Navegando por Palavras-chave "Health Regionalization"

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    Impasses no processo de regionalização do SUS: tramas locais
    (Faculdade de Saúde Pública, Universidade de São Paulo.Associação Paulista de Saúde Pública., 2013-12-01) Silva, Edson Coutinho da [UNIFESP]; Gomes, Mara Helena de Andrea [UNIFESP]; FEI Centro Universitário; Universidade Federal de São Paulo (UNIFESP)
    Regionalization of the public health system aims to encourage and enhance efforts and measures involving the organization of local and regional public health, through coordinating all those involved. The barriers that often hinder the process of regionalization are linked to tensions and conflicts between objectives, integration and political factors. This article intends to reflect on the process of regionalization from an administrative and political point of view, highlighting issues of local autonomy due to the process of municipalization. In other words, if the process of municipalizing the health system in the last few decades has strengthened political autonomy in the cities, the proposal to rationalize the services structure by regionalization follows a more administrative logic. But as can be seen in the in the Greater ABC region of São Paulo, for example, the political side of this process will impose itself, one way or another, especially when each city tries to defend their own interests.
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    Regionalização da saúde na região do Grande ABC: os interesses em disputa
    (Faculdade de Saúde Pública, Universidade de São Paulo.Associação Paulista de Saúde Pública., 2014-12-01) Silva, Edson Coutinho da; Gomes, Mara Helena de Andrea [UNIFESP]; Centro Universitário da Fundação Educacional Inaciana; Universidade Federal de São Paulo (UNIFESP)
    Regionalizing the Brazilian National Health System implies the joint construction of a planning that comprises the interconnection, coordination, regulation, and funding of the network of services within a territory, in a continued process of all kinds of negotiation. The 2006 Pact for Health has three instruments for managing a regional health system: the Regional Executive Land-Use Planning (RDP); the Interconnected Agreed Scheduling (AIS); and the Executive Investment Planning (IDP). This article aims at debating, discussing, and explaining the operation of these instruments in the regional health system of the ABC Region, which is currently coordinated by the Regional Health Department I (DRS I). With this guiding objective, this descriptive study of the ABC Region is based on ten interviews with municipal secretaries and directors; hospital managers; a manager of the ABC Foundation; and a manager of DRS I. It was concluded that PDR might need to be updated in order to balance the relation between supply and demand; PPI is a competition arena, rather than a space for interconnection, negotiation, and agreement; and PDI is not that significant, since the resources from the Ministry of Health are not enough for the health actions in this region.