Regionalization of health surveillance: a performance evaluation proposal in a health region in Brazil

Abstract

(EM 8.51) and 'Organization' (EM 8.18) dimensions. The 'Structure' obtained intermediate performance (EM 6.78). The proposed methodology demonstrated to be appropriate to evaluate the performance of the regionalization of VS, because its strengths and weaknesses were allowed to be identified.Conclusions: despite of the regionalization is an ongoing process, it is necessary for the establishment of a political project that will take up effectively as a strategy for the reorganization of the healthcare in Brazil.

Brazilian public health surveillance evolution: conceptual, historical, and institutional aspects

“…Therefore, the Brazilian decentralization policy of health changed for regionalization because the experience with municipalization in the 1990s did not demonstrate satisfactory results (ALBUQUERQUE et al, 2019;TEIXEIRA, 2002). Nevertheless, this practice is not well implemented in the country, possibly due to the lack of integration between the federal and regional levels, leading to the heterogeneity of service provision (ALBUQUERQUE et al, 2017; LOPES; ALBUQUERQUE; FELISBERTO, 2019). On the other hand, these were the same justifications for the failure of municipalization, contributing to the distrust about the effectiveness of regionalization, which even led Canada to discard this idea, as there was no improvement in the performance of PHS and costs increased (ALBUQUERQUE et al, 2017).…”