Gestão de recursos financeiros da educação permanente em saúde: desafio das comissões de integração ensino-serviço

Abstract

Despite adhering to the dynamics established in the Management Pact, the use of financial resources of Permanent Education in Health (PEH) still features as a problem in Brazil. This study analyzes how the management of these financial resources by two Permanent In-Service Learning Integration Committees (ICLS) evolves in the State of Santa Catarina, Brazil. It involves a qualitative, participatory research study adapted from Paulo Freire's Thematic Research conducted with 56 members from two ICLS between May and December 2009. After setting up the research groups, the members participated in the stages of theme generation surveys, encoding, decoding, and critical exposition of the reality. Participant observation and dialogue were the main data collection techniques. The results indicate that the two ICLS are not dissimilar in terms of issues of management of resources destined for policy, with bureaucracy, the indefinition of forms of financial management and delays that permeate regional structures responsible for resource management being the main factors detected. The participants considered the elaboration of PEH actions in the management of financial resources at state level to be the main opportunities for change.

A retomada do processo de implementação da Política Nacional de Educação Permanente em Saúde no Brasil

“…The formulation and implementation of the PNEPS stimulated the scientific production on this topic, and was the object of analysis in some studies that point to important evidences of the difficulties of articulation between managers, workers, social control instances and Institutions of Higher Education (IES), incipient participation of municipal managers and difficulties in the use of financial resources, which have repercussions on the reduced implementation of the Teaching-Service Integration Commission (Cies), foreseen in the PNEPS, in the vagueness of parameters for project construction and in the absence of evaluation of the actions implemented in changes in the practices of training, management and health care [10][11][12][13][14] .…”

A Influência Das Ações Educativas Na Gestão De Pessoas Das Instituições De Saúde

“…A gestão de recursos financeiros ainda se configura como um desafio a ser superado na realidade da educação permanente em saúde, pois não há como manter uma ação continuada de processos de mudança se os aspectos relativos ao financiamento ainda se configuram como um entrave (FERRAZ et al, 2013(FERRAZ et al, , p. 1692.…”

Política de Educação Permanente em Saúde no Brasil: a contribuição das Comissões Permanentes de Integração Ensino-Serviço

“…In the view of the managers of the SESs, issues of an administrative and juridical-legal nature hamper their execution. In prior studies 12,21 , release of the funds and doubts about the financial management were the difficulties most referred to by the managers. In line with the evidence, it was found that 30.8% of the managers of the SESs and SMSs stated that the release of funds is one of the principal difficulties faced 13 , in view of the impediments for their use.…”

“…Decentralization of the financing of the PNEPS, with shared responsibility, has limits. The various instances of the SUS have been able to produce rapid mechanisms for financing and contracting of health actions and services, but this has not happened in the educational actions and services, because "the whole of the public machinery, which operates well in the scope of health actions, "gets blocked" when it is a question of actions for education" 21 .…”

“…The process of decentralization was not accompanied by a qualification of the managing teams and this can be stated in relation to the CIESs, which need to get to know the process of management, organization and structuring of the PNEPS of the respective territories they cover 21 .…”