A systematic review of the process of regionalization of Brazil's Unified Health System, SUS
Data
2017
Autores
Mello, Guilherme Arantes 
Teruya Uchimura, Liza Yurie
Piva Demarzo, Marcelo Marcos
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This review focuses only on specific studies into the SUS regionalization process, which were based on empirical results and published since 2006, when the SUS was already under the aegis of the Pact for Health framework. It was found that the regionalization process is now underway in all spheres of government, subject to a set of challenges common to the different realities of the country. These include, primarily, that committee-structured entities are valued as spaces for innovation, yet also strive to overcome the bureaucratic and clientelist political culture. Regional governance is further hampered by the fragmentation of the system and, in particular, by the historical deficiency in planning, from the local level to the strategic policies for technology incorporation. The analyses enabled the identification of a culture of broad privilege for political negotiation, to the detriment of planning, as one of the main factors responsible for a vicious circle that sustains technical deficiency in management.
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Ciencia & Saude Coletiva. Rio De Janeiro, v. 22, n. 4, p. 1291-1310, 2017.