O processo de construção da gestão regional da saúde no estado de São Paulo: subsídios para a análise

Abstract

This article presents the main results of the survey on the regional management building process in the State of São Paulo, during the discussion of the COAP / Care Networks, in order to provide a basis for understanding this process of regional health pact, focusing on the metropolitan areas of Bauru, Santos, Grande ABC and the Ribeira Valley. In addition to the results presented on the health regions studied, the methodology used in the development of the construction of profiles of the regions is itself a proposal for a methodology of analyzing regional health profiles. The first section presents the general methodology for analyzing health regions. The second part covers the results and discussion of the research, organized into two items. The first refers to the analysis of the profiles of the five São Paulo health regions surveyed. The second item analyzes the main aspects of the process of regional health pact in São Paulo, highlighting strengths and limitations, based on interviews with municipal managers and supporters of the Council of Municipal Health Secretaries of São Paulo in these regions.

A regionalização do SUS: proposta de avaliação de desempenho dos Departamentos Regionais de Saúde do estado de São Paulo

“…Diferentes instâncias regionais foram criadas, como as CIR, CIB e CIT. Dentro dessa estrutura interfederativa, os estados também sentiram a necessidade de criar instâncias regionais próprias que, no caso do estado de São Paulo, foram os DRS, foco deste estudo (Mendes et al, 2015;Spedo;Pinto;Tanaka, 2010).…”

“…No estado de São Paulo, a descentralização da saúde acompanhou a descentralização da Secretaria de Estado da Saúde (SES/SP), com a reforma da administração pública paulistana na década de 1980, que instaurou os Escritórios Regionais de Saúde (Ersa) por todo o território do estado, ao passo que mais tarde, em 2006, tornar-se-iam 17 DRS, órgãos esses representativos da SES/SP nas regiões de saúde e foco do desenvolvimento deste estudo (Mendes et al, 2015;São Paulo, 1986, 2006.…”

O COAP e a Regionalização do SUS: os diversos padrões de implementação nos estados brasileiros

“…The impact of these diverse contexts has been a fundamental factor in the implementation process of the Public Action Organizational Contract -COAP, a legal-executive device introduced in the normative framework of the SUS by Decree 7.508/11 aimed at clearly delimiting the responsibilities of each state in the integration of health actions and services in the health regions 5 .…”

Regionalização no SUS: uma revisão crítica

“…That same year, 'Saúde & Sociedade' published a thematic number with eight articles on this theme [21][22][23][24][25][26][27][28] .…”

“…One article in this category stands out for having the largest number of authors (11) 24 , along with an article that will be mentioned under "reports of experiences" further in this doc- ument. This one in particular had 11 authors, suggesting a rather robust research team.…”