As organizações sociais como executoras dos serviços públicos de saúde

• Ano de defesa: 2011
• Autor(a) principal: Magrini, Camilla M. Vargas Araujo
• Orientador(a): Marques, Rosa Maria
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica de São Paulo
• Programa de Pós-Graduação: Programa de Estudos Pós-Graduados em Economia Política
• Departamento: Economia
• País: BR
• Palavras-chave em Português: Sistema Público de Saúde; Reforma administrativa do estado; Organizações sociais
• Palavras-chave em Inglês: Public Health System; The state administrative reform; Social organizations
• Área do conhecimento CNPq: CNPQ::CIENCIAS SOCIAIS APLICADAS::ECONOMIA
• Link de acesso: https://tede2.pucsp.br/handle/handle/9175

The purpose of this dissertation is to discuss the model of social organization (OS) as an alternative way of implementing public health SUS. For this, we sought to take into account both the context in which the model was proposed, and the characteristics of the health system. To that end, through the synthesis of a body of work, though focused on different aspects, we tried to bring out issues that might help clarify as to the operation of the model of social health organizations. From the Master Plan for State Reform of 1995 was created the figure of social organization as an alternative to the public sector to exercise management and production of public health. The assumption made was that the state to delegate health care entities as qualified social organization to ensure more efficient services, because these possess a greater degree of administrative and financial autonomy compared with the direct administration model. Based on the proposals presented by the Master Plan it was believed that the social organization, while non-state public property, the figure would be more appropriate to act in the social sectors of the state, and that would be able to rescue the efficiency of the health system, providing services quality at low cost to the population. However, by emphasizing aspects in a managerial logic, characteristic of private enterprise, has forgotten the deep inequalities and the territorial dimension of our country. The belief that the model of social organization generally apply to Brazilian reality and to achieve the desired outcomes in any region that was adopted proved to be quite fragile when taken into account the different economic, political and social exist in Brazil. Although the reported experiments have confirmed the hypothesis of the Reform Plan of 1995 that social organizations have a greater degree of managerial and administrative, as well as greater flexibility in managing the resources over the public sector, neglecting the social aspects and end up compromising the economic guarantee of equal access of services, as well as public control and consistency between the demands of the population and public health policy. Finally, it was found that the state had limited ability to control the results of this model, in other words, the monitoring mechanisms used by the public sector were very limited