Análise de uma comissão intergestores regional do estado de Goiás na estruturação das redes de atenção à saúde

• Ano de defesa: 2018
• Autor(a) principal: Campos, Cláudio Silva
• Orientador(a): Pereira, Edsaura Maria
• Banca de defesa: Pereira, Edsaura Maria, Souza, Marta Rovery de, Barbosa, Nelson Bezerra
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Goiás
• Programa de Pós-Graduação: Programa de Pós-graduação em Saúde Coletiva (PRPG)
• Departamento: Pró-Reitoria de Pós-graduação (PRPG)
• País: Brasil
• Palavras-chave em Português: Saúde coletiva; Sistema único de saúde; Governança
• Palavras-chave em Inglês: Collective health; Unified health system; Governance
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::SAUDE COLETIVA
• Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tede/8898

INTRODUCTION: The decentralization process has brought the Unified Health System (UHS) closer to the needs of the population, giving managers the challenge of organizing health service networks and services. The strategy used to consolidate regionalization is the structuring of health care networks (HCN), by overcoming fragmented care models. One component employed in the construction of this model of attention is governance through inter- managers relations, mainly at the regional level, in the case of the Regional Inter-managers Commission (RIC). OBJECTIVES: To describe and analyze the nature of the deliberations of the RIC of the state of Goiás and to investigate its process of governance and structuring of HCN; to relate the composition of health services in this region; identify the profile of managers; to describe the organization of the RIC under study and to analyze the perception of the municipal health secretaries on RIC governance and the consolidation of HCN’s. METHOD: Descriptive study with a qualitative approach, using content analysis of data collected from interviews guided by a semi-structured script, with the managers that make up the CIR, associated with the analysis of documents produced by RIC, such as meeting minutes, resolutions and guidelines. RESULTS: The study showed that the RIC in question has a consolidated institutional structure, adequate organizational and technical structuring, with a collaborative and consensual governance process with no state representation in the decisions, and in relation to the HCN, there was a recognition of the importance of RIC as a key actor in governance, but the mechanisms for implementing this process have not been clearly defined. FINAL CONSIDERATIONS: This study pointed out the need to broaden the participation of other actors in the regional governance process, such as health regional, health councils and other, improving managers in relation to HCN’s, institutional and normative planning, institute processes for monitoring and evaluation of HCN’s and redefining the role and relationship of primary health care in HCN’s and their thematic networks.