Modelos de gestão dos serviços públicos de saúde : contexto, atores e desenho organizacional

• Ano de defesa: 2013
• Autor(a) principal: Coelho, Thatiana Dutra Alves
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Programa de Estudos Pós-graduados em Política Social; Serviço Social
• Palavras-chave em Português: Política de saúde; Serviço de saúde; Gestão em saúde; Health policy; Health service; Management in health; CNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL
• Link de acesso: https://app.uff.br/riuff/handle/1/20356

The depletion of the standard Keynesian-Fordist capitalist economies that crossed worldwide from the late 1970s prompted questions about the role of the state, whether as an economic agent, whether as provider and executor of social policies. The Brazil felt the effects of this crisis in a moment of democratization of the country and fight for the recognition of the rights of citizenship, which brought significant barriers to the implementation and expansion of social policies as a universalistic nature of health policy. In general, the questions that went through and continue to go through the Public Administration on Brazilian social policies lies in the speech of their inefficiency, slowness and bureaucracy, which requires its modernization through management models more agile and autonomous. Opens this way, the main change that has occurred in this direction: the creation of new institutional arrangements for the management of health services, such as the OS, the OSCIP and the FEDP, besides the newly created EBSERH. The aim of this study is to examine the legal and regulatory designs of these new models of management of public health services underway in Brazil, in order to identify its main characteristics, the context in which these models emerge and placement of certain strategic actors in driving these proposals. In the study it was observed that despite having some similarities under the legal point of view, the models differ conceptually and in its implementation, highlighting the importance that they be analyzed considering the political context of its creation, with reference the institutional particularities of each government. What is striking is the discourse that these new models would be the solution to all the problems of public health, disregarding the adverse environment we live retraction of social policies, and scrapping with underfunding of health facilities. It is clear the need for changes in legislation related to public health management in view to ensuring greater budgetary and administrative autonomy to managers. However, this discussion should be related to the vision that seeks the best way to manage health services in order to ensure their effectiveness and efficiency to achieve the constitutional principles of free and universal access SUS quality and equity.