Regionalização da saúde no Brasil: uma perspectiva de análise

Abstract

This article aims to contribute to the debate on the SUS regionalization policy and the establishment of health regions in Brazil. Understanding them require to recognize the dichotomy between public health and individual health -which marks the history of Brazilian public health -and identify the different rationalities that lead this process. Such rationalities allow not only to consider the legacy of municipalization in the current regionalization process, as well as to establish links between the two fields of fundamental knowledge to the debate, epidemiology and geography. Clinical epidemiology, privileging individual health, gives basis to a healthcare model that prioritizes the optimization of resources. The recognition of health in its broader concept, in the social epidemiology, bases an attention model aimed at social determinants. With geography, functional regions can be formulated, based on Christaller's theory, or lablachianas regions which recognize the social loco / regional structure, allowing intervention in determining or conditioning the way of illness and death of populations.

O protagonismo dos Conselhos de Secretários Municipais no processo de governança regional

“…Among them, insufficient financing appears in a setting of project disputes and fragmentation of available resources 2 . In other words, changes in the allocation of resources from the implementation of decentralization have not been satisfactory to modify the pattern of inequality in access to health goods and services in different health regions.…”

“…Among advances achieved, we can highlight the expanded access of the population to services, mainly Primary Health Care, and the considerable improvements of national health indicators 2 . Among hardships, the unequal political, technical, financial and health conditions of the Brazilian municipalities made the process extremely complex.…”

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

“…O conceito de regionalização esteve, em toda sua história, vinculado à estratégia de descentralização dos serviços de saúde e, além disso, possui diversas influências de diferentes áreas, mas no caso específico da saúde, ele está ligado principalmente às redes urbanas, com duas grandes dimensões para seu entendimento: realocação mais equitativa da prestação de serviços de saúde e desenvolvimento regional por meio dessa redistribuição mais equitativa (Contel, 2015;Duarte et al, 2015).…”

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] .…”