Thoughts on the development of active regional public health systems

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dc.citation.issue4
dc.citation.volume22
dc.contributor.authorChioro, Arthur [UNIFESP]
dc.contributor.authorMenezes Soter, Ana Paula
dc.contributor.authorCastro Furtado, Lumena Almeida
dc.contributor.authorda Silva Pereira, Silvana Souza
dc.coverageRio De Janeiro
dc.date.accessioned2020-07-17T14:02:27Z
dc.date.available2020-07-17T14:02:27Z
dc.date.issued2017
dc.description.abstractDecentralization and regionalization are strategic themes for reforms in the health system. This paper analyzes the complex process of health regionalization being developed in Brazil. This paper identifies that the normative framework from the Brazilian National Health System, SUS has made advances with respect to its institutionalization and overcoming the initial centrality involved in municipalization. This has strengthened the development of regionalization and the intergovernmental agreement on health but the evidence points to the need to promote a revision. Based on document analysis, literature review and the views given by the authors involved in management in SUS as well as generating radically different views, the challenges for the construction of a regionalization that is active, is debated. We also discuss: its relations with planning and the dimensioning of service networks, the production of active care networks and shared management spaces, the inter-federative agreements and regional regulations, the capacity to coordinate regional systems and financing and the impact of the political dimension and electoral cycles. Regionalization (and SUS itself) is an open book, therefore ways and possibilities on how to maintain an active form of regionalization can be recommended.en
dc.description.affiliationUniv Fed Sao Paulo, Escola Paulista Med, Dept Med Prevent, R Botucatu 740-4, BR-04023062 Sao Paulo, Brazil
dc.description.affiliationConselho Nacl Secretarios Saude, Brasilia, DF, Brazil
dc.description.affiliationUniv Fed Rio de Janeiro, Rio De Janeiro, RJ, Brazil
dc.description.affiliationSenado Fed, Brasilia, DF, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Escola Paulista Med, Dept Med Prevent, R Botucatu 740-4, BR-04023062 Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent1045-1054
dc.identifierhttp://dx.doi.org/10.1590/1413-81232017224.26552016
dc.identifier.citationCiencia & Saude Coletiva. Rio De Janeiro, v. 22, n. 4, p. 1045-1054, 2017.
dc.identifier.doi10.1590/1413-81232017224.26552016
dc.identifier.issn1413-8123
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54813
dc.identifier.wosWOS:000400156900002
dc.language.isopor
dc.publisherAbrasco
dc.relation.ispartofCiencia & Saude Coletiva
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectRegionalizationen
dc.subjectDecentralizationen
dc.subjectHealth managementen
dc.subjectBrazilian National Health Systemen
dc.subjectPrimary Health Careen
dc.titleThoughts on the development of active regional public health systemsen
dc.typeinfo:eu-repo/semantics/article
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