0343/2018 - Perfil do gestor e práticas de gestão municipal no sistema único de Sáude (SUS) de acordo com porte populacional nos municípios do estado do Rio Grande do Sul. Profile of the manager and municipal management practices in the single health system (SUS) in accordance with a municipal population size in the Rio Grande do Sul state.
O estudo buscou conhecer quem são os gestores municipais de saúde e práticas realizadas no âmbito de gestão. Possuiu delineamento transversal. A metodologia contou com o envio de um questionário eletrônico às secretarias de saúde dos 497 municípios do estado do Rio Grande do Sul (RS). Destes, 297 retornaram (59,75%). Contudo, foram considerados na análise estatística apenas os questionários com mais de 50% de respostas válidas (n=264). A análise contou com o cálculo da distribuição das variáveis e com testes de qui-quadrado, onde o porte populacional foi considerado variável independente. A maioria foi composta por mulheres, com escolaridade alta e distintas formações, média de idade de 43,76 anos, cor branca. A média de gastos com saúde foi de ?20% das receitas. Houve consenso quanto na insuficiência dos recursos. Quanto ao porte populacional, 79,92% possuíam ? 20.000 habitantes. Diferenças significativas foram observadas na gestão de municípios de distintos portes, tanto nas prioridades, quanto nas dificuldades. O estudo permitiu conhecer parcialmente a realidade da gestão municipal. Além disso, os resultados sugeriram a necessidade de novas pesquisas sobre a feminilização da gestão, avaliação de processos de trabalho e impactos da política de austeridade.
Palavras-chave:
Gestão em Saúde. Secretários Municipais de Saúde. Descentralização. Sistema Único de Saúde.
Abstract:
The study aim to know who are the municipal health managers and practices performed within the scope of management. It has a cross-sectional design. The methodology involved sending an electronic questionnaire to the health secretariats of the 497 municipalities in the state of Rio Grande do Sul (RS). Of these, 297 returned (59.75%). However, only the questionnaires with more than 50% of valid answers (n = 264) were considered in the statistical analysis. The analysis was based on the calculation of the variables distribution and within chi-square tests, the population size was considered independent variable. The majority were women, with high schooling and different backgrounds, mean age of 43.76 years, white. The average health expenditure was ≈20% of revenues. There was a consensus on the lack of resources. As regards population size, 79.92% had ≤ 20,000 inhabitants. Significant differences were observed in the management of municipalities of different sizes, both in priorities and in difficulties. The study allowed to know partially the municipal management reality. Moreover, the results suggested the need for new researches about management feminization, evaluation of work processes and impacts of the austerity policy.
Keywords:
Health Management. Municipal Health Secretaries. Decentralization. Health Unic System.
Profile of the manager and municipal management practices in the single health system (SUS) in accordance with a municipal population size in the Rio Grande do Sul state.
Resumo (abstract):
The study aim to know who are the municipal health managers and practices performed within the scope of management. It has a cross-sectional design. The methodology involved sending an electronic questionnaire to the health secretariats of the 497 municipalities in the state of Rio Grande do Sul (RS). Of these, 297 returned (59.75%). However, only the questionnaires with more than 50% of valid answers (n = 264) were considered in the statistical analysis. The analysis was based on the calculation of the variables distribution and within chi-square tests, the population size was considered independent variable. The majority were women, with high schooling and different backgrounds, mean age of 43.76 years, white. The average health expenditure was ≈20% of revenues. There was a consensus on the lack of resources. As regards population size, 79.92% had ≤ 20,000 inhabitants. Significant differences were observed in the management of municipalities of different sizes, both in priorities and in difficulties. The study allowed to know partially the municipal management reality. Moreover, the results suggested the need for new researches about management feminization, evaluation of work processes and impacts of the austerity policy.
Palavras-chave (keywords):
Health Management. Municipal Health Secretaries. Decentralization. Health Unic System.
Arcari, J.M, Barros, A.P.D, Rosa, R.S, Marchi, R, Martins, A.B.. Perfil do gestor e práticas de gestão municipal no sistema único de Sáude (SUS) de acordo com porte populacional nos municípios do estado do Rio Grande do Sul.. Cien Saude Colet [periódico na internet] (2018/jul). [Citado em 21/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/perfil-do-gestor-e-praticas-de-gestao-municipal-no-sistema-unico-de-saude-sus-de-acordo-com-porte-populacional-nos-municipios-do-estado-do-rio-grande-do-sul/16876?id=16876
