital, we share a common dedication to health equity and comprehensive care. Both institutions have pledged not to let our positions of privilege hinder our service to the underrepresented and underprivileged. 

At GBMC, we have made significant strides in this direction. Our advanced primary care model is designed to build patient-provider relationships, manage chronic diseases, and integrate behavioral health services, and we have expanded these services to underserved communities in Baltimore City. However, as I saw in Sao Paulo, there is always more we can do. We owe it to the people of Baltimore to continually improve access to healthcare and ensure that no one is left behind. 

Let's continue to push the boundaries of what is possible, ensuring that every patient receives the care, compassion, and respect they deserve.