Análise do processo de implementação do plano estadual de saúde 2012-2015: o caso Goiás

• Autor(a) principal: Paiva, Cláudia de Menezes Vidal
• Data de Publicação: 2015
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• dARK ID: ark:/38995/0013000002j40
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/6327
• topic: Planejamento em saúde; Plano estadual de saúde; Gestão estratégica; Políticas públicas; Descentralização; Health planning; State health plan; Strategic management; Public policies; Decentralization; CIENCIAS DA SAUDE

For the Brazilian Health System (SUS) to be effective and able to meet all doctrinal and organizational principles for which it was designed, it needs to be well structured. In this sense, we realize that the efforts made by the Health Ministry in order to strengthen and institutionalize planning, through the elaboration and implementation of their planning instruments, considered as of great importance taking into account that it is a relevant management mechanism which aims at giving directionality to the consolidation process of SUS. This study aimed at analyzing the implementation process of the State Health Plan of Goiás for the four-year period of 2012-2015, as well as answering the following questions: how is the implementation process of the State Health Plan 2012-2015 being developed? (b) which methodology is used to design the plan? c) How structured is the monitoring and evaluation process of the Annual Schedules of health? d) What advantages and difficulties were identified in the implementation process of the Health Plan? This is a case study, exploratory qualitative research in which the author used as a secondary data source: The Annual Health Schedules and Annual Management Reports. Data was collected through two sources which allowed monitoring implementation of the goals, identifying the following aspects: the guideline, the goal, the percentage of implementation of goals, the area and the factors which are responsible for facilitating and inhibiting execution. The theoretical framework used was based on concepts and approaches on Carlos Matus’s situational strategic planning, Mario Testa’s Assumption of consistency and Habermas’s communicative action. We also analyzed theoretical course on public policies and their constituting elements. Another relevant point discussed was the concept of strategic management, resultoriented management, directly related to the implementability of government policies and programs, in an environment marked by increasing limitations to development funding from fiscal resources. We also presented the legal framework of the Government and the SUS. The results show that the process of institutionalization of planning, through implementation of the State Health Plan and other planning instruments of SUS, has not been effective yet in SES-GO. It is mentioned the various initiatives and strategies developed by managing instances of SUS in the search of incorporation of such instruments. We emphasize the need to improve working practices of management of SUS in Goiás, through the expansion of room for dialogue and negotiation, enabling the technical areas and promoting partnerships with educational institutions.