0554/2016 - O protagonismo dos Conselhos de Secretários Municipais no processo de governança regional. The protagonism of Councils of Municipal Secretaries in regional governance process.
• Mariana Sodário Cruz - Cruz, Mariana Sodário - Universidade de Brasília - <mari.sodario@gmail.com>
Área Temática:
Não Categorizado
Resumo:
O estudo tem como objetivo analisar a percepção dos gestores dos Conselho de Secretários Municipais (COSEMS) e as suas contribuições para o processo de regionalização em saúde. Foram realizadas entrevistas em profundidade com os presidentes dos COSEMS dos Estados de Mato Grosso do Sul, Paraná, Ceará, Tocantins e Minas Gerais. Os dados analisados com o software Iramuteq, que gerou um dendograma com o primeiro eixo temático: o protagonismo dos COSEMS no processo de governança regional que contém a classe 1: a liderança do COSEMS no processo de regionalização e a classe 3 a experiência estratégica do processo de pactuação regional. E o segundo eixo temático: os desafios para provisão da atenção à saúde nas regiões, composto pela classe 2 que aborda como atender as necessidades da comunidade, e pela classe 4 que demonstra o apoio local realizado pelas esquipes dos COSEMS. O terceiro eixo temático composto pela classe 5 descreve os aspectos operacionais da provisão da atenção à saúde na região. No processo de regionalização, os COSEMS têm importante protagonismo, sobretudo porque possuem atuação orgânica e liderança. Trata-se, pois de construção cotidiana que garante o avanço da governança colaborativa nas regiões de saúde.
Palavras-chave:
regionalizaçãogovernançasaúde
Abstract:
The study analyzes the perception of managers of the Council of Secretaries Municipal (COSEMS) of their contributions to the process of regionalization. Depth interviews were held with the presidents of COSEMS the states of Mato Grosso do Sul, Paraná, Ceará, Tocantins and Minas Gerais. Data were analyzed with Iramuteq software, which generated a dendrogram with three themes: The first thematic axe: the role of Municipal Secretaries Councils in regional governance process that contains the class 1 addressing: the leadership of COSEMS in the process of regionalization and class 3 which deals with the strategic experience of the regional pact process. And the second thematic axe: the challenges for provision of health care in the regions composed of the class 2 that show how to meet community needs, and the class 4 which shows the local support carried out by COSEMS’s. The third main theme is composedby class 5 which describes the operational aspects of the provision of health care in the region. The COSEMS has an important role in the regionalization process, especially because they are directly linked to the municipalities. Its organic performance in these areas has ensured its legitimacy and leadership. It is because of daily construction that ensures the advancement of collaborative governance in health regions.
The protagonism of Councils of Municipal Secretaries in regional governance process.
Resumo (abstract):
The study analyzes the perception of managers of the Council of Secretaries Municipal (COSEMS) of their contributions to the process of regionalization. Depth interviews were held with the presidents of COSEMS the states of Mato Grosso do Sul, Paraná, Ceará, Tocantins and Minas Gerais. Data were analyzed with Iramuteq software, which generated a dendrogram with three themes: The first thematic axe: the role of Municipal Secretaries Councils in regional governance process that contains the class 1 addressing: the leadership of COSEMS in the process of regionalization and class 3 which deals with the strategic experience of the regional pact process. And the second thematic axe: the challenges for provision of health care in the regions composed of the class 2 that show how to meet community needs, and the class 4 which shows the local support carried out by COSEMS’s. The third main theme is composedby class 5 which describes the operational aspects of the provision of health care in the region. The COSEMS has an important role in the regionalization process, especially because they are directly linked to the municipalities. Its organic performance in these areas has ensured its legitimacy and leadership. It is because of daily construction that ensures the advancement of collaborative governance in health regions.
