Obstáculos políticos à regionalização do SUS: percepções dos secretários municipais de Saúde com assento nas Comissões Intergestores Bipartites

Abstract

This paper aims to identify and analyze the political obstacles to the implementation of Organizational

Federalismo e políticas de saúde no Brasil: características institucionais e desigualdades regionais

“…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 .…”

Processos judiciais para obter medicamentos em Ribeirão Preto

“…The impossibility of predicting values, associated with the requirement of speed to act, compromises all planning and, consequently, the health budget 7 . The granting of almost all injunctions has been common in courts [8][9][10] , creating dangerous jurisprudence, in which the magistrate considers only the medical prescription to declare the urgency of the measure, disregarding any possibility of failure in the prescription or even external influence.…”

“…There is consensus on the management difficulties caused by the judicialization of health care and the need to solve this problem 1,7,14 . However, since it is not possible to simply end the lawsuits, the question is to better manage the situation.…”

Enfermeiros (as) gestores (as) no Sistema Único de Saúde: perfil e perspectivas com ênfase no Ciclo de Gestão 2017-2020

“…It is worth noting that SUS managers have to formulate and implement different strategies to conduct management processes in a complex context, characterized both by increased service offerings, expansion and diversification of policies and programs, institutionality gains and improved regional governance levels, as well as the persistent, significant regional disparities, low coordination and planning capacity, distributive conflicts, insufficient funding, judicialization and absence of relevant system actors [20][21][22][23][24] . Thus, we can affirm that the change of SUS management cycles must be studied and analyzed systematically.…”