A systematic review of the process of regionalization of Brazil's Unified Health System, SUS
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/1413-81232017224.26522016 https://repositorio.unifesp.br/handle/11600/54814 |
Resumo: | This review focuses only on specific studies into the SUS regionalization process, which were based on empirical results and published since 2006, when the SUS was already under the aegis of the Pact for Health framework. It was found that the regionalization process is now underway in all spheres of government, subject to a set of challenges common to the different realities of the country. These include, primarily, that committee-structured entities are valued as spaces for innovation, yet also strive to overcome the bureaucratic and clientelist political culture. Regional governance is further hampered by the fragmentation of the system and, in particular, by the historical deficiency in planning, from the local level to the strategic policies for technology incorporation. The analyses enabled the identification of a culture of broad privilege for political negotiation, to the detriment of planning, as one of the main factors responsible for a vicious circle that sustains technical deficiency in management. |
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Repositório Institucional da UNIFESP |
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A systematic review of the process of regionalization of Brazil's Unified Health System, SUSRegionalizationDecentralizationHealth services reformHealth policyThis review focuses only on specific studies into the SUS regionalization process, which were based on empirical results and published since 2006, when the SUS was already under the aegis of the Pact for Health framework. It was found that the regionalization process is now underway in all spheres of government, subject to a set of challenges common to the different realities of the country. These include, primarily, that committee-structured entities are valued as spaces for innovation, yet also strive to overcome the bureaucratic and clientelist political culture. Regional governance is further hampered by the fragmentation of the system and, in particular, by the historical deficiency in planning, from the local level to the strategic policies for technology incorporation. The analyses enabled the identification of a culture of broad privilege for political negotiation, to the detriment of planning, as one of the main factors responsible for a vicious circle that sustains technical deficiency in management.Univ Fed Sao Paulo, Escola Paulista Med, Dept Med Prevent, R Botucatu 740-4, BR-04023062 Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Dept Med Prevent, Sao Paulo, SP, BrazilEscola Nacl Saude Publica, Rio De Janeiro, RJ, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Dept Med Prevent, R Botucatu 740-4, BR-04023062 Sao Paulo, SP, BrazilWeb of ScienceAbrasco2020-07-17T14:02:27Z2020-07-17T14:02:27Z2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion1291-1310http://dx.doi.org/10.1590/1413-81232017224.26522016Ciencia & Saude Coletiva. Rio De Janeiro, v. 22, n. 4, p. 1291-1310, 2017.10.1590/1413-81232017224.265220161413-8123https://repositorio.unifesp.br/handle/11600/54814WOS:000400156900023porCiencia & Saude ColetivaRio De Janeiroinfo:eu-repo/semantics/openAccessMello, Guilherme Arantes [UNIFESP]Chancharulo de Morais Pereira, Ana PaulaTeruya Uchimura, Liza Yurie [UNIFESP]Iozzi, Fabiola LanaPiva Demarzo, Marcelo Marcos [UNIFESP]d'Avila Viana, Ana Luiza [UNIFESP]reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2022-02-08T13:01:49Zoai:repositorio.unifesp.br/:11600/54814Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652022-02-08T13:01:49Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
A systematic review of the process of regionalization of Brazil's Unified Health System, SUS |
title |
A systematic review of the process of regionalization of Brazil's Unified Health System, SUS |
spellingShingle |
A systematic review of the process of regionalization of Brazil's Unified Health System, SUS Mello, Guilherme Arantes [UNIFESP] Regionalization Decentralization Health services reform Health policy |
title_short |
A systematic review of the process of regionalization of Brazil's Unified Health System, SUS |
title_full |
A systematic review of the process of regionalization of Brazil's Unified Health System, SUS |
title_fullStr |
A systematic review of the process of regionalization of Brazil's Unified Health System, SUS |
title_full_unstemmed |
A systematic review of the process of regionalization of Brazil's Unified Health System, SUS |
title_sort |
A systematic review of the process of regionalization of Brazil's Unified Health System, SUS |
author |
Mello, Guilherme Arantes [UNIFESP] |
author_facet |
Mello, Guilherme Arantes [UNIFESP] Chancharulo de Morais Pereira, Ana Paula Teruya Uchimura, Liza Yurie [UNIFESP] Iozzi, Fabiola Lana Piva Demarzo, Marcelo Marcos [UNIFESP] d'Avila Viana, Ana Luiza [UNIFESP] |
author_role |
author |
author2 |
Chancharulo de Morais Pereira, Ana Paula Teruya Uchimura, Liza Yurie [UNIFESP] Iozzi, Fabiola Lana Piva Demarzo, Marcelo Marcos [UNIFESP] d'Avila Viana, Ana Luiza [UNIFESP] |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Mello, Guilherme Arantes [UNIFESP] Chancharulo de Morais Pereira, Ana Paula Teruya Uchimura, Liza Yurie [UNIFESP] Iozzi, Fabiola Lana Piva Demarzo, Marcelo Marcos [UNIFESP] d'Avila Viana, Ana Luiza [UNIFESP] |
dc.subject.por.fl_str_mv |
Regionalization Decentralization Health services reform Health policy |
topic |
Regionalization Decentralization Health services reform Health policy |
description |
This review focuses only on specific studies into the SUS regionalization process, which were based on empirical results and published since 2006, when the SUS was already under the aegis of the Pact for Health framework. It was found that the regionalization process is now underway in all spheres of government, subject to a set of challenges common to the different realities of the country. These include, primarily, that committee-structured entities are valued as spaces for innovation, yet also strive to overcome the bureaucratic and clientelist political culture. Regional governance is further hampered by the fragmentation of the system and, in particular, by the historical deficiency in planning, from the local level to the strategic policies for technology incorporation. The analyses enabled the identification of a culture of broad privilege for political negotiation, to the detriment of planning, as one of the main factors responsible for a vicious circle that sustains technical deficiency in management. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017 2020-07-17T14:02:27Z 2020-07-17T14:02:27Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/1413-81232017224.26522016 Ciencia & Saude Coletiva. Rio De Janeiro, v. 22, n. 4, p. 1291-1310, 2017. 10.1590/1413-81232017224.26522016 1413-8123 https://repositorio.unifesp.br/handle/11600/54814 WOS:000400156900023 |
url |
http://dx.doi.org/10.1590/1413-81232017224.26522016 https://repositorio.unifesp.br/handle/11600/54814 |
identifier_str_mv |
Ciencia & Saude Coletiva. Rio De Janeiro, v. 22, n. 4, p. 1291-1310, 2017. 10.1590/1413-81232017224.26522016 1413-8123 WOS:000400156900023 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Ciencia & Saude Coletiva |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1291-1310 |
dc.coverage.none.fl_str_mv |
Rio De Janeiro |
dc.publisher.none.fl_str_mv |
Abrasco |
publisher.none.fl_str_mv |
Abrasco |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
_version_ |
1814268386425700352 |