0071/2017 - Political Obstacles to the Regionalization of SUS: perceptions of the Municipal Health Secretaries with seat in the Bipartite Interagency Committees
Obstáculos Políticos à Regionalização do SUS: percepções dos Secretários Municipais de Saúde com assento nas Comissões Intergestores Bipartites.
Publicado
Author:
• Marcelo Rasga Moreira - Moreira, M.R. - rio de janeiro, RJ - fiocruz, dcs/ensp - <rasgamoreira@gmail.com>ORCID: http://orcid.org/0000-0003-3356-7153
Co-author(s):
• José Mendes Ribeiro - Ribeiro, J.M. - Rio de Janeiro, - ENSP, DCS - <ribeirojm@globo.com>ORCID: https://orcid.org/0000-0003-0182-395X
• Assis Luiz Mafort Ouverney - Ouverney, Assis Luiz Mafort - Fundacao Oswaldo Cruz, Escola Nacional de Saúde Pública - <assismafort@gmail.com>
Thematic Area:
Não CategorizadoAbstract:
The article aims to identify and analyze the political obstacles to the implementation of COAP based on the perceptions of municipal health secretaries of CIBs. For this purpose, 195 secretaries (92% of the total) were interviewed from October 2015 to August 2016. Based on the approach of policy analysis, the main obstacles identified were, in short, a traditional obstacle (lack of resources), one that has been gaining strength in recent years (the judicialization of politics) and another, perhaps unheard of: the political party system and the State Executive Branch are The great absentees in the coalitions in support of the regionalization policies of the SUS.It is concluded that such obstacles indicate an extremely negative scenario for the implementation of the COAP and other policies that seek the regionalization of SUS. Faced with this, it is incumbent upon those involved to reflect, negotiate, build consensus on improving the health of the population and overcome such obstacles if, of course, the authors conceive of regionalization as fundamental for SUS.
