The institutional and operational context of the health sector and its significance for the Suds

• Autor(a) principal: Pinto, Aluizio Loureiro
• Data de Publicação: 1991
• Outros Autores: Donini, Wanderlei Garcia
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista de Administração Pública
• Texto Completo: https://periodicos.fgv.br/rap/article/view/8942
• topic: Analysis of the health sector; Institutional development / historic weakness; sanitary reform; institutional unification; decentralization of health services; administration; organization and objectives of the sector; challenges / strategies institutional; El análisis del sector de la salud; Desarrollo institucional / debilidad histórica; reforma de la salud; unificación institucional; descentralización de los servicios de salud; administración; organización y objetivos del sector; desafíos / estrategias de; Análise do setor Saúde; Desenvolvimento institucional/ fragilidade histórica; reforma sanitária; unificação institucional; descentralização dos serviços de saúde; administração-organização e objetivos do setor; desafios/estratégias de institucionalizaç

This document is aimed at describing and explaining the main variables limiting the Health sector, giving character to its dynamics and regulating its performance, either isolated or inserted in the framework of Brazilian public administration. The sector, as a whole, is seen as being composed of public institutions pertaining to the three governmental levels, as well as of private organizations. However, it can not be mingled with other formal arrangements adopted by governments to perform, under a specific pattern, functions concerned with health care, because it takes into account the, boundary, intrusive functional area in which it operates together with other sectors. The same thought, may be valid as to the private sector, here considered in an institutional gradient delimited at its inception by institutions dedicated to medical care and, at its other extremity, by economic organizations instituted for production of goods and services needed by the sector. The analysis performed tries to define the position of the Suds - Sistema Unificado e Descentralizado de Saúde (Unified and Decentralized Health System) - in the current political and organizational set of structures composing the sector, to identify trends which may influence its institutionalization, and also to suggest an agenda of directives capable of helping in the adoption of a long-lived process of descentralization, as intends the Sanitary Reform. The set of identified and analysed variables comprises a large thematic range, varying from institutional arrangements to prosaic problems of administrative and managerial nature, associated with the programming structure of public budgets.