Contratualização no SUS e os desafios para o gestor municipal: regulando o mosaico da administração pública

• Ano de defesa: 2014
• Autor(a) principal: Santana, Eduardo Ferreira [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: management in health; contractualisation; regulation in health; sistema único de saúde; public; private sector partnerships; gestão em saúde; contratualização; regulação em saúde; parcerias público; privadas
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=1507387; https://repositorio.unifesp.br/handle/11600/47230

As a result of the reform of state, started in Brazil in the 1990s, were introduced in the SUS forms of management which were not foreseen in the Law 8080, edited in 1990. There were new and old private non profit institutions growing up on health public services management. If previously the regulation was already essential in public private relation and inside of health services state area, in the decentralization process the municipal manager takes the irreplaceable central function. In a big county establishes a true mosaic of relationships whose political and administrative aspects are beginning to be studied. Target: Analyze the contracting oh health services as regulatory tool by the SUS manager in a São Paulo?s state county. Method: Qualitative character methodology. Performed document analysis pertaining to the contracting of health services instruments, management and regulation of SUS, and moreover, were made in-depth interviews with managers of the local Health Department and a member of the Municipal Health Council. Results: Were observed: the fragility regarding community participation and social control over contracting; significant lack of regulations and criteria for contracts by the City Health Department, there is little standing committees Monitoring Contract in full operation; intense scrutiny of the Court of the State on the work of SMS developed in partnership with the Social Organizations; various forms of legal relationship present in public health administration. Final Thoughts: It is essential to (re) organization of the public administration of SMS, due to the establishment of public private relationship in the form of various legal arrangements, which constitute a complex mosaic in public management space. The public nature of management requires monitoring and democratic oversight and ensuring access to information, with a view to efficiency of regulation, specifically in the contracting of health services.