0231/2021 - Gestão do SUS em regiões interestaduais de saúde: análise da capacidade de governo SUS management in interstate health regions: assessment of the government’s capacity
Esta pesquisa apresenta uma análise da gestão do SUS em região interestadual de saúde brasileira. Realizou-se um estudo avaliativo com níveis de análise regional e produção de dados, combinando entrevistas com informantes-chave e análise documental. Cotejaram-se fontes e dados com as categorias analíticas do Triângulo de Governo, apresentando, neste artigo, um recorte dos resultados e da análise da capacidade de governo. Há baixa capacidade de governo de regiões interestaduais de saúde quando os gestores e espaços de cogestão têm não conseguem influenciar as decisões políticas regionais, limitando-se a estratégias de governo normativas e homologatórias. Assimetrias na capacidade de gestão entre os estados da fronteira impedem a sustentabilidade de articulação das agendas decisórias estaduais, revelando que as estratégias de gestão são insuficientes para institucionalizar a regionalização interestadual. Predomina baixa capacidade de governo do SUS em regiões interestaduais de saúde, e seu desenho político tende a se tornar projeto incerto e restrito ao plano ideológico. A ampla apreciação documental com uso de potente referencial teórico são contribuições metodológicas deste estudo para análise política da gestão do SUS em espaços pouco investigados, como as fronteiras interestaduais.
Palavras-chave:
Sistema Único de Saúde. Regionalização. Política de Saúde. Federalismo
Abstract:
This study displays an assessment of SUS management in a Brazilian interstate health region. An evaluative study was conducted with levels of regional analysis and data production, combining interviews with key informants and documentary analysis. Sources and data were compared and linked to analytical categories of the Government Triangle, showing on this paper, a cutout of the outcomes and the government\'s capacity assessment. There is a low capacity for government in interstate health regions when managers and co-management spaces are unable to influence regional political decisions, limiting themselves to normative and ratifying government strategies. Disparities in the management capacity among the border states prevent the sustainability of coordinating state decision-making goals, exposing that management strategies are not enough to institutionalize interstate regionalization. There is a predominance of low SUS governance capacity in interstate health regions, and its political pattern becomes an unclear project restricted to the ideological level. The broad documental appreciation with the use of powerful theoretical referential are methodological contributions of this research for the political analysis of SUS management in spaces that were the least examined, such as interstate borders.
Keywords:
Unified Health System. Health Policy. Regional Health Planning. Federalism.
SUS management in interstate health regions: assessment of the government’s capacity
Resumo (abstract):
This study displays an assessment of SUS management in a Brazilian interstate health region. An evaluative study was conducted with levels of regional analysis and data production, combining interviews with key informants and documentary analysis. Sources and data were compared and linked to analytical categories of the Government Triangle, showing on this paper, a cutout of the outcomes and the government\'s capacity assessment. There is a low capacity for government in interstate health regions when managers and co-management spaces are unable to influence regional political decisions, limiting themselves to normative and ratifying government strategies. Disparities in the management capacity among the border states prevent the sustainability of coordinating state decision-making goals, exposing that management strategies are not enough to institutionalize interstate regionalization. There is a predominance of low SUS governance capacity in interstate health regions, and its political pattern becomes an unclear project restricted to the ideological level. The broad documental appreciation with the use of powerful theoretical referential are methodological contributions of this research for the political analysis of SUS management in spaces that were the least examined, such as interstate borders.
Palavras-chave (keywords):
Unified Health System. Health Policy. Regional Health Planning. Federalism.
Aleluia, I.R.S., Medina, M. G., Vilasbôas, A. L. Q, Vianna, A. L. D.. Gestão do SUS em regiões interestaduais de saúde: análise da capacidade de governo. Cien Saude Colet [periódico na internet] (2021/jul). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/gestao-do-sus-em-regioes-interestaduais-de-saude-analise-da-capacidade-de-governo/18130?id=18130&id=18130
