Regionalização e acesso à saúde nos estados brasileiros: condicionantes históricos e político-institucionais

Abstract

Regionalização e acesso à saúde nos estados brasileiros: condicionantes históricos e político-institucionaisRegionalization and access to healthcare in Brazilian states: historical and political-institutional conditioning factors

O COAP e a Regionalização do SUS: os diversos padrões de implementação nos estados brasileiros

“…As this process developed, the success of national strategies for the organization of care networks, aimed at reducing fragmented health actions and services and promoting regionalization of the SUS, depended heavily on the political-institutional contexts of each federative unit 3 .…”

Financiamento, descentralização e regionalização: transferências federais e as redes de atenção em Minas Gerais, Brasil

“…Understanding regionalization as a technical-political process, conditioned by the supply capacity, healthcare financing, power distribution and relations established among the various stakeholders throughout the territories 8 , we observed that Ordinance Nº 4.279/10 and Decree Nº 7.508/11, in Minas face great challenges due to the various regional realities.…”

A implementação de redes de atenção e os desafios da governança regional em saúde na Amazônia Legal: uma análise do Projeto QualiSUS-Rede

“…The implications of adopting decentralization as a guideline in the implementation of health systems and its relationship with sector reform movements have been pointed out in the national and international literature [1][2][3][4] . Analyzes about the municipalist realm of the Brazilian health system show diverse results and are strongly conditioned by the context of implementation, reflecting the realities of the municipalities and the political will of governmental stakeholders 1,5,6 .…”

“…Norms and guidelines were then published to give materiality to regionalization 2,5,7,8 . In this process, parameters were established to define territorial distribution (health regions) and interregional collegiates were established, with representatives of the different spheres of government responsible for conducting health policy at the regional level 8 .…”

“…Despite the existence of a range of orientations, norms and guidelines, the implementation of the RAS and regionalization itself face difficulties that have not been overcome 2,8,13,14 . Health regionalization occurs through relationships with different stakeholders, with different orientations and interests, not necessarily convergent and involving several negotiation processes.…”