Fragilidades dos mecanismos de controle das organizações sociais de saúde no município do Rio de Janeiro
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional do FGV (FGV Repositório Digital) |
Texto Completo: | http://hdl.handle.net/10438/16060 |
Resumo: | The research problem of this study is the evaluation of the acting ofhealth social organizations’ main control mechanisms, in the specific case of the Municipality of Rio de Janeiro. The recurrent denouncement of irregularities and illegalities by the Court of Audit of the City of Rio de Janeiro and the Public Prosecutor’s Office of the State of Rio de Janeiro has raised doubt concerning the adequacy of the monitoring, control and oversight of these entities. This implies our main research objective that is to identify the weaknesses of the new public management model by health social organizations, in the case of the city of Rio de Janeiro. For this, were analyzed: the legal and normative framework of the local model, from a comparative analysis between the municipal law governing its operation (Law 5.026/09) and its federal counterpart (Law 9.637/98); health indicators measuring the social organizations’ performance; all Court Audit’s inspections made before the end of 2015; and the set of recommendations sent by the Public Prosecutor’s Office to the City Hall after the deflagration of the Operation Fiscal Island, which resulted in the disqualification of the Social Organization called BIOTECH and the prison of its leaders, accused of embezzling more than R$48 million in public resources. On final conclusions, it was found that the weaknesses of the municipal legislation and executive decrees regulating the activities of the Health Social Organizations in the Municipality of Rio de Janeiro do not enable the effective control of the partnership by the State, therefore going against the constitutional provision which determinates that Health Social Organization’s activities under the SUS are to be limited to a complementary position. Moreover, it was identified the complete inadequacy of the control structure by the City Hall, whose main consequence was to pervert the managerial perform intended into a model that encourages patrimonial behavior within the public health system, since control of measures was completely neglected. |
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Vieira, João Paulo Tapioca de OliveiraEscolas::EBAPEPeci, AlketaOuverney, Assis Luiz MafortTeixeira, Sônia Maria Fleury2016-03-28T14:50:18Z2016-03-28T14:50:18Z2016-01-29VIEIRA, João Paulo Tapioca de Oliveira. Fragilidades dos mecanismos de controle das organizações sociais de saúde no município do Rio de Janeiro. Dissertação (Mestrado Profissional em Administração Pública) - FGV - Fundação Getúlio Vargas, Rio de Janeiro, 2016.http://hdl.handle.net/10438/16060The research problem of this study is the evaluation of the acting ofhealth social organizations’ main control mechanisms, in the specific case of the Municipality of Rio de Janeiro. The recurrent denouncement of irregularities and illegalities by the Court of Audit of the City of Rio de Janeiro and the Public Prosecutor’s Office of the State of Rio de Janeiro has raised doubt concerning the adequacy of the monitoring, control and oversight of these entities. This implies our main research objective that is to identify the weaknesses of the new public management model by health social organizations, in the case of the city of Rio de Janeiro. For this, were analyzed: the legal and normative framework of the local model, from a comparative analysis between the municipal law governing its operation (Law 5.026/09) and its federal counterpart (Law 9.637/98); health indicators measuring the social organizations’ performance; all Court Audit’s inspections made before the end of 2015; and the set of recommendations sent by the Public Prosecutor’s Office to the City Hall after the deflagration of the Operation Fiscal Island, which resulted in the disqualification of the Social Organization called BIOTECH and the prison of its leaders, accused of embezzling more than R$48 million in public resources. On final conclusions, it was found that the weaknesses of the municipal legislation and executive decrees regulating the activities of the Health Social Organizations in the Municipality of Rio de Janeiro do not enable the effective control of the partnership by the State, therefore going against the constitutional provision which determinates that Health Social Organization’s activities under the SUS are to be limited to a complementary position. Moreover, it was identified the complete inadequacy of the control structure by the City Hall, whose main consequence was to pervert the managerial perform intended into a model that encourages patrimonial behavior within the public health system, since control of measures was completely neglected.Nosso problema de pesquisa neste trabalho é a avaliação do funcionamento dos principais mecanismos de controle das organizações sociais de saúde, no caso específico do Município do Rio de Janeiro. As reiteradas denúncias de irregularidades e ilegalidades pelo Tribunal de Contas do Município do Rio de Janeiro e pelo Ministério Público do Estado do Rio de Janeiro levantaram dúvidas acerca da adequação dos processos de monitoramento, fiscalização e controle dessas entidades. Disto decorre nosso objetivo central de pesquisa, que é identificar as fragilidades do novo modelo de gestão por organizações sociais de saúde, no caso da cidade do Rio de Janeiro. Para isso, foram analisados: o arcabouço jurídico-normativo do modelo local, a partir de análise comparativa da legislação municipal que regulamenta seu funcionamento (Lei 5.026/09) e sua contraparte federal (Lei 9.637/98); indicadores de saúde que mensurassem o desempenho das OSS; todas as inspeções realizadas pelo TCM-RJ até o fim de 2015; e o conjunto de recomendações enviado pelo MP-ERJ para a Prefeitura após deflagração da Operação Ilha Fiscal, que acarretou a desqualificação da OS BIOTECH e a prisão de seus dirigentes, acusados de desviar mais de R$48 milhões em recursos públicos. Ao final, constatouse que as fragilidades da legislação municipal e dos decretos executivos que regulamentam a atuação das OSS no MRJ não permitem o exercício efetivo do comando da parceria, em afronta, portanto, ao dispositivo constitucional que determina que a atuação de entidades privadas no âmbito do SUS pode se dar apenas de modo complementar. Ademais, verificou-se total inadequação da estrutura de controle pela Prefeitura, cuja principal consequência foi tornar o modelo de reforma gerencialista em um modelo que incentiva o comportamento patrimonialista no âmbito da saúde pública, uma vez que o controle de meios é absolutamente negligenciado.porOrganizações sociais de saúdeSistema Único de SaúdeReforma do aparelho do EstadoControle externoTribunal de contasReforma sanitáriaReforma do sistema de saúdeAdministração públicaSaúde pública - AdministraçãoControle administrativoReforma do sistema de saúdeServiços de saúde públicaPolítica de saúdeReforma sanitáriaReforma administrativaSistema Único de Saúde (Brasil)Fragilidades dos mecanismos de controle das organizações sociais de saúde no município do Rio de Janeiroinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisreponame:Repositório Institucional do FGV (FGV Repositório Digital)instname:Fundação Getulio Vargas 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|
dc.title.por.fl_str_mv |
Fragilidades dos mecanismos de controle das organizações sociais de saúde no município do Rio de Janeiro |
title |
Fragilidades dos mecanismos de controle das organizações sociais de saúde no município do Rio de Janeiro |
spellingShingle |
Fragilidades dos mecanismos de controle das organizações sociais de saúde no município do Rio de Janeiro Vieira, João Paulo Tapioca de Oliveira Organizações sociais de saúde Sistema Único de Saúde Reforma do aparelho do Estado Controle externo Tribunal de contas Reforma sanitária Reforma do sistema de saúde Administração pública Saúde pública - Administração Controle administrativo Reforma do sistema de saúde Serviços de saúde pública Política de saúde Reforma sanitária Reforma administrativa Sistema Único de Saúde (Brasil) |
title_short |
Fragilidades dos mecanismos de controle das organizações sociais de saúde no município do Rio de Janeiro |
title_full |
Fragilidades dos mecanismos de controle das organizações sociais de saúde no município do Rio de Janeiro |
title_fullStr |
Fragilidades dos mecanismos de controle das organizações sociais de saúde no município do Rio de Janeiro |
title_full_unstemmed |
Fragilidades dos mecanismos de controle das organizações sociais de saúde no município do Rio de Janeiro |
title_sort |
Fragilidades dos mecanismos de controle das organizações sociais de saúde no município do Rio de Janeiro |
author |
Vieira, João Paulo Tapioca de Oliveira |
author_facet |
Vieira, João Paulo Tapioca de Oliveira |
author_role |
author |
dc.contributor.unidadefgv.por.fl_str_mv |
Escolas::EBAPE |
dc.contributor.member.none.fl_str_mv |
Peci, Alketa Ouverney, Assis Luiz Mafort |
dc.contributor.author.fl_str_mv |
Vieira, João Paulo Tapioca de Oliveira |
dc.contributor.advisor1.fl_str_mv |
Teixeira, Sônia Maria Fleury |
contributor_str_mv |
Teixeira, Sônia Maria Fleury |
dc.subject.por.fl_str_mv |
Organizações sociais de saúde Sistema Único de Saúde Reforma do aparelho do Estado Controle externo Tribunal de contas Reforma sanitária Reforma do sistema de saúde |
topic |
Organizações sociais de saúde Sistema Único de Saúde Reforma do aparelho do Estado Controle externo Tribunal de contas Reforma sanitária Reforma do sistema de saúde Administração pública Saúde pública - Administração Controle administrativo Reforma do sistema de saúde Serviços de saúde pública Política de saúde Reforma sanitária Reforma administrativa Sistema Único de Saúde (Brasil) |
dc.subject.area.por.fl_str_mv |
Administração pública |
dc.subject.bibliodata.por.fl_str_mv |
Saúde pública - Administração Controle administrativo Reforma do sistema de saúde Serviços de saúde pública Política de saúde Reforma sanitária Reforma administrativa Sistema Único de Saúde (Brasil) |
description |
The research problem of this study is the evaluation of the acting ofhealth social organizations’ main control mechanisms, in the specific case of the Municipality of Rio de Janeiro. The recurrent denouncement of irregularities and illegalities by the Court of Audit of the City of Rio de Janeiro and the Public Prosecutor’s Office of the State of Rio de Janeiro has raised doubt concerning the adequacy of the monitoring, control and oversight of these entities. This implies our main research objective that is to identify the weaknesses of the new public management model by health social organizations, in the case of the city of Rio de Janeiro. For this, were analyzed: the legal and normative framework of the local model, from a comparative analysis between the municipal law governing its operation (Law 5.026/09) and its federal counterpart (Law 9.637/98); health indicators measuring the social organizations’ performance; all Court Audit’s inspections made before the end of 2015; and the set of recommendations sent by the Public Prosecutor’s Office to the City Hall after the deflagration of the Operation Fiscal Island, which resulted in the disqualification of the Social Organization called BIOTECH and the prison of its leaders, accused of embezzling more than R$48 million in public resources. On final conclusions, it was found that the weaknesses of the municipal legislation and executive decrees regulating the activities of the Health Social Organizations in the Municipality of Rio de Janeiro do not enable the effective control of the partnership by the State, therefore going against the constitutional provision which determinates that Health Social Organization’s activities under the SUS are to be limited to a complementary position. Moreover, it was identified the complete inadequacy of the control structure by the City Hall, whose main consequence was to pervert the managerial perform intended into a model that encourages patrimonial behavior within the public health system, since control of measures was completely neglected. |
publishDate |
2016 |
dc.date.accessioned.fl_str_mv |
2016-03-28T14:50:18Z |
dc.date.available.fl_str_mv |
2016-03-28T14:50:18Z |
dc.date.issued.fl_str_mv |
2016-01-29 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
VIEIRA, João Paulo Tapioca de Oliveira. Fragilidades dos mecanismos de controle das organizações sociais de saúde no município do Rio de Janeiro. Dissertação (Mestrado Profissional em Administração Pública) - FGV - Fundação Getúlio Vargas, Rio de Janeiro, 2016. |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10438/16060 |
identifier_str_mv |
VIEIRA, João Paulo Tapioca de Oliveira. Fragilidades dos mecanismos de controle das organizações sociais de saúde no município do Rio de Janeiro. Dissertação (Mestrado Profissional em Administração Pública) - FGV - Fundação Getúlio Vargas, Rio de Janeiro, 2016. |
url |
http://hdl.handle.net/10438/16060 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional do FGV (FGV Repositório Digital) instname:Fundação Getulio Vargas (FGV) instacron:FGV |
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Fundação Getulio Vargas (FGV) |
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FGV |
institution |
FGV |
reponame_str |
Repositório Institucional do FGV (FGV Repositório Digital) |
collection |
Repositório Institucional do FGV (FGV Repositório Digital) |
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Repositório Institucional do FGV (FGV Repositório Digital) - Fundação Getulio Vargas (FGV) |
repository.mail.fl_str_mv |
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