2017
DOI: 10.1590/1413-81232017224.03002017
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Abstract: This paper analyzes the implementation process of the Public Action Organizational

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Cited by 9 publications
(11 citation statements)
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References 18 publications
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“…This study aimed to analyze the policies and management instruments aimed at the regional organization of specialized SUS care in Ceará. The results suggest that the influential role of the state government and its regional levels are the main factors that contribute to the advanced stage of regionalization, also recognized by other studies 4,20,21 .…”
Section: Discussionsupporting
confidence: 77%
See 1 more Smart Citation
“…This study aimed to analyze the policies and management instruments aimed at the regional organization of specialized SUS care in Ceará. The results suggest that the influential role of the state government and its regional levels are the main factors that contribute to the advanced stage of regionalization, also recognized by other studies 4,20,21 .…”
Section: Discussionsupporting
confidence: 77%
“…We understand that the insufficient and fragmented supply of specialized services, responsible for a significant part of public health care and spending, is one of the main obstacles to regionalization 18 , to the establishment of the RAS, besides mobilizing public and private stakeholders with diverse interests 19 . The state of Ceará shows an advanced stage of regional organization 4,20,21 , which may inform other national experiences regarding models of public provision of specialized care in the current context of health crisis and budgetary constraints.…”
Section: Introductionmentioning
confidence: 92%
“…The rate of return was 100% in all of the 25 states covered by the study except São Paulo, where it was only 57.8% due to access difficulties observed by previous studies 4 . The questionnaires were conducted between June and December 2017 and data was obtained for 410 of the 436 CIRs contacted.…”
Section: Methodological Considerationsmentioning
confidence: 62%
“…This study falls within a line of research created in 2013 that examines federalism in Brazil, covering topics such as: the decentralization crisis in the SUS 1 ; political obstacles to regionalization 2 ; regional inequalities based on an analysis of health regions 3 ; the implementation of the Public Actions Organizational Contract (Contrato Organizativo de Ações Públicas -COAP) 4 ; public participation and patterns of deliberative democracy 5,6 ; and decentralization and regulation in relations between public and parastatal assets 7 .…”
Section: Introductionmentioning
confidence: 99%
“…Porém, o COAP foi efetivado apenas para os estados do Ceará e Mato Grosso do Sul. Entre os empecilhos para a finalização do processo de contratualização, destaca-se a dificuldade das secretarias estaduais de saúde em coordenar o processo, a complexidade do instrumento, o financiamento insuficiente, disperso e inadequado para a implantação dos sistemas regionais 2,4 e os altos custos de transação na adesão ao contrato 5 . Nos estados onde foi finalizado, entretanto, os impactos sobre a área da saúde não foram estudados até o presente momento.…”
Section: Introductionunclassified