A Comissão Intergestores Bipartite a CIB do Rio de Janeiro

Lima, Luciana Dias de

doi:10.1590/s0103-73312001000100005

Cited by 7 publications

(6 citation statements)

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“…Foi proposta a criação de uma central estadual de regulação. As dificuldades da regulação realizada pelo município do Rio de Janeiro a procedimentos de alto custo foram recorrentemente reportadas 20 . Nesse ano, foi proposta a unificação da fila de espera por tratamento por região de saúde.…”

Section: Qualificação Profissional Em Saúdeunclassified

Prevenção e controle do câncer bucal: contribuição da Comissão Intergestores Bipartite no estado do Rio de Janeiro

Lima

O’Dwyer

2022

Saúde debate

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RESUMO A ampliação do acesso à prevenção e controle do câncer bucal demanda a construção de uma rede intermunicipal de cuidado e a Comissão Intergestores Bipartite (CIB) tem papel central nesse processo. Objetiva-se analisar, sob a ótica da Teoria da Estruturação, a participação da CIB na estruturação da prevenção e controle do câncer bucal no Sistema Único de Saúde, no estado do Rio de Janeiro, Brasil. Realizou-se um estudo de caso exploratório, com análise de documentos da CIB do Rio de Janeiro entre 1996 e 2019. A coleta dos dados foi realizada no primeiro trimestre de 2020. Foram analisados 739 documentos pelas categorias: Constituição da rede de saúde; Financiamento das ações de saúde; Qualificação profissional em saúde. As discussões na CIB se mostraram limitadas devido uma característica mais municipalista e menos regionalizada no estado. O acesso ao tratamento rendeu debates que contribuíram com a expansão, mesmo que limitada, da rede hospitalar e com a reorganização da regulação. Identificou-se que esse espaço formal de negociação e decisão intergestores se transformou em um espaço meramente informativo ou deliberativo pro forma, o que traz limitações para estruturação das ações regionais de prevenção e controle do câncer bucal no estado do Rio de Janeiro.

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Section: Qualificação Profissional Em Saúdeunclassified

Prevenção e controle do câncer bucal: contribuição da Comissão Intergestores Bipartite no estado do Rio de Janeiro

Lima

O’Dwyer

2022

Saúde debate

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“…Artículos respuesta al marco regulatorio promueve la participación promueve la democracia incrementa la eficiencia en la asignación de recursos mejora las capacidades y prácticas de gestión (Gerschman, 2000) x x (Gerschman, 2001) x x (Scatena & Tanaka, 2001) (Lima, 2001) x (Atkinson, 2002) x x x (Labra & Figueiredo, 2002) x x (Costa, 2002) x (Arretche & Marques, 2002) x (Borges & Fernandes, 2002) x (Viana et al, 2002) x (Elias & Cohn, 2003) x x (Ugá et al, 2003) x x (Alves Sobrinho & Capucci, 2003) x (Atkinson & Haran, 2004) x x x (Gerschman, 2004) x x (Borges & do Nascimento, 2004) x x x…”

Section: Apéndice Bunclassified

Proceso de descentralización del sistema de salud en Brasil, una revisión de artículos científicos de 1985 a 2015

Figuero¹

2018

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AGRADECIMIENTOSEste trabajo no hubiera sido posible sin el apoyo de mis seres queridos, familia, compañero de vida y amistades que durante este tiempo me acompañaron en este camino de nuevos aprendizajes. A mi tutor, por su apoyo, orientación y paciencia durante este proceso. Al Instituto de Salud Colectiva y la Universidad Nacional de Lanús por brindarme este espacio de aprendizaje y crecimiento profesional. eficiencia en la asignación de recursos; además supondría la democratización de la toma de decisiones, el empoderamiento de los gobiernos locales y mayor participación de actores diversos en la toma de decisiones sobre su situación de salud, todo esto orientado a lograr procesos más democráticos y horizontales. En el contexto de la Reforma Sanitaria en Brasil, la descentralización del sistema de salud se convirtió en el medio por el cual se garantizaría el acceso y la integralidad de la atención de salud de la población. PALABRAS CLAVE: descentralización; sistemas de salud; Brasil ABSTRACTDecentralizing processes predominated in Latin America during the 1990s, many of which coincided with the transition to democracy of those countries that had been under dictatorial regimes. Health was one of the areas of social policy in which the decentralization model was applied more widely and which also represented a pattern to be followed for the different areas of public policy. The objective of this research is to analyze the fundamentals and controversies of the process of decentralization of the Brazilian health system based on the review of scientific articles published between 1985 and 2015. The question that serves as the main theme of the research is: what are the arguments that sustained the decentralization processes in Brazil? To answer this question, a review of scientific articles published between 1985 and 2015 and the analysis of the content of these articles was carried out. The arguments that underpinned the decentralization process in Brazil are of an economic nature, since decentralization is expected to favor efficiency in the allocation of resources; it would also involve the democratization of decision-making, the empowerment of local governments and greater participation of diverse actors in decision-making about their health situation, all aimed at achieving more democratic and horizontal processes. In the context of the Health Reform in Brazil, the decentralization of the health system became the means by which access and comprehensive health care for the population would be guaranteed.

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“…Studies on Bipartite Committees are scarce and generally involve few cases; however, some studies have described their potential functions, including the establishment of intergovernmental partnerships and the consolidation of balanced and participatory negotiations between managers. 6 , 13 , 15 In addition, previous case studies have suggested divergences among states in the management of these committees. 9…”

Section: Introductionmentioning

confidence: 99%

Federalism and health policy: the intergovernmental committees in Brazil

et al. 2014

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OBJECTIVE To analyze the dynamics of operation of the Bipartite Committees in health care in the Brazilian states.METHODS The research included visits to 24 states, direct observation, document analysis, and performance of semi-structured interviews with state and local leaders. The characterization of each committee was performed between 2007 and 2010, and four dimensions were considered: (i) level of institutionality, classified as advanced, intermediate, or incipient; (ii) agenda of intergovernmental negotiations, classified as diversified/restricted, adapted/not adapted to the reality of each state, and shared/unshared between the state and municipalities; (iii) political processes, considering the character and scope of intergovernmental relations; and (iv) capacity of operation, assessed as high, moderate, or low.RESULTS Ten committees had advanced level of institutionality. The agenda of the negotiations was diversified in all states, and most of them were adapted to the state reality. However, one-third of the committees showed power inequalities between the government levels. Cooperative and interactive intergovernmental relations predominated in 54.0% of the states. The level of institutionality, scope of negotiations, and political processes influenced Bipartite Committees’ ability to formulate policies and coordinate health care at the federal level. Bipartite Committees with a high capacity of operation predominated in the South and Southeast regions, while those with a low capacity of operations predominated in the North and Northeast.CONCLUSIONS The regional differences in operation among Bipartite Interagency Committees suggest the influence of historical-structural variables (socioeconomic development, geographic barriers, characteristics of the health care system) in their capacity of intergovernmental health care management. However, structural problems can be overcome in some states through institutional and political changes. The creation of federal investments, varied by regions and states, is critical in overcoming the structural inequalities that affect political institutions. The operation of Bipartite Committees is a step forward; however, strengthening their ability to coordinate health care is crucial in the regional organization of the health care system in the Brazilian states.

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A Comissão Intergestores Bipartite a CIB do Rio de Janeiro

Cited by 7 publications

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Prevenção e controle do câncer bucal: contribuição da Comissão Intergestores Bipartite no estado do Rio de Janeiro

Prevenção e controle do câncer bucal: contribuição da Comissão Intergestores Bipartite no estado do Rio de Janeiro

Proceso de descentralización del sistema de salud en Brasil, una revisión de artículos científicos de 1985 a 2015

Federalism and health policy: the intergovernmental committees in Brazil

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