A systematic review of the process of regionalization of Brazil's Unified Health System, SUS

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dc.citation.issue4
dc.citation.volume22
dc.contributor.authorMello, Guilherme Arantes [UNIFESP]
dc.contributor.authorChancharulo de Morais Pereira, Ana Paula
dc.contributor.authorTeruya Uchimura, Liza Yurie [UNIFESP]
dc.contributor.authorIozzi, Fabiola Lana
dc.contributor.authorPiva Demarzo, Marcelo Marcos [UNIFESP]
dc.contributor.authord'Avila Viana, Ana Luiza [UNIFESP]
dc.coverageRio De Janeiro
dc.date.accessioned2020-07-17T14:02:27Z
dc.date.available2020-07-17T14:02:27Z
dc.date.issued2017
dc.description.abstractThis 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.en
dc.description.affiliationUniv Fed Sao Paulo, Escola Paulista Med, Dept Med Prevent, R Botucatu 740-4, BR-04023062 Sao Paulo, SP, Brazil
dc.description.affiliationUniv Sao Paulo, Fac Med, Dept Med Prevent, Sao Paulo, SP, Brazil
dc.description.affiliationEscola Nacl Saude Publica, Rio De Janeiro, RJ, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Escola Paulista Med, Dept Med Prevent, R Botucatu 740-4, BR-04023062 Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent1291-1310
dc.identifierhttp://dx.doi.org/10.1590/1413-81232017224.26522016
dc.identifier.citationCiencia & Saude Coletiva. Rio De Janeiro, v. 22, n. 4, p. 1291-1310, 2017.
dc.identifier.doi10.1590/1413-81232017224.26522016
dc.identifier.issn1413-8123
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54814
dc.identifier.wosWOS:000400156900023
dc.language.isopor
dc.publisherAbrasco
dc.relation.ispartofCiencia & Saude Coletiva
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectRegionalizationen
dc.subjectDecentralizationen
dc.subjectHealth services reformen
dc.subjectHealth policyen
dc.titleA systematic review of the process of regionalization of Brazil's Unified Health System, SUSen
dc.typeinfo:eu-repo/semantics/article
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