Regionalização no SUS: processo de implementação, desafios e perspectivas na visão crítica de gestores do sistema

Abstract

This article examines the regionalization process in the Brazilian

Contributions on the regionalization process in two regions in the Southeast of Brazil

“…However, there is a fragmentation of the information systems unfeasible in many cases, the State's access to the data of each city, which are sent directly to the National databases. 4 The analysis results showed difficulties in planning the health actions. Also, we confirm what Vargas et al, 21 had already mentioned: that the formation of health networks was based more in negotiations between the interested parties than in the proper planning.…”

“…As part of the Pacto de Saúde (Health Pact), the solidarity and the cooperative regionalization are placed as a compromise to be guaranteed by the National, City and State Governments to ensure the deployment and provide quality services. 6 According to Carvalho et al,4 there is a weak institutionalization of the regionalization process whereas the functions of political agents remain imprecise and follows the electrol political cycle.…”

“…There is a need for new regulatory arrangements that definitely guarantees SUS development and health management professionalization. 4 Despite being present in the constitutional text 5 and identified as one of the attributed key for public health, as the right for all Brazilian citizens, the regionalization only became an effective policy in the year 2000s. 6 From there, it was established that health services should be organized in hierarchical regional networks.…”

“…6 From there, it was established that health services should be organized in hierarchical regional networks. 5 Carvalho et al 4 emphasize the need to build regional policies according to the historical and cultural reality in health management. The regionalization, as an attribute to SUS, has main objectives of: to increase the accessibility and reduce inequalities, strengthen the principles of universality and equity.…”

Aspectos da gestão que influenciam o processo de planejamento municipal e regional do Sistema Único de Saúde

“…1 Deste modo, essa organização regionalizada, fundamento para o processo de planejamento e advinda da descentralização da gestão, tem sido identificada como diretriz estruturante para a garantia do direito à saúde de maneira resolutiva e equitativa. 5 No entanto, mesmo com os avanços em relação à sistematização das ferramentas de planejamento e aos espaços de cogestão como cenários operativos do planejamento, a dependência de instâncias superiores, como a CIB, permaneceu para que as decisões das CIR sejam aprovadas e implementadas. 6 Sendo assim, esse estudo teve como objetivo geral descrever e analisar a opinião de gestores e técnicos do setor saúde sobre o processo regional de planejamento do SUS e seus instrumentos e recursos.…”