A systematic review of the process of regionalization of Brazil's Unified Health System, SUS

Detalhes bibliográficos
Autor(a) principal: Mello, Guilherme Arantes [UNIFESP]
Data de Publicação: 2017
Outros Autores: 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]
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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spelling 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
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