0082/2025 - Participação social no Sistema Único de Saúde, suas potencialidades, desafios e perspectivas: revisão de escopo Social participation in the Unified Health System in Brazil, its potential, challenges and perspectives: scoping review
Introdução: No SUS, a participação social é um princípio fundamental. Com a Lei 8.142 de 1990, essa participação foi instituída por meio dos Conselhos e das Conferências de Saúde, mas estes não são os únicos meios da sociedade participar da gestão do SUS. Objetivou-se identificar formas de participação social no SUS e quais são os desafios e potencialidades desse princípio. Método: revisão de escopo com a pergunta de pesquisa: quais as formas de participação dos usuários na gestão do SUS? Pesquisa realizada em português, inglês e espanhol, nas bases de dados PubMed, BVS, Scopus, Embase e Web of Science. Resultados: 46 artigos foram selecionados para leitura na íntegra e análise. Identificadas 7 categorias de participação da comunidade no SUS: Conselhos de Saúde, Pesquisa de avaliação do serviço pelo usuário, Educação Popular em Saúde, Movimentos sociais ligados à saúde, Consulta Pública, Conferências de Saúde, Ouvidorias. Conclusão: os 7 mecanismos de participação social no SUS formam um mapeamento a partir do qual é possível pensar formas de superar as barreiras de cada um dos mecanismos e como fortalecê-los. Também possibilita a reflexão sobre a reinvenção e criação de novos modelos de participação.
Palavras-chave:
participação da comunidade; gestão em saúde; Sistema Único de Saúde; participação social; cidadania.
Abstract:
Introduction: In the Brazilian Unified Health System (SUS), social participation is a fundamental principle. With Law 8.142 of 1990, this participation was established through Health Councils and Conferences, but these are not the only means for society to participate in the management of the SUS. The objective was to identify forms of social participation in the SUS and what are the challenges and potentialities of this principle. Method: a scoping review with the research question: what are the forms of user participation in the management of the SUS? The research was conducted in Portuguese, English, and Spanish, in the PubMed, BVS, Scopus, Embase, and Web of Science databases. Results: 46 articles were ed for analysis. Seven categories of community participation in the SUS were identified: Health Councils, User Service Evaluation Research, Popular Health Education, Health-related Social Movements, Public Consultation, Health Conferences, and Ombudsman Offices. Conclusion: the 7 mechanisms of social participation in the SUS form a mappingwhich it is possible to think of ways to overcome the barriers of each of the mechanisms and how to strengthen them. It also allows for reflection on the reinvention and creation of new models of participation.
Keywords:
community participation; health management; Health Unic System; social participation; citizenship.
Social participation in the Unified Health System in Brazil, its potential, challenges and perspectives: scoping review
Resumo (abstract):
Introduction: In the Brazilian Unified Health System (SUS), social participation is a fundamental principle. With Law 8.142 of 1990, this participation was established through Health Councils and Conferences, but these are not the only means for society to participate in the management of the SUS. The objective was to identify forms of social participation in the SUS and what are the challenges and potentialities of this principle. Method: a scoping review with the research question: what are the forms of user participation in the management of the SUS? The research was conducted in Portuguese, English, and Spanish, in the PubMed, BVS, Scopus, Embase, and Web of Science databases. Results: 46 articles were ed for analysis. Seven categories of community participation in the SUS were identified: Health Councils, User Service Evaluation Research, Popular Health Education, Health-related Social Movements, Public Consultation, Health Conferences, and Ombudsman Offices. Conclusion: the 7 mechanisms of social participation in the SUS form a mappingwhich it is possible to think of ways to overcome the barriers of each of the mechanisms and how to strengthen them. It also allows for reflection on the reinvention and creation of new models of participation.
Palavras-chave (keywords):
community participation; health management; Health Unic System; social participation; citizenship.
Moura, ACA, Cárdenas, HVA, Guilhem, DB. Participação social no Sistema Único de Saúde, suas potencialidades, desafios e perspectivas: revisão de escopo. Cien Saude Colet [periódico na internet] (2025/mar). [Citado em 15/08/2026].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/participacao-social-no-sistema-unico-de-saude-suas-potencialidades-desafios-e-perspectivas-revisao-de-escopo/19558
