Integrality as an institutional innovation — the state of Rio Grande do Sul Health Department experience, 1999-2002: remarks on the Unified Health System management
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Administração Pública |
Texto Completo: | https://periodicos.fgv.br/rap/article/view/6547 |
Resumo: | The Brazilian 1988 Constitution, which created the Unified Heath System (SUS), lays out guidelines for the system¿s organization, among which integrality is emphasized. This principle has a potential for institutional innovation as a structuring guide for new health practices at different healthcare levels. This demands the collective development of tools and new technologies for daily healthcare practices aiming at the negotiation of different agreements between sectorial policies and civil society — a dynamic innovation process in public management. Integral care — here understood as a process of social construction — could be reached through institutional innovation within SUS. This requires the interrelation of different knowledge areas, among which epidemiology, biomedical and human sciences stand out, contributing for the construction of richer and more effective healthcare concepts and strategies for facing up to the population's most urgent health problems. |
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Integrality as an institutional innovation — the state of Rio Grande do Sul Health Department experience, 1999-2002: remarks on the Unified Health System managementIntegralidade como inovação institucional: a experiência da Secretaria de Saúde/RS, 1999-2002: considerações sobre a gestão no SUSUnified Health Systemhealthcare managementintegrality.Sistema Único de Saúdegestão dos serviços de saúdeintegralidade.The Brazilian 1988 Constitution, which created the Unified Heath System (SUS), lays out guidelines for the system¿s organization, among which integrality is emphasized. This principle has a potential for institutional innovation as a structuring guide for new health practices at different healthcare levels. This demands the collective development of tools and new technologies for daily healthcare practices aiming at the negotiation of different agreements between sectorial policies and civil society — a dynamic innovation process in public management. Integral care — here understood as a process of social construction — could be reached through institutional innovation within SUS. This requires the interrelation of different knowledge areas, among which epidemiology, biomedical and human sciences stand out, contributing for the construction of richer and more effective healthcare concepts and strategies for facing up to the population's most urgent health problems.O texto constitucional de 1988 que institui o Sistema Único de Saúde (SUS) aponta para sua organização de acordo com algumas diretrizes, entre as quais se destaca a integralidade. Esse princípio apresenta potencialidades que sugerem a inovação institucional como eixo estruturante de novas práticas em saúde nos diferentes níveis de complexidade e de atenção à saúde. O modo concreto para que isto ocorra requer a construção coletiva de ferramentas e tecnologias inovadoras no cotidiano das práticas de gestão em saúde. Tais práticas devem estar voltadas para a negociação de diferentes pactos e acordos entre instâncias da política setorial e a sociedade civil. Ou seja, um processo dinâmico de inovação na gestão pública. Dessa forma, a integralidade — aqui entendida como um processo de construção social — parece ter, na idéia de inovação institucional, grande potencial para sua realização, já que possibilitaria a invenção de uma nova institucionalidade no âmbito do SUS. Para isso é necessário que haja inter-relações dos diferentes campos de conhecimento, dos quais se destacam a epidemiologia, as ciências biomédicas e as ciências humanas, no sentido de contribuir para a construção de conceitos e estratégias assistenciais mais ricas e eficazes de enfrentamento de problemas prioritários de saúde da população.Fundação Getulio Vargas (FGV EBAPE)2004-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.fgv.br/rap/article/view/6547Brazilian Journal of Public Administration; Vol. 38 No. 3 (2004); 481 a 502Revista de Administração Pública; Vol. 38 Núm. 3 (2004); 481 a 502Revista de Administração Pública; v. 38 n. 3 (2004); 481 a 5021982-31340034-7612reponame:Revista de Administração Públicainstname:Fundação Getulio Vargas (FGV)instacron:FGVporhttps://periodicos.fgv.br/rap/article/view/6547/5131Silva, José Paulo Vicente daPinheiro, RoseniMachado, Felipe Rangel S.info:eu-repo/semantics/openAccess2021-11-17T20:58:33Zoai:ojs.periodicos.fgv.br:article/6547Revistahttps://ebape.fgv.br/publicacoes/rapONGhttps://old.scielo.br/oai/scielo-oai.php||rap@fgv.br1982-31340034-7612opendoar:2021-11-17T20:58:33Revista de Administração Pública - Fundação Getulio Vargas (FGV)false |
dc.title.none.fl_str_mv |
Integrality as an institutional innovation — the state of Rio Grande do Sul Health Department experience, 1999-2002: remarks on the Unified Health System management Integralidade como inovação institucional: a experiência da Secretaria de Saúde/RS, 1999-2002: considerações sobre a gestão no SUS |
title |
Integrality as an institutional innovation — the state of Rio Grande do Sul Health Department experience, 1999-2002: remarks on the Unified Health System management |
spellingShingle |
Integrality as an institutional innovation — the state of Rio Grande do Sul Health Department experience, 1999-2002: remarks on the Unified Health System management Silva, José Paulo Vicente da Unified Health System healthcare management integrality. Sistema Único de Saúde gestão dos serviços de saúde integralidade. |
title_short |
Integrality as an institutional innovation — the state of Rio Grande do Sul Health Department experience, 1999-2002: remarks on the Unified Health System management |
title_full |
Integrality as an institutional innovation — the state of Rio Grande do Sul Health Department experience, 1999-2002: remarks on the Unified Health System management |
title_fullStr |
Integrality as an institutional innovation — the state of Rio Grande do Sul Health Department experience, 1999-2002: remarks on the Unified Health System management |
title_full_unstemmed |
Integrality as an institutional innovation — the state of Rio Grande do Sul Health Department experience, 1999-2002: remarks on the Unified Health System management |
title_sort |
Integrality as an institutional innovation — the state of Rio Grande do Sul Health Department experience, 1999-2002: remarks on the Unified Health System management |
author |
Silva, José Paulo Vicente da |
author_facet |
Silva, José Paulo Vicente da Pinheiro, Roseni Machado, Felipe Rangel S. |
author_role |
author |
author2 |
Pinheiro, Roseni Machado, Felipe Rangel S. |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Silva, José Paulo Vicente da Pinheiro, Roseni Machado, Felipe Rangel S. |
dc.subject.por.fl_str_mv |
Unified Health System healthcare management integrality. Sistema Único de Saúde gestão dos serviços de saúde integralidade. |
topic |
Unified Health System healthcare management integrality. Sistema Único de Saúde gestão dos serviços de saúde integralidade. |
description |
The Brazilian 1988 Constitution, which created the Unified Heath System (SUS), lays out guidelines for the system¿s organization, among which integrality is emphasized. This principle has a potential for institutional innovation as a structuring guide for new health practices at different healthcare levels. This demands the collective development of tools and new technologies for daily healthcare practices aiming at the negotiation of different agreements between sectorial policies and civil society — a dynamic innovation process in public management. Integral care — here understood as a process of social construction — could be reached through institutional innovation within SUS. This requires the interrelation of different knowledge areas, among which epidemiology, biomedical and human sciences stand out, contributing for the construction of richer and more effective healthcare concepts and strategies for facing up to the population's most urgent health problems. |
publishDate |
2004 |
dc.date.none.fl_str_mv |
2004-01-01 |
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/rap/article/view/6547 |
url |
https://periodicos.fgv.br/rap/article/view/6547 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.fgv.br/rap/article/view/6547/5131 |
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 |
Fundação Getulio Vargas (FGV EBAPE) |
publisher.none.fl_str_mv |
Fundação Getulio Vargas (FGV EBAPE) |
dc.source.none.fl_str_mv |
Brazilian Journal of Public Administration; Vol. 38 No. 3 (2004); 481 a 502 Revista de Administração Pública; Vol. 38 Núm. 3 (2004); 481 a 502 Revista de Administração Pública; v. 38 n. 3 (2004); 481 a 502 1982-3134 0034-7612 reponame:Revista de Administração Pública instname:Fundação Getulio Vargas (FGV) instacron:FGV |
instname_str |
Fundação Getulio Vargas (FGV) |
instacron_str |
FGV |
institution |
FGV |
reponame_str |
Revista de Administração Pública |
collection |
Revista de Administração Pública |
repository.name.fl_str_mv |
Revista de Administração Pública - Fundação Getulio Vargas (FGV) |
repository.mail.fl_str_mv |
||rap@fgv.br |
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1798943763576389632 |