Reflexões sobre o papel das unidades de economia da saúde no âmbito de sistemas nacionais de saúde

Abstract

This texts aims to introduce some reflections on the role and relevance of health economics units (HEUs) regarding national health care systems. The starting points are the core aspects of this knowledge field and its contribution to health care management, to give rise to considerations on the role and relevance of such units. Matters such as the health care managers' and political leaders' knowledge on health economics, the need for HEUs to take simultaneous action at various levels in the organization of a qualified multidisciplinary technical body, as well as the technical and political nature of the work, their possibilities and limits for action, their aspects, and their relationship with external research groups. Finally, the work of a specialized internal health economics team is one of the means to qualify the decision-making process in public health care organizations, to optimize the use of resources and their proper equitable allocation. Keywords: Health Economics; Health Care Systems; Public Health Care Policies; Public Administration. Resumo O objetivo deste texto é apresentar algumas reflexões sobre o papel e a relevância das unidades de economia da saúde (UES) no âmbito de sistemas nacionais de saúde. Parte-se dos fundamentos deste campo de conhecimento e de sua contribuição à gestão em saúde para tecer considerações sobre o papel e a relevância dessas unidades. São discutidas questões como o conhecimento dos gestores da saúde e lideranças políticas sobre economia da saúde, a necessidade de atuação transversal da UES na organização e de corpo técnico multidisciplinar qualificado, assim como a natureza técnica e política do trabalho, as possibilidades e limites para sua atuação, seus aspectos e a relação com grupos externos de pesquisa. Por fim, ressalta-se que o trabalho de equipe interna especializada em economia da saúde constitui um dos meios para qualificar o processo de tomada de decisão nas organizações públicas de saúde, visando à otimização do uso dos recursos e à equidade em sua alocação. Fabiola Sulpino Vieira

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