Condicionantes estruturais da regionalização na saúde: tipologia dos colegiados de gestão regional
Reads0
Chats0
TLDR
In this paper, a typology of health care regions is presented, differentiating them according to the degree of socio-economic development and the characteristics of the health care network and of the municipalities that form the Regional Management Boards (CGR), formally implanted by January 2010.Abstract:
An explanation is required for the delay in implementing the regionalization strategy and the fragile nature of the combined decentralization and regionalization initiatives in Brazil. The article raises some hypotheses to clarify this intricate issue and reviews the structural conditioning factors of the regionalization process ongoing in the states. A national typology of the health care regions is prepared, differentiating them according to the degree of socio-economic development and the characteristics of the health care network and of the municipalities that form the Regional Management Boards (CGR), formally implanted by January 2010. Factorial and cluster analysis models were used to build the typology. Five major socio-economic groups of CGRs were identified, described according to their regional distribution, population, health care spending, profile of services offered (including the public-private sector mix) and health service coverage. The results obtained serve as guidelines for the constitution of health care networks and new initiatives at the regional level, in order to improve the regionalization policy and favour the construction of diverse and flexible regulatory instruments that are more in tune with the regional state of affairs.read more
Citations
More filters
Journal ArticleDOI
Regional governance: strategies and disputes in health region management.
TL;DR: The characteristics identified a regionalized system with a conflictive pattern of governance and intermediate institutionalism and the regional interagency committee’s managerial routine needs to incorporate more democratic devices for connecting with educational institutions, devices that are more permeable to social demands relating to regional policy making.
Journal ArticleDOI
Descentralização e regionalização: dinâmica e condicionantes da implantação do Pacto pela Saúde no Brasil
Luciana Dias de Lima,Lúcia F. N. de Queiroz,Cristiani Vieira Machado,Ana Luiza d'Ávila Viana +3 more
TL;DR: In this article, the authors analyzed the national implementation of the Health Pact between 2006 and 2010 involving a strategy that reconfigures intergovernmental relations in the sector, including its implications for health policy.
Journal ArticleDOI
Tipologia das regiões de saúde: condicionantes estruturais para a regionalização no Brasil
Ana Luiza d'Ávila Viana,Aylene Bousquat,Ana Paula M. Pereira,Liza Yurie Teruya Uchimura,Mariana Vercesi de Albuquerque,Paulo Henrique dos Santos Mota,Marcelo Marcos Piva Demarzo,Maria Paula Ferreira +7 more
TL;DR: In this article, a caracterizacao das regioes de saude brasileiras, a partir da tipologia apresentada, demonstra heterogeneidade do territorio nacional e a complexidade de organizar sistemas of saude regionais.
Governança regional: estratégias e disputas para gestão em saúde Regional governance: strategies and disputes in health region management
TL;DR: In this article, a qualitative study with health managers from 19 municipalities in the health region of Bahia, Northeastern Brazil was conducted to analyze the regional governance of the health system in relation to management strategies and disputes.
Journal ArticleDOI
Health regionalization in Amazonas: progress and challenges
TL;DR: Analysis of the health services regionalization process in the State of Amazonas through a case study covering the health sub-region Manaus Surroundings revealed a social setting dominated by asymmetry, verticality, competitiveness and fragile multilateral relations among municipalities.
References
More filters
Journal ArticleDOI
Política de saúde e eqüidade
TL;DR: It is concluded that progress has been made in terms of equity since the establishment of SUS, particularly as reflected in the decentralization of health care policy.
Journal ArticleDOI
Descentralização e federalismo: a política de saúde em novo contexto - lições do caso brasileiro
TL;DR: In this paper, the authors analyze the processes of decentralization and deconcentration, along with the new emergence of federalism, as global phenomena and meaningful tendencies in the reestructuring of the unitary and centralized State, built under the Napoleonic tradition.
Novas perspectivas para a regionalização da saúde
Ana Luiza d'Ávila Viana,Nelson Ibañez,Paulo Eduardo Mangeon Elias,Luciana Dias de Lima,Mariana Vercesi de Albuquerque,Fabíola Lana Iozzi,Governo do Estado de São Paulo. São Paulo, Sp, Brasil,Centro de Estudos de Cultura Contemporânea. São Paulo, Sp, Brasil. +7 more
TL;DR: In this article, the authors identify how a new perspective regarding the regionalization of health care is needed in order to establish a national project which is more effective and coherent with regional diversity in Brazil.
Journal ArticleDOI
Governos e sociedades locais em contextos de desigualdades e de descentralização
TL;DR: The authors argue that the result of descentralizacao sao contraditorios, in particular, in relation to the desigualdades inter and intra-regionais.