From social control to participative management: questions about political participation in the SHS

Detalhes bibliográficos
Autor(a) principal: Guizardi, Francini Lube
Data de Publicação: 2022
Tipo de documento: Artigo
Idioma: por
Título da fonte: Trabalho, Educação e Saúde (Online)
Texto Completo: https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1818
Resumo: This essay seeks to discuss political participation in the Single Health Service (SHS) based on the problematization of the options and conceptions that guide its definition as social control, made operational by means of mechanisms of representation of interests. As such, the goal was to drive reflection on how political participation in the SHS is transferred to daily institutional life, as a challenge to build modes of participative management. The Policy concept we adopt is defined not in terms of equality (formal), which opposes differences (social), rather as the co-production of a reality that is made concrete in the relationship between equality and difference, such as the access to and use of common goods, in its undetermined capacity, one that is open to the creation of value. Thinking of participation in these terms means to weave participation as the possibility to institute norms, and not only as the control of the execution and inspection of the existing norms. As such, participation in health is thought out based on the problem of constituting a public policy that can remain open and unpredictable, safeguarding, nonetheless, the material conditions of equality. In this regard, a public policy that breaks away from the modern sovereignty mechanisms by incorporating itself into its institutional design the unpredictability of normative production, becoming an ethical device for the production of value.
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spelling From social control to participative management: questions about political participation in the SHSDo controle social à gestão participativa: interrogações sobre a participação política no SUSparticipação políticacontrole socialpolitical participationsocial controlparticipative managementpublic policesThis essay seeks to discuss political participation in the Single Health Service (SHS) based on the problematization of the options and conceptions that guide its definition as social control, made operational by means of mechanisms of representation of interests. As such, the goal was to drive reflection on how political participation in the SHS is transferred to daily institutional life, as a challenge to build modes of participative management. The Policy concept we adopt is defined not in terms of equality (formal), which opposes differences (social), rather as the co-production of a reality that is made concrete in the relationship between equality and difference, such as the access to and use of common goods, in its undetermined capacity, one that is open to the creation of value. Thinking of participation in these terms means to weave participation as the possibility to institute norms, and not only as the control of the execution and inspection of the existing norms. As such, participation in health is thought out based on the problem of constituting a public policy that can remain open and unpredictable, safeguarding, nonetheless, the material conditions of equality. In this regard, a public policy that breaks away from the modern sovereignty mechanisms by incorporating itself into its institutional design the unpredictability of normative production, becoming an ethical device for the production of value.Este ensaio procura discutir a participação política no SUS a partir da problematização das opções e concepções que orientam sua definição como controle social, operacionalizado por meio de mecanismos de representação de interesses. Desta forma, a intenção de promover uma reflexão sobre a participação política no SUS é remetida ao cotidiano institucional, como desafio de construção de modos de gestão participativos. O conceito de Política que adotamos se define não em termos de igualdade (formal) que se contrapõe às diferenças (sociais), mas como co-produção de realidade que se concretiza nas relações entre igualdade e diferença, como acesso e uso dos bens comuns, em sua capacidade indeterminada e aberta de criação de valor. Pensar a participação nestes termos significa tecer participações como possibilidade de instituir normas, e não apenas como controle da execução e fiscalização das normas existentes. A participação na saúde é pensada, deste modo, a partir do problema de constituição de uma política pública que consiga permanecer aberta e imprevisível, resguardando, contudo, condições materiais de igualdade. Nesse sentido, uma política pública que rompa com os mecanismos da soberania moderna ao incorporar em seus desenhos institucionais a imprevisibilidade da produção normativa, forjando-se como dispositivo ético de produção de valor.Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2022-09-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/181810.1590/S1981-77462009000100002Trabalho, Educação e Saúde; v. 7 n. 1 (2009)1981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1818/905Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venânciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGuizardi, Francini Lube2022-09-20T14:42:35Zoai:ojs.pkp.sfu.ca:article/1818Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:01:47.681022Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv From social control to participative management: questions about political participation in the SHS
Do controle social à gestão participativa: interrogações sobre a participação política no SUS
title From social control to participative management: questions about political participation in the SHS
spellingShingle From social control to participative management: questions about political participation in the SHS
Guizardi, Francini Lube
participação política
controle social
political participation
social control
participative management
public polices
title_short From social control to participative management: questions about political participation in the SHS
title_full From social control to participative management: questions about political participation in the SHS
title_fullStr From social control to participative management: questions about political participation in the SHS
title_full_unstemmed From social control to participative management: questions about political participation in the SHS
title_sort From social control to participative management: questions about political participation in the SHS
author Guizardi, Francini Lube
author_facet Guizardi, Francini Lube
author_role author
dc.contributor.author.fl_str_mv Guizardi, Francini Lube
dc.subject.por.fl_str_mv participação política
controle social
political participation
social control
participative management
public polices
topic participação política
controle social
political participation
social control
participative management
public polices
description This essay seeks to discuss political participation in the Single Health Service (SHS) based on the problematization of the options and conceptions that guide its definition as social control, made operational by means of mechanisms of representation of interests. As such, the goal was to drive reflection on how political participation in the SHS is transferred to daily institutional life, as a challenge to build modes of participative management. The Policy concept we adopt is defined not in terms of equality (formal), which opposes differences (social), rather as the co-production of a reality that is made concrete in the relationship between equality and difference, such as the access to and use of common goods, in its undetermined capacity, one that is open to the creation of value. Thinking of participation in these terms means to weave participation as the possibility to institute norms, and not only as the control of the execution and inspection of the existing norms. As such, participation in health is thought out based on the problem of constituting a public policy that can remain open and unpredictable, safeguarding, nonetheless, the material conditions of equality. In this regard, a public policy that breaks away from the modern sovereignty mechanisms by incorporating itself into its institutional design the unpredictability of normative production, becoming an ethical device for the production of value.
publishDate 2022
dc.date.none.fl_str_mv 2022-09-27
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://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1818
10.1590/S1981-77462009000100002
url https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1818
identifier_str_mv 10.1590/S1981-77462009000100002
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1818/905
dc.rights.driver.fl_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Trabalho, Educação e Saúde; v. 7 n. 1 (2009)
1981-7746
reponame:Trabalho, Educação e Saúde (Online)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Trabalho, Educação e Saúde (Online)
collection Trabalho, Educação e Saúde (Online)
repository.name.fl_str_mv Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv revtes@fiocruz.br
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