Pacto de gestão na saúde: até onde esperar uma "regionalização solidária e cooperativa"?

Machado, José Ângelo

doi:10.1590/s0102-69092009000300008

Cited by 27 publications

(34 citation statements)

References 6 publications

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“…Despite the proposal's potential, its implementation faces significant obstacles, including the institutionalization of a homogeneous care network in a heterogeneous territory, composed of autonomous entities and marked by intense political dispute (Machado, 2009;Santos, Giovanella, 2014).…”

Section: Forewordmentioning

confidence: 99%

Tipologia das regiões de saúde: condicionantes estruturais para a regionalização no Brasil

et al. 2015

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The socioeconomic development, supply and complexity of health actions and services in a regional context may be considered structural constraints to the success of the current process of health care regionalization in Brazil. The main objective of this study is to identify the structural determinants of the regionalization process by building a typology of health regions in Brazil. A typology of Brazilian health regions was developed from available secondary data sources. The dimensions and groups that form the typology were identified through factor analysis and cluster analysis. The type of service provider both for out and inpatients was also identified. Results: the regions were classified into five independent groups according to their socioeconomic profile and characteristics of the health service supply. The characterization of Brazilian health regions through the typology demonstrates high levels of heterogeneity throughout Brazil, and the complex organization of the regional health systems. The proposed typology could contribute to future research and better understanding of this complex and contradictory scenario, supporting the urgently required development of integrated regional public policies that simultaneously involve economic and social development and the strengthening of regional spaces of governance in order to promote the organization of regional health systems grounded on the principles of the SUS (Brazilian National Health System), under a shared, joint management with the objective of ensuring the universal right to health.

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Section: Forewordmentioning

confidence: 99%

Tipologia das regiões de saúde: condicionantes estruturais para a regionalização no Brasil

et al. 2015

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“…Of the 70 articles, only one was published in Humanieis 9 , while four were published in Management [9][10][11][12][13] . One the one hand, this shows an interest in the connection between regionalization and planning beyond the frontiers of public health, while on the other, the 65 articles published in the area of public health show that slowly, over the course of the past 10 years, regionalization has consolidated itself as an area of concern for authors.…”

Section: Resultsmentioning

confidence: 99%

Regionalização no SUS: uma revisão crítica

Fernandes

2017

Ciênc. saúde coletiva

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“…From 2001 on, norms and actions aimed at the regionalized organization of the health sector had as one of their objectives to correct the distortions of "autarchic municipalism" and to replace the attitude of intermunicipal competition for cooperation in order to overcome barriers and differences in access between citizens of different locations (Machado, 2009).…”

Section: The Regulatory Framework Of the Federal Relations In The Susmentioning

confidence: 99%

O desempenho dos municípios no Pacto pela Saúde no âmbito das relações federativas do Sistema Único de Saúde

2017

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This study evaluates the results of the Health Pact, which seeks to regulate the SUS's federative relations, regarding the achievement of the goals and the compliance with the agreements made by the federated entities considering national priorities and the actual performance of the cities in comparative terms. Some indicators of the Health Pact were selected for the period of 2007-2011 and sought to answer the following questions: (1) Have the cities fulfilled what was agreed? How did this evolve in the period? (2) The effective performance of the cities has positively improved during the period? (3) What is the degree of inequality between cities in terms of performance? (4) Are the results associated with structural factors exogenous or endogenous to the health sector? Data from Datasus and Sispacto were used. Measures were developed to assess the degree of compliance with the agreed targets, to evaluate the actual performance of the cities and the degree of inequality between them. Regression models sought to gauge the influence of structural factors on this performance. Results show that the pact has not extended the cooperation between federated entities; there were positive developments in the achieving the goals, particularly in the indicators with punitive mechanisms; the performance varies between indicators and is mainly associated with the availability of financial resources.

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Pacto de gestão na saúde: até onde esperar uma "regionalização solidária e cooperativa"?

Cited by 27 publications

References 6 publications

Tipologia das regiões de saúde: condicionantes estruturais para a regionalização no Brasil

Tipologia das regiões de saúde: condicionantes estruturais para a regionalização no Brasil

Regionalização no SUS: uma revisão crítica

O desempenho dos municípios no Pacto pela Saúde no âmbito das relações federativas do Sistema Único de Saúde

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