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
TLDR
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.Abstract:
Decentralization and regionalization represent constitutional guidelines for the organization of the Unified Health System, which in the last 20 years has required the adoption of mechanisms to coordinate and accommodate federative tensions in Brazil's healthcare sector. This paper analyzes the national implementation of the Health Pact between 2006 and 2010 involving a strategy that reconfigures intergovernmental relations in the sector. The study involved the analysis of documents, official data and interviews with federal, state and municipal managers in the Brazilian states. The content of the national proposal is initially discussed, including its implications for health policy. The different rhythms and degrees of implementation of the Health Pact are then reviewed, with respect to adherence by states and municipalities and the formation of Regional Management Boards. Lastly, the conditioning factors for the multiplicity of experiences observed in the country are identified and the challenges facing progress toward a decentralized and regionalized health system in Brazil are discussed.read more
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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.
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A implementação de redes de atenção e os desafios da governança regional em saúde na Amazônia Legal: uma análise do Projeto QualiSUS-Rede
Angela Oliveira Casanova,Marly Marques da Cruz,Ligia Giovanella,Glaydes dos Reis Alves,Gisela Cordeiro Pereira Cardoso +4 more
TL;DR: The work as discussed by the authors analyzes potencialidades, limites e desafios da governanca regional no processo de implementacao de redes de atencao a saude, em tres regioes da Amazonia: Alto Solimoes (AM), Metropolitana de Belem (PA), and Topama, regiao interestadual englobando os estados de Tocantins, Para e Maranhao.
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O desafio da organização do Sistema Único de Saúde universal e resolutivo no pacto federativo brasileiro
TL;DR: A reflexao teorica acerca a partir da realizacao de entrevistas com atores da politica social e de saude do pais, da analise de indicadores referentes aos municipios, populacao, rede assistencial, e financiamento do sistema de SAude, porem nao sistematica, orientada orientada pelo marco conceitual da universalization, do controle social, do financiemento das necessidades e da descent
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Cooperação intergovernamental na política de saúde: a experiência dos consórcios públicos verticais no Ceará, Brasil
TL;DR: In this article, a primeira experience of consorcios verticais in a saude, a do Ceara, Brazil, for compreender their implantacao is presented.
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Covid-19 e coordenação federativa no Brasil: consequências da dissonância federal para a resposta à pandemia
TL;DR: The authors discuss a trajetoria da coordenacao federativa no Sistema Unico de Saude (SUS) and discuss decisoes recentes do Ministerio da Saude that result in fragilizacao dos instrumentos de coordenACao do sistema.
References
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