Management Contracts in SUS: Possibilities for the Right to Health Effetivation
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Direito GV |
Texto Completo: | https://periodicos.fgv.br/revdireitogv/article/view/86132 |
Resumo: | The social organization creation law was preceded by debates about consensualism inside the Public Administration, an interpretative school of thought of administrative law that advocates horizontal movements between Public and Private sector. In order to evaluate the implementation of public policies related to the execution of human rights – in the case of this research, the right to health –, we conducted a documentary research with an analysis of the 30 management contracts signed between social health organizations and the Municipal Health Office of São Paulo from 2006 to 2014. The analysis showed that the model is strongly influenced by SUS guidelines. In the case of public-private relations, it was possible to conclude that the model is not applied to health services in an identical way, inserted to a greater or lesser extent in health policy depending on the manager’s choice. Finally, the homogeneous structure of part of the contracts, which is invariable even in relation to the contracted objects, allowed us to discard the hypothesis that these instruments have a greater consensus between the Government and the private partner. There was not much scope for negotiating clauses between contractors. |
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Management Contracts in SUS: Possibilities for the Right to Health EffetivationContratos de gestão no SUS: possibilidades de efetivação do direito à saúdeSocial organizationsright to healthpublic policiesmanagement contractspublic servicesOrganizações sociaisdireito à saúdepolíticas públicascontratos de gestãoserviços públicosThe social organization creation law was preceded by debates about consensualism inside the Public Administration, an interpretative school of thought of administrative law that advocates horizontal movements between Public and Private sector. In order to evaluate the implementation of public policies related to the execution of human rights – in the case of this research, the right to health –, we conducted a documentary research with an analysis of the 30 management contracts signed between social health organizations and the Municipal Health Office of São Paulo from 2006 to 2014. The analysis showed that the model is strongly influenced by SUS guidelines. In the case of public-private relations, it was possible to conclude that the model is not applied to health services in an identical way, inserted to a greater or lesser extent in health policy depending on the manager’s choice. Finally, the homogeneous structure of part of the contracts, which is invariable even in relation to the contracted objects, allowed us to discard the hypothesis that these instruments have a greater consensus between the Government and the private partner. There was not much scope for negotiating clauses between contractors.A publicação da lei que criou a titulação de organização social foi precedida de debates sobre o consensualismo no âmbito da Administração Pública, uma corrente interpretativa do direito administrativo que advoga movimentos de horizontalidade entre poder público e privado. Para avaliar a implementação de políticas públicas relacionadas à execução dos direitos humanos – no caso deste artigo, o direito humano à saúde –, realizamos uma pesquisa documental com análise dos 30 contratos de gestão firmados entre organizações sociais de saúde e a Secretaria Municipal de Saúde de São Paulo (SMS-SP), vigentes até 2014. A análise permitiu verificar que o modelo é fortemente influenciado pelas diretrizes do Sistema Único de Saúde (SUS). No caso das relações público-privadas, foi possível concluir que o modelo não é aplicado aos serviços de saúde de maneira idêntica se inserido em maior ou menor grau na política de saúde a depender da escolha do gestor. Por fim, a estrutura homogênea de parte dos contratos, invariável mesmo com relação aos objetos contratados, permitiu descartar a hipótese de que esses instrumentos contam com maior consenso entre o poder público e o parceiro privado. Não havia grande margem de negociação de cláusulas entre os contratados.Escola de Direito de São Paulo da Fundação Getulio Vargas2022-07-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.fgv.br/revdireitogv/article/view/86132Revista Direito GV; Vol. 18 No. 2 (2022): maio-ago. (42); e2217Revista Direito GV; Vol. 18 Núm. 2 (2022): maio-ago. (42); e2217Revista Direito GV; v. 18 n. 2 (2022): maio-ago. (42); e22172317-6172reponame:Revista Direito GVinstname:Fundação Getulio Vargas (FGV)instacron:FGVporhttps://periodicos.fgv.br/revdireitogv/article/view/86132/81146Navarrete Munhoz Fernandes da Cunha, Ana CarolinaMussa Abujamra Aith, Fernandoinfo:eu-repo/semantics/openAccess2022-08-04T18:37:58Zoai:ojs.periodicos.fgv.br:article/86132Revistahttps://direitosp.fgv.br/publicacoes/revista/revista-direito-gvPRIhttps://old.scielo.br/oai/scielo-oai.php||revistadireitogv@fgv.br|| catarina.barbieri@fgv.br2317-61721808-2432opendoar:2022-08-04T18:37:58Revista Direito GV - Fundação Getulio Vargas (FGV)false |
dc.title.none.fl_str_mv |
Management Contracts in SUS: Possibilities for the Right to Health Effetivation Contratos de gestão no SUS: possibilidades de efetivação do direito à saúde |
title |
Management Contracts in SUS: Possibilities for the Right to Health Effetivation |
spellingShingle |
Management Contracts in SUS: Possibilities for the Right to Health Effetivation Navarrete Munhoz Fernandes da Cunha, Ana Carolina Social organizations right to health public policies management contracts public services Organizações sociais direito à saúde políticas públicas contratos de gestão serviços públicos |
title_short |
Management Contracts in SUS: Possibilities for the Right to Health Effetivation |
title_full |
Management Contracts in SUS: Possibilities for the Right to Health Effetivation |
title_fullStr |
Management Contracts in SUS: Possibilities for the Right to Health Effetivation |
title_full_unstemmed |
Management Contracts in SUS: Possibilities for the Right to Health Effetivation |
title_sort |
Management Contracts in SUS: Possibilities for the Right to Health Effetivation |
author |
Navarrete Munhoz Fernandes da Cunha, Ana Carolina |
author_facet |
Navarrete Munhoz Fernandes da Cunha, Ana Carolina Mussa Abujamra Aith, Fernando |
author_role |
author |
author2 |
Mussa Abujamra Aith, Fernando |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Navarrete Munhoz Fernandes da Cunha, Ana Carolina Mussa Abujamra Aith, Fernando |
dc.subject.por.fl_str_mv |
Social organizations right to health public policies management contracts public services Organizações sociais direito à saúde políticas públicas contratos de gestão serviços públicos |
topic |
Social organizations right to health public policies management contracts public services Organizações sociais direito à saúde políticas públicas contratos de gestão serviços públicos |
description |
The social organization creation law was preceded by debates about consensualism inside the Public Administration, an interpretative school of thought of administrative law that advocates horizontal movements between Public and Private sector. In order to evaluate the implementation of public policies related to the execution of human rights – in the case of this research, the right to health –, we conducted a documentary research with an analysis of the 30 management contracts signed between social health organizations and the Municipal Health Office of São Paulo from 2006 to 2014. The analysis showed that the model is strongly influenced by SUS guidelines. In the case of public-private relations, it was possible to conclude that the model is not applied to health services in an identical way, inserted to a greater or lesser extent in health policy depending on the manager’s choice. Finally, the homogeneous structure of part of the contracts, which is invariable even in relation to the contracted objects, allowed us to discard the hypothesis that these instruments have a greater consensus between the Government and the private partner. There was not much scope for negotiating clauses between contractors. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-07-15 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.fgv.br/revdireitogv/article/view/86132 |
url |
https://periodicos.fgv.br/revdireitogv/article/view/86132 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.fgv.br/revdireitogv/article/view/86132/81146 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Escola de Direito de São Paulo da Fundação Getulio Vargas |
publisher.none.fl_str_mv |
Escola de Direito de São Paulo da Fundação Getulio Vargas |
dc.source.none.fl_str_mv |
Revista Direito GV; Vol. 18 No. 2 (2022): maio-ago. (42); e2217 Revista Direito GV; Vol. 18 Núm. 2 (2022): maio-ago. (42); e2217 Revista Direito GV; v. 18 n. 2 (2022): maio-ago. (42); e2217 2317-6172 reponame:Revista Direito GV instname:Fundação Getulio Vargas (FGV) instacron:FGV |
instname_str |
Fundação Getulio Vargas (FGV) |
instacron_str |
FGV |
institution |
FGV |
reponame_str |
Revista Direito GV |
collection |
Revista Direito GV |
repository.name.fl_str_mv |
Revista Direito GV - Fundação Getulio Vargas (FGV) |
repository.mail.fl_str_mv |
||revistadireitogv@fgv.br|| catarina.barbieri@fgv.br |
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