Integrality as an institutional innovation — the state of Rio Grande do Sul Health Department experience, 1999-2002: remarks on the Unified Health System management

Detalhes bibliográficos
Autor(a) principal: Silva, José Paulo Vicente da
Data de Publicação: 2004
Outros Autores: Pinheiro, Roseni, Machado, Felipe Rangel S.
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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spelling 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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