Information systems have assumed paramount importance in modern society, becoming an strategic resource of power in all areas. Therefore, it is important that the process of decentralization of the health sector should not be limited to services, but should also consider the decentralization of information. The author discusses the sharing of political and technical responsibility between various governmental spheres, and the need to rethink and redirect the process of making accessible information on health. This is a matter of overcoming vertical relations between government and society and of moving toward cooperative management capable of minimizing regional inequalities and optimizing the utilization of resources.
Apresentação 9 1 Encontros e Desencontros: mercado de trabalho e oferta de médicos nas regiões brasileiras 11 2 A Experiência Brasileira de Estímulo à Fixação de Médicos no Interior 49 3 O Programa de Interiorização do Trabalho em Saúde (Pits) 83 4 Referencial de Análise para Repensar as Políticas e Futuras Estratégias de Intervenção 159 Conclusão 191 Referências 195
The object of this article is the pact policy of the Unified Health System (SUS). The few works available in the literature about health pacts frequently relates them to the principles of SUS consolidation, specifically to the implantation of decentralization. Here, the roots of this policy are evidenced showing how they are linked with the restructuration movement of the proper Brazilian State in the last decades from the 20th century, by democracy rebuilding, federalism and State Reform. During this period, some advances in politics democracy were identified, however a few results in consolidation of social democracy were identified. Health pacts are articulated with social and political pacts, which are essential to make life possible in society, guarantee government legitimacy, governance and public policies effectiveness. Pact is a management mechanism that comprehends permanent negotiation, looking for surpasses intergovernmental conflicts, moderate by solidary responsibility. Throughout negotiation of goals, indicators and actions, pacts consist in a way of accountability and transparency, able to promote social control, and the own government control.
O artigo discute a produção de informação do ponto de vista gerencial e tecnológico, considerando alguns aspectos do processo de reforma do setor saúde. São abordadas questões referentes à introdução de inovações tecnoJógicas na área da saúde, estrutura organizacional e capacitação de recursos humanos. Descreve-se o projeto de implantação da Rede Nacional de Informações em Saúde (RNIS), discutindo-se, nas conclusões, os desafios e perspectivas colocados para a implementação da RNIS no que se refere a aspectos políticos, organizacionais e financeiros.
All the contents of this work, except where otherwise noted, is licensed under a Creative Commons Attribution 4.0 International license. Todo o conteúdo deste trabalho, exceto quando houver ressalva, é publicado sob a licença Creative Commons Atribição 4.0. Todo el contenido de esta obra, excepto donde se indique lo contrario, está bajo licencia de la licencia Creative Commons Reconocimento 4.0.
All the contents of this work, except where otherwise noted, is licensed under a Creative Commons Attribution 4.0 International license. Todo o conteúdo deste trabalho, exceto quando houver ressalva, é publicado sob a licença Creative Commons Atribição 4.0. Todo el contenido de esta obra, excepto donde se indique lo contrario, está bajo licencia de la licencia Creative Commons Reconocimento 4.0.
All the contents of this work, except where otherwise noted, is licensed under a Creative Commons Attribution 4.0 International license. Todo o conteúdo deste trabalho, exceto quando houver ressalva, é publicado sob a licença Creative Commons Atribição 4.0. Todo el contenido de esta obra, excepto donde se indique lo contrario, está bajo licencia de la licencia Creative Commons Reconocimento 4.0. 1-Encontros e desencontros mercado de trabalho e oferta de médicos nas regiões brasileiras
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