Análise de uma comissão intergestores regional do estado de Goiás na estruturação das redes de atenção à saúde
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/8898 |
Resumo: | INTRODUCTION: The decentralization process has brought the Unified Health System (UHS) closer to the needs of the population, giving managers the challenge of organizing health service networks and services. The strategy used to consolidate regionalization is the structuring of health care networks (HCN), by overcoming fragmented care models. One component employed in the construction of this model of attention is governance through inter- managers relations, mainly at the regional level, in the case of the Regional Inter-managers Commission (RIC). OBJECTIVES: To describe and analyze the nature of the deliberations of the RIC of the state of Goiás and to investigate its process of governance and structuring of HCN; to relate the composition of health services in this region; identify the profile of managers; to describe the organization of the RIC under study and to analyze the perception of the municipal health secretaries on RIC governance and the consolidation of HCN’s. METHOD: Descriptive study with a qualitative approach, using content analysis of data collected from interviews guided by a semi-structured script, with the managers that make up the CIR, associated with the analysis of documents produced by RIC, such as meeting minutes, resolutions and guidelines. RESULTS: The study showed that the RIC in question has a consolidated institutional structure, adequate organizational and technical structuring, with a collaborative and consensual governance process with no state representation in the decisions, and in relation to the HCN, there was a recognition of the importance of RIC as a key actor in governance, but the mechanisms for implementing this process have not been clearly defined. FINAL CONSIDERATIONS: This study pointed out the need to broaden the participation of other actors in the regional governance process, such as health regional, health councils and other, improving managers in relation to HCN’s, institutional and normative planning, institute processes for monitoring and evaluation of HCN’s and redefining the role and relationship of primary health care in HCN’s and their thematic networks. |
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Pereira, Edsaura Mariahttp://lattes.cnpq.br/8820722314388248Alves, Carla Guimarãeshttp://lattes.cnpq.br/4751410153566264Pereira, Edsaura MariaSouza, Marta Rovery deBarbosa, Nelson Bezerrahttp://lattes.cnpq.br/7322414300851701Campos, Cláudio Silva2018-09-24T11:05:15Z2018-08-28CAMPOS, Cláudio Silva. Análise de uma comissão intergestores regional do estado de Goiás na estruturação das redes de atenção à saúde. 2018. 145 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2018.http://repositorio.bc.ufg.br/tede/handle/tede/8898ark:/38995/0013000008fvkINTRODUCTION: The decentralization process has brought the Unified Health System (UHS) closer to the needs of the population, giving managers the challenge of organizing health service networks and services. The strategy used to consolidate regionalization is the structuring of health care networks (HCN), by overcoming fragmented care models. One component employed in the construction of this model of attention is governance through inter- managers relations, mainly at the regional level, in the case of the Regional Inter-managers Commission (RIC). OBJECTIVES: To describe and analyze the nature of the deliberations of the RIC of the state of Goiás and to investigate its process of governance and structuring of HCN; to relate the composition of health services in this region; identify the profile of managers; to describe the organization of the RIC under study and to analyze the perception of the municipal health secretaries on RIC governance and the consolidation of HCN’s. METHOD: Descriptive study with a qualitative approach, using content analysis of data collected from interviews guided by a semi-structured script, with the managers that make up the CIR, associated with the analysis of documents produced by RIC, such as meeting minutes, resolutions and guidelines. RESULTS: The study showed that the RIC in question has a consolidated institutional structure, adequate organizational and technical structuring, with a collaborative and consensual governance process with no state representation in the decisions, and in relation to the HCN, there was a recognition of the importance of RIC as a key actor in governance, but the mechanisms for implementing this process have not been clearly defined. FINAL CONSIDERATIONS: This study pointed out the need to broaden the participation of other actors in the regional governance process, such as health regional, health councils and other, improving managers in relation to HCN’s, institutional and normative planning, institute processes for monitoring and evaluation of HCN’s and redefining the role and relationship of primary health care in HCN’s and their thematic networks.INTRODUÇÃO: O processo de descentralização tem aproximado o Sistema Único de Saúde (SUS) das necessidades da população, atribuindo aos gestores o desafio de organizar redes de ações e serviços de saúde. A estratégia utilizada para consolidar a regionalização é a estruturação das redes de atenção à saúde (RAS), por meio da superação de modelos assistenciais fragmentados. Um componente empregado na construção deste modelo de atenção é a governança por intermédio de relações intergestores, principalmente a nível regional, no caso a Comissão Intergestores Regional (CIR). OBJETIVOS: Descrever e analisar a natureza das deliberações da CIR do estado de Goiás e investigar seu processo de governança e estruturação das RAS; relacionar a composição de serviços de saúde dessa região; identificar o perfil dos gestores; descrever a organização da CIR em estudo e analisar a percepção dos secretários municipais de saúde sobre a governança CIR e a consolidação das RAS. MÉTODO: Estudo descritivo com abordagem qualitativa, utilizando análise de conteúdo de dados coletados a partir de entrevistas orientadas por um roteiro semiestruturado, com os gestores que compõe a CIR, associados à análise de documentos produzidos pela CIR, como atas de reuniões, resoluções e pautas. RESULTADOS: O estudo demonstrou que a CIR em questão apresenta uma institucionalidade consolidada, uma estruturação organizacional e técnica adequadas, com um processo de governança colaborativo e consensual com ausência da representação estadual nas decisões, e em relação às RAS, houve um reconhecimento da importância da CIR como ator principal na governança, contudo não se definiram claramente os mecanismos de execução desse processo. CONSIDERAÇÕES FINAIS: Este estudo apontou a necessidade de ampliar a participação de outros atores no processo de governança regional, como a regional de saúde, conselhos de saúde e outros, do aprimoramento dos gestores em relação às RAS, de um planejamento institucional e normativo, de instituir processos de monitoramento e avaliação das RAS e da redefinição do papel e a relação da atenção primária à saúde nas RAS e suas redes temáticas.Submitted by Franciele Moreira (francielemoreyra@gmail.com) on 2018-09-19T13:53:48Z No. of bitstreams: 2 Dissertação - Cláudio Silva Campos - 2018.pdf: 2253206 bytes, checksum: e0e5c681bb555cfbfea1a0c245c908c7 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Rejected by Luciana Ferreira (lucgeral@gmail.com), reason: Foi inserido repetido os nomes do primeiro coorientador com o segundo. on 2018-09-20T11:28:18Z (GMT)Submitted by Franciele Moreira (francielemoreyra@gmail.com) on 2018-09-21T11:56:24Z No. of bitstreams: 2 Dissertação - Cláudio Silva Campos - 2018.pdf: 2253206 bytes, checksum: e0e5c681bb555cfbfea1a0c245c908c7 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2018-09-24T11:05:15Z (GMT) No. of bitstreams: 2 Dissertação - Cláudio Silva Campos - 2018.pdf: 2253206 bytes, checksum: e0e5c681bb555cfbfea1a0c245c908c7 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2018-09-24T11:05:15Z (GMT). No. of bitstreams: 2 Dissertação - Cláudio Silva Campos - 2018.pdf: 2253206 bytes, checksum: e0e5c681bb555cfbfea1a0c245c908c7 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2018-08-28application/pdfporUniversidade Federal de GoiásPrograma de Pós-graduação em Saúde Coletiva (PRPG)UFGBrasilPró-Reitoria de Pós-graduação (PRPG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessSaúde coletivaSistema único de saúdeGovernançaCollective healthUnified health systemGovernanceCIENCIAS DA SAUDE::SAUDE COLETIVAAnálise de uma comissão intergestores regional do estado de Goiás na estruturação das redes de atenção à saúdeAnalysis of a regional inter-managers commission of the state of Goiás on the structuring of health care networksinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-5225680170177467598600600600-264539188392646063-6173167103754495199reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGORIGINALDissertação - Cláudio Silva Campos - 2018.pdfDissertação - Cláudio Silva Campos - 2018.pdfapplication/pdf2253206http://repositorio.bc.ufg.br/tede/bitstreams/ad08356e-48d8-4edd-99d2-a45dda163b45/downloade0e5c681bb555cfbfea1a0c245c908c7MD55LICENSElicense.txtlicense.txttext/plain; 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dc.title.eng.fl_str_mv |
Análise de uma comissão intergestores regional do estado de Goiás na estruturação das redes de atenção à saúde |
dc.title.alternative.eng.fl_str_mv |
Analysis of a regional inter-managers commission of the state of Goiás on the structuring of health care networks |
title |
Análise de uma comissão intergestores regional do estado de Goiás na estruturação das redes de atenção à saúde |
spellingShingle |
Análise de uma comissão intergestores regional do estado de Goiás na estruturação das redes de atenção à saúde Campos, Cláudio Silva Saúde coletiva Sistema único de saúde Governança Collective health Unified health system Governance CIENCIAS DA SAUDE::SAUDE COLETIVA |
title_short |
Análise de uma comissão intergestores regional do estado de Goiás na estruturação das redes de atenção à saúde |
title_full |
Análise de uma comissão intergestores regional do estado de Goiás na estruturação das redes de atenção à saúde |
title_fullStr |
Análise de uma comissão intergestores regional do estado de Goiás na estruturação das redes de atenção à saúde |
title_full_unstemmed |
Análise de uma comissão intergestores regional do estado de Goiás na estruturação das redes de atenção à saúde |
title_sort |
Análise de uma comissão intergestores regional do estado de Goiás na estruturação das redes de atenção à saúde |
author |
Campos, Cláudio Silva |
author_facet |
Campos, Cláudio Silva |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Pereira, Edsaura Maria |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8820722314388248 |
dc.contributor.advisor-co1.fl_str_mv |
Alves, Carla Guimarães |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/4751410153566264 |
dc.contributor.referee1.fl_str_mv |
Pereira, Edsaura Maria |
dc.contributor.referee2.fl_str_mv |
Souza, Marta Rovery de |
dc.contributor.referee3.fl_str_mv |
Barbosa, Nelson Bezerra |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7322414300851701 |
dc.contributor.author.fl_str_mv |
Campos, Cláudio Silva |
contributor_str_mv |
Pereira, Edsaura Maria Alves, Carla Guimarães Pereira, Edsaura Maria Souza, Marta Rovery de Barbosa, Nelson Bezerra |
dc.subject.por.fl_str_mv |
Saúde coletiva Sistema único de saúde Governança |
topic |
Saúde coletiva Sistema único de saúde Governança Collective health Unified health system Governance CIENCIAS DA SAUDE::SAUDE COLETIVA |
dc.subject.eng.fl_str_mv |
Collective health Unified health system Governance |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::SAUDE COLETIVA |
description |
INTRODUCTION: The decentralization process has brought the Unified Health System (UHS) closer to the needs of the population, giving managers the challenge of organizing health service networks and services. The strategy used to consolidate regionalization is the structuring of health care networks (HCN), by overcoming fragmented care models. One component employed in the construction of this model of attention is governance through inter- managers relations, mainly at the regional level, in the case of the Regional Inter-managers Commission (RIC). OBJECTIVES: To describe and analyze the nature of the deliberations of the RIC of the state of Goiás and to investigate its process of governance and structuring of HCN; to relate the composition of health services in this region; identify the profile of managers; to describe the organization of the RIC under study and to analyze the perception of the municipal health secretaries on RIC governance and the consolidation of HCN’s. METHOD: Descriptive study with a qualitative approach, using content analysis of data collected from interviews guided by a semi-structured script, with the managers that make up the CIR, associated with the analysis of documents produced by RIC, such as meeting minutes, resolutions and guidelines. RESULTS: The study showed that the RIC in question has a consolidated institutional structure, adequate organizational and technical structuring, with a collaborative and consensual governance process with no state representation in the decisions, and in relation to the HCN, there was a recognition of the importance of RIC as a key actor in governance, but the mechanisms for implementing this process have not been clearly defined. FINAL CONSIDERATIONS: This study pointed out the need to broaden the participation of other actors in the regional governance process, such as health regional, health councils and other, improving managers in relation to HCN’s, institutional and normative planning, institute processes for monitoring and evaluation of HCN’s and redefining the role and relationship of primary health care in HCN’s and their thematic networks. |
publishDate |
2018 |
dc.date.accessioned.fl_str_mv |
2018-09-24T11:05:15Z |
dc.date.issued.fl_str_mv |
2018-08-28 |
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 |
CAMPOS, Cláudio Silva. Análise de uma comissão intergestores regional do estado de Goiás na estruturação das redes de atenção à saúde. 2018. 145 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2018. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/8898 |
dc.identifier.dark.fl_str_mv |
ark:/38995/0013000008fvk |
identifier_str_mv |
CAMPOS, Cláudio Silva. Análise de uma comissão intergestores regional do estado de Goiás na estruturação das redes de atenção à saúde. 2018. 145 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2018. ark:/38995/0013000008fvk |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/8898 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
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dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
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dc.relation.cnpq.fl_str_mv |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
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dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Saúde Coletiva (PRPG) |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Pró-Reitoria de Pós-graduação (PRPG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
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Repositório Institucional da UFG |
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bitstream.checksum.fl_str_mv |
e0e5c681bb555cfbfea1a0c245c908c7 bd3efa91386c1718a7f26a329fdcb468 4afdbb8c545fd630ea7db775da747b2f d41d8cd98f00b204e9800998ecf8427e d41d8cd98f00b204e9800998ecf8427e |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
_version_ |
1811721450818633728 |