Cooperation as an instrument: small municipalities and inter-municipal public health consortia
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Redes (Santa Cruz do Sul. Online) |
Texto Completo: | https://online.unisc.br/seer/index.php/redes/article/view/18430 |
Resumo: | Municipalities employ cooperation strategies to build instruments for economic and administrative rationalization and overcome difficulties in public service execution. One of these instruments is inter-municipal public consortia, which simultaneously cover multiple areas of activity. The health sector has the most consortia and participation from municipalities. The Intermunicipal Health Consortium of the Northwest of Rio Grande do Sul (CISA) is one of these consortia; it was established in 1997 and covers 47 municipalities in the northwestern region of the state. CISA establishes agreements with doctors and clinics for consultations and specialized tests and procures medicines for associated and partnered municipalities. Given this context, this article analyzes the relevance of Public Health Consortia for municipalities, particularly small ones. The study uses quantitative methods, such as analyzing reports from CISA and municipalities (Augusto Pestana, Bozano, and Panambi in Rio Grande do Sul), and qualitative methods based on interviews with Municipal Health Secretaries and Consortium managers. The data obtained, both from CISA and the Municipal Health Departments, show the importance of the consortium for the municipalities and the significant values involved in the eight years of training, as well as the fact that it constitutes the alternative with the greatest feasibility in overcoming demands and difficulties, especially in small municipalities. |
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Cooperation as an instrument: small municipalities and inter-municipal public health consortia La cooperación como instrumento: pequeños municipios y consorcios intermunicipales de salud públicaA cooperação como instrumento: os pequenos municípios e os consórcios públicos intermunicipais de saúdeConsorcios públicos intermunicipalesMunicipiosCooperaciónSistemas de salud localesConsórcios públicos intermunicipaisMunicípiosCooperaçãoSistemas Locais de SaúdeInter-municipal public consortiaMunicipalitiesCooperationLocal Health SystemsMunicipalities employ cooperation strategies to build instruments for economic and administrative rationalization and overcome difficulties in public service execution. One of these instruments is inter-municipal public consortia, which simultaneously cover multiple areas of activity. The health sector has the most consortia and participation from municipalities. The Intermunicipal Health Consortium of the Northwest of Rio Grande do Sul (CISA) is one of these consortia; it was established in 1997 and covers 47 municipalities in the northwestern region of the state. CISA establishes agreements with doctors and clinics for consultations and specialized tests and procures medicines for associated and partnered municipalities. Given this context, this article analyzes the relevance of Public Health Consortia for municipalities, particularly small ones. The study uses quantitative methods, such as analyzing reports from CISA and municipalities (Augusto Pestana, Bozano, and Panambi in Rio Grande do Sul), and qualitative methods based on interviews with Municipal Health Secretaries and Consortium managers. The data obtained, both from CISA and the Municipal Health Departments, show the importance of the consortium for the municipalities and the significant values involved in the eight years of training, as well as the fact that it constitutes the alternative with the greatest feasibility in overcoming demands and difficulties, especially in small municipalities.Los municipios construyen, a través de estrategias de cooperación, instrumentos para la racionalización económica y administrativa y para la superación de las dificultades relacionadas con la ejecución de los servicios públicos. Los Consorcios Públicos Intermunicipales son uno de estos instrumentos y se dedican a varias áreas de actividad, muchas de las cuales abarcan más de un área simultáneamente. En el ámbito de la salud, es el mayor número de consorcios y el mayor número de municipios que participan en consorcios públicos. Uno de ellos es el Consorcio Intermunicipal de Salud del Noroeste del Estado de Rio Grande do Sul (CISA), creado en 1997 y que abarca 47 municipios de la región noroeste del Estado de Rio Grande do Sul. El CISA convocó a médicos y clínicas para realizar consultas y exámenes especializados. También opera en la adquisición de medicamentos para los municipios del consorcio y otros municipios que tengan convenio. El objetivo de este artículo es analizar la relevancia de los Consorcios de Salud Pública para los municipios, especialmente los pequeños. El estudio combinó métodos cuantitativos, como el análisis de los informes de un Consorcio y de los municipios analizados (Augusto Pestana, Bozano y Panambi, todos en el Estado de Rio Grande do Sul), así como métodos cualitativos basados en entrevistas realizadas a los Secretarios Municipales de Salud y a los gestores del Consorcio en cuestión. Los datos obtenidos, tanto en el CISA como en las Secretarías Municipales de Salud, muestran la importancia del consorcio para los municipios y los montos significativos involucrados en los 8 años estudiados, así como el hecho de que constituye la alternativa con mayor factibilidad para superar las demandas y dificultades, especialmente de los municipios pequeños.Os municípios constroem, por meio de estratégias de cooperação, instrumentos para racionalização econômica e administrativa e para superação de dificuldades relacionadas à execução de serviços públicos. Os Consórcios Públicos Intermunicipais constituem-se em um destes instrumentos e dedicam-se a diversas áreas de atuação sendo que muitos deles contemplam mais do que uma área simultaneamente. Na área da saúde está o maior número de consórcios e o maior número de municípios participantes de consórcios públicos. Um destes é o Consórcio Intermunicipal de Saúde do Noroeste do Estado do Rio Grande do Sul (CISA) que foi constituído no ano de 1997 e abrange 47 municípios da região noroeste do Estado do Rio Grande do Sul. O CISA convenia médicos e clínicas para a realização de consultas e exames especializados. Também atua na aquisição de medicamentos para os municípios associados e de outros municípios conveniados. O artigo tem por objetivo analisar a relevância dos Consórcios Públicos de Saúde para os municípios, especialmente os de pequeno porte. O estudo combinou tanto métodos quantitativos, como análise de relatórios de um Consórcio e dos municípios analisados (Augusto Pestana, Bozano e Panambi, todos no Estado do Rio Grande do Sul), quanto métodos qualitativos a partir de entrevistas realizadas com Secretários Municipais de Saúde e gestores do Consórcio em foco. Os dados obtidos, tanto no CISA quanto nas Secretarias Municipais de Saúde, mostram a importância do consórcio para os municípios e os significativos valores envolvidos nos 8 anos estudados bem como o fato de que se constitui na alternativa com maior viabilidade na superação das demandas e das dificuldades, principalmente dos pequenos municípios.Edunisc - Universidade de Santa Cruz do Sul2023-12-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://online.unisc.br/seer/index.php/redes/article/view/1843010.17058/redes.v28i1.18430Redes ; Vol. 28 (2023)Redes; Vol. 28 (2023)Redes; Vol. 28 (2023)Redes; v. 28 (2023)1982-6745reponame:Redes (Santa Cruz do Sul. Online)instname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCporenghttps://online.unisc.br/seer/index.php/redes/article/view/18430/11277https://online.unisc.br/seer/index.php/redes/article/view/18430/11278Copyright (c) 2023 Redesinfo:eu-repo/semantics/openAccessPrediger, Reneo PedroAllebrandt, Sérgio Luís2023-09-28T18:22:47Zoai:ojs.online.unisc.br:article/18430Revistahttp://online.unisc.br/seer/index.php/redeshttp://online.unisc.br/seer/index.php/redes/oairedes_unisc_maff@terra.com.br||etges@unisc.br1982-67451414-7106opendoar:2023-09-28T18:22:47Redes (Santa Cruz do Sul. Online) - Universidade de Santa Cruz do Sul (UNISC)false |
dc.title.none.fl_str_mv |
Cooperation as an instrument: small municipalities and inter-municipal public health consortia La cooperación como instrumento: pequeños municipios y consorcios intermunicipales de salud pública A cooperação como instrumento: os pequenos municípios e os consórcios públicos intermunicipais de saúde |
title |
Cooperation as an instrument: small municipalities and inter-municipal public health consortia |
spellingShingle |
Cooperation as an instrument: small municipalities and inter-municipal public health consortia Prediger, Reneo Pedro Consorcios públicos intermunicipales Municipios Cooperación Sistemas de salud locales Consórcios públicos intermunicipais Municípios Cooperação Sistemas Locais de Saúde Inter-municipal public consortia Municipalities Cooperation Local Health Systems |
title_short |
Cooperation as an instrument: small municipalities and inter-municipal public health consortia |
title_full |
Cooperation as an instrument: small municipalities and inter-municipal public health consortia |
title_fullStr |
Cooperation as an instrument: small municipalities and inter-municipal public health consortia |
title_full_unstemmed |
Cooperation as an instrument: small municipalities and inter-municipal public health consortia |
title_sort |
Cooperation as an instrument: small municipalities and inter-municipal public health consortia |
author |
Prediger, Reneo Pedro |
author_facet |
Prediger, Reneo Pedro Allebrandt, Sérgio Luís |
author_role |
author |
author2 |
Allebrandt, Sérgio Luís |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Prediger, Reneo Pedro Allebrandt, Sérgio Luís |
dc.subject.por.fl_str_mv |
Consorcios públicos intermunicipales Municipios Cooperación Sistemas de salud locales Consórcios públicos intermunicipais Municípios Cooperação Sistemas Locais de Saúde Inter-municipal public consortia Municipalities Cooperation Local Health Systems |
topic |
Consorcios públicos intermunicipales Municipios Cooperación Sistemas de salud locales Consórcios públicos intermunicipais Municípios Cooperação Sistemas Locais de Saúde Inter-municipal public consortia Municipalities Cooperation Local Health Systems |
description |
Municipalities employ cooperation strategies to build instruments for economic and administrative rationalization and overcome difficulties in public service execution. One of these instruments is inter-municipal public consortia, which simultaneously cover multiple areas of activity. The health sector has the most consortia and participation from municipalities. The Intermunicipal Health Consortium of the Northwest of Rio Grande do Sul (CISA) is one of these consortia; it was established in 1997 and covers 47 municipalities in the northwestern region of the state. CISA establishes agreements with doctors and clinics for consultations and specialized tests and procures medicines for associated and partnered municipalities. Given this context, this article analyzes the relevance of Public Health Consortia for municipalities, particularly small ones. The study uses quantitative methods, such as analyzing reports from CISA and municipalities (Augusto Pestana, Bozano, and Panambi in Rio Grande do Sul), and qualitative methods based on interviews with Municipal Health Secretaries and Consortium managers. The data obtained, both from CISA and the Municipal Health Departments, show the importance of the consortium for the municipalities and the significant values involved in the eight years of training, as well as the fact that it constitutes the alternative with the greatest feasibility in overcoming demands and difficulties, especially in small municipalities. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-12-06 |
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://online.unisc.br/seer/index.php/redes/article/view/18430 10.17058/redes.v28i1.18430 |
url |
https://online.unisc.br/seer/index.php/redes/article/view/18430 |
identifier_str_mv |
10.17058/redes.v28i1.18430 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://online.unisc.br/seer/index.php/redes/article/view/18430/11277 https://online.unisc.br/seer/index.php/redes/article/view/18430/11278 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Redes info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Redes |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Edunisc - Universidade de Santa Cruz do Sul |
publisher.none.fl_str_mv |
Edunisc - Universidade de Santa Cruz do Sul |
dc.source.none.fl_str_mv |
Redes ; Vol. 28 (2023) Redes; Vol. 28 (2023) Redes; Vol. 28 (2023) Redes; v. 28 (2023) 1982-6745 reponame:Redes (Santa Cruz do Sul. Online) instname:Universidade de Santa Cruz do Sul (UNISC) instacron:UNISC |
instname_str |
Universidade de Santa Cruz do Sul (UNISC) |
instacron_str |
UNISC |
institution |
UNISC |
reponame_str |
Redes (Santa Cruz do Sul. Online) |
collection |
Redes (Santa Cruz do Sul. Online) |
repository.name.fl_str_mv |
Redes (Santa Cruz do Sul. Online) - Universidade de Santa Cruz do Sul (UNISC) |
repository.mail.fl_str_mv |
redes_unisc_maff@terra.com.br||etges@unisc.br |
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1800218774382575616 |