1365/2012 - A crise da participação institucionalizada em saúde: as representações sociais dos conselheiros municipais acerca do controle social em saúde no SUS The crisis of institutionalized participation in health: the social representations of local councilors about the social control in the SUS
• Marcio Florentino Pereira - Pereira M.F. - Universidade de Brasília - <MFP@unb.br>
• Antonio José Costa Cardoso - Cardoso, A.J.C. - Universidade de Brasília - <antoniojccardoso@gmail.com>
• Ximena Pamela Claudia Dias Bermudez - Bermudez, X.P.C.D. - Universidade de Brasília - <Ximena@unb.br>
Área Temática:
Políticas em Saúde
Resumo:
Este estudo tem como objetivo analisar as representações sociais dos conselheiros municipais de saúde acerca do controle social em saúde. Foram realizadas 60 entrevistas com os conselheiros de dezenove municípios da Região Integrada do Distrito Federal e Entorno (RIDE-DF). A análise foi feita com o software Analyse Lexicale par Context d’ um Essemble de Segments de Texte (ALCESTE) que apreendeu dois eixos temáticos: o primeiro, que trata das fragilidades dos conselhos de saúde, constituídas por quatro classes (as limitações no poder de decisão, a burocratização das práticas cotidianas, as fragilidades da participação social; as limitações na prática da representação); e o segundo, que trata do sistema de saúde na RIDE-DF, constituído por apenas uma classe que expressa à precária organização da atenção à saúde na RIDE-DF. A representação social do controle social com foco na participação social parece ser constrangida por um ritual – o da burocratização das políticas e práticas nos conselhos. Essa forma de organização e funcionamento dos conselhos, hierarquizada e burocratizada, ancoradas em modelos de gestão centralizadora, têm distanciado os conselheiros das discussões sobre as necessidades de saúde, voltados para a construção de Projeto de Saúde coletivos.
Palavras-chave:
Conselhos de Saúde
Controle Social
Gestão Participativa
Gestão Participativa
Abstract:
This study aims at analyzing the social representations of local health counselors on health social control. Sixty interviews were conducted with counselors of nineteen counties within the Integrated Federal District Region and Surroundings (RIDE-DF). The analysis was done with the use of the sofware Analyse Lexical Context d ‘of Segments of a Essemble Texte (Alceste), which included two thematic groups, the first dealing with the weaknesses of health councils, consisting of four categories: limitations on the power of decision, bureaucratization of everyday practices of councils, limitations in the practice of representation and difficulties of social representation on health boards; and the second dealing with the health system in RIDE-DF, consisting of only one category that expresses the poor organization of health care in RIDE-DF. Social representation of social control, with a focus on social participation seems to be constrained by a ritual - bureaucratization of council’s politics and practices. This form of organization and council operation, hierarchical and bureaucratic, anchored at centralizing management models, have moved the counselors away from discussing health needs facing the construction of collective Health Projects.
Keywords:
Health Councils
Social Control
Participative Management
Democracy
The crisis of institutionalized participation in health: the social representations of local councilors about the social control in the SUS
Resumo (abstract):
This study aims at analyzing the social representations of local health counselors on health social control. Sixty interviews were conducted with counselors of nineteen counties within the Integrated Federal District Region and Surroundings (RIDE-DF). The analysis was done with the use of the sofware Analyse Lexical Context d ‘of Segments of a Essemble Texte (Alceste), which included two thematic groups, the first dealing with the weaknesses of health councils, consisting of four categories: limitations on the power of decision, bureaucratization of everyday practices of councils, limitations in the practice of representation and difficulties of social representation on health boards; and the second dealing with the health system in RIDE-DF, consisting of only one category that expresses the poor organization of health care in RIDE-DF. Social representation of social control, with a focus on social participation seems to be constrained by a ritual - bureaucratization of council’s politics and practices. This form of organization and council operation, hierarchical and bureaucratic, anchored at centralizing management models, have moved the counselors away from discussing health needs facing the construction of collective Health Projects.
Palavras-chave (keywords):
Health Councils
Social Control
Participative Management
Democracy
Shimizu, H.E., Pereira M.F., Cardoso, A.J.C., Bermudez, X.P.C.D.. A crise da participação institucionalizada em saúde: as representações sociais dos conselheiros municipais acerca do controle social em saúde no SUS. Cien Saude Colet [periódico na internet] (2012/Nov). [Citado em 28/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/a-crise-da-participacao-institucionalizada-em-saude-as-representacoes-sociais-dos-conselheiros-municipais-acerca-do-controle-social-em-saude-no-sus/11739?id=11739
