O artigo traz uma abordagem sobre as ações coletivas de participação nos conselhos municipais de saúde. A pesquisa que o fundamenta teve como objetivo verificar a atuação dos conselheiros nos conselhos municipais de saúde da Região Metropolitana de Belém-PA. Utilizou levantamento documental (período 2005 a 2010), entrevistas estruturadas com conselheiros e observações em sessões de reuniões dos conselhos de três municípios. Foi construído um indicador de três níveis de participação com base nas funções legais dos conselhos de saúde, tendo como fundamento analítico a teoria dos grupos sociais. Os resultados indicam que as ações dos conselhos são marcadas por cooptação de conselheiros, definição de agendas deliberativas por parte de representantes da gestão, predominando os interesses individuais dos conselheiros sobre os interesses coletivos nas deliberações. Conclui que tais comportamentos contrariam os princípios do Sistema Único de Saúde – SUS e fragiliza a imagem social dos conselhos, além de abrir uma nova perspectiva de análise.
The article presents an approach to the collective actions of participation in municipal health councils. The research underlying it aimed to verify the performance of the council in the municipal health councils in the Metropolitan Region of Belém-PA. Used documentary survey (period 2005-2010), structured interviews and observations with counselors in sessions of meetings of the boards of the three counties. We constructed an indicator of three levels of participation based on the statutory health councils, analytical justification theory of social groups. The results indicate that the activities of the councils are marked by co-option of councilors, deliberative agenda setting by representatives of management, predominating individual interests over the interests of the directors in the collective deliberations. Concludes that such behaviors are contrary to the principles of the Unified Health System - SUS and weakens the social image of the councils, and open a new analytical perspective.
The Limits of Collective Action in Municipal Health Councils
Resumo (abstract):
The article presents an approach to the collective actions of participation in municipal health councils. The research underlying it aimed to verify the performance of the council in the municipal health councils in the Metropolitan Region of Belém-PA. Used documentary survey (period 2005-2010), structured interviews and observations with counselors in sessions of meetings of the boards of the three counties. We constructed an indicator of three levels of participation based on the statutory health councils, analytical justification theory of social groups. The results indicate that the activities of the councils are marked by co-option of councilors, deliberative agenda setting by representatives of management, predominating individual interests over the interests of the directors in the collective deliberations. Concludes that such behaviors are contrary to the principles of the Unified Health System - SUS and weakens the social image of the councils, and open a new analytical perspective.
Farias Filho, M.C., Mathis, A., Silva, AN da. Os Limites da Ação Coletiva nos Conselhos Municipais de Saúde. Cien Saude Colet [periódico na internet] (2013/mai). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/os-limites-da-acao-coletiva-nos-conselhos-municipais-de-saude/13095?id=13095
