Regionalization of health and the Government Triangle: reflections from the perspective of municipal health managers
Autor(a) principal: | |
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Data de Publicação: | 2024 |
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/18303 |
Resumo: | This article analyzes the perception of municipal health managers about the process of regionalization of health in the State of Rio Grande do Sul. It has a qualitative nature, employing semi-structured interviews with eight municipal health managers, chosen intentionally. In the theoretical approach, the concept of Government Triangle was used, matching it with the categories of thematic analysis. In the government project on the regionalization of health, the means and objectives identified were the Pact for Health, financing, solidarity, access, health consortia, models of supply and contracting of health actions and services. In the capacity of government in the Health Care Networks and the instances of agreement, the ways of conducting, maneuvering and overcoming that emerged from the analysis were the Regional Intermanagers Commission, the decentralization of health services and intersectoriality. As for management and health governance, the interviewees identified the manager not having time and/or not prioritizing the planning and management processes, managers as political figures and without preparation, the technical staff without specific training, the care gaps and the fixation of professionals. The results of this study point to clues about possible paths to be followed in the theme of health management and regionalization. |
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Regionalization of health and the Government Triangle: reflections from the perspective of municipal health managersRegionalización de la salud y el Triángulo del Gobierno: reflexiones desde la perspectiva de los gerentes municipales de saludRegionalização da saúde e o Triângulo de Governo: reflexões a partir da perspectiva dos gestores municipais de saúdeRegionalizaciónGestión en SaludGobernanzaGestor de SaludServicios de SaludRegional Health PlanningHealth ManagementHealth GovernanceHealth ManagerHealth ServicesRegionalização da SaúdeGestão em SaúdeGovernança em SaúdeGestor de SaúdeServiços de SaúdeThis article analyzes the perception of municipal health managers about the process of regionalization of health in the State of Rio Grande do Sul. It has a qualitative nature, employing semi-structured interviews with eight municipal health managers, chosen intentionally. In the theoretical approach, the concept of Government Triangle was used, matching it with the categories of thematic analysis. In the government project on the regionalization of health, the means and objectives identified were the Pact for Health, financing, solidarity, access, health consortia, models of supply and contracting of health actions and services. In the capacity of government in the Health Care Networks and the instances of agreement, the ways of conducting, maneuvering and overcoming that emerged from the analysis were the Regional Intermanagers Commission, the decentralization of health services and intersectoriality. As for management and health governance, the interviewees identified the manager not having time and/or not prioritizing the planning and management processes, managers as political figures and without preparation, the technical staff without specific training, the care gaps and the fixation of professionals. The results of this study point to clues about possible paths to be followed in the theme of health management and regionalization.Este artículo analiza la percepción de los gestores municipales de salud sobre el proceso de regionalización de la salud en el Estado de Rio Grande do Sul. Tiene carácter cualitativo, empleando entrevistas semiestructuradas con ocho gestores municipales de salud, elegidos intencionalmente. En el abordaje teórico se utilizó el concepto de Triángulo de Gobierno, comparándolo con las categorías de análisis temático. En el proyecto de gobierno de regionalización de la salud, los medios y objetivos identificados fueron el Pacto por la Salud, el financiamiento, la solidaridad, el acceso, los consorcios de salud, los modelos de oferta y contractualización de acciones y servicios de salud. En la capacidad de gobierno en las Redes de Atención a la Salud y las instancias de concertación, las formas de conducción, maniobra y superación que surgieron del análisis fueron la Comisión Regional Intergestores, la descentralización de los servicios de salud y la intersectorialidad. En cuanto a la gobernanza y la gobernabilidad, los entrevistados identificaron al gestor sin tiempo y/o no priorizando los procesos de planificación y gestión, los gestores como figuras políticas y sin preparación, los técnicos sin formación específica, las lagunas de atención y la fijación de profesionales. Los resultados de este estudio apuntan pistas sobre posibles caminos a seguir en el tema de la gestión y regionalización en salud.Este artigo analisa a percepção de gestores municipais de saúde sobre o processo de regionalização da saúde no Estado do Rio Grande do Sul. Tem natureza qualitativa, empregando entrevistas semiestruturadas com oito gestores municipais de saúde, escolhidos intencionalmente. Na abordagem teórica utilizou-se o conceito de Triângulo de Governo, cotejando com as categorias da análise temática. No projeto de governo sobre a regionalização da saúde, os meios e objetivos identificados foram o Pacto pela Saúde, financiamento, solidariedade, acesso, consórcios de saúde, modelos de oferta e contratualização das ações e serviços de saúde. Na capacidade de governo nas Redes de Atenção à Saúde e as instâncias de pactuação, as formas de conduzir, manobrar e superar que emergiram da análise foram a Comissão Intergestores Regional, a descentralização dos serviços de saúde e a intersetorialidade. Quanto à governabilidade e a governança, os entrevistados identificaram o gestor não ter tempo e/ou não priorizar os processos de planejamento e gestão, gestores como figuras políticas e sem preparação, o corpo técnico sem formação específica, os vazios assistenciais e a fixação de profissionais. Os resultados do presente estudo apontam pistas sobre caminhos possíveis a serem trilhados na temática da gestão e da regionalização da saúde.Edunisc - Universidade de Santa Cruz do Sul2024-04-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://online.unisc.br/seer/index.php/redes/article/view/1830310.17058/redes.v29i1.18303Redes ; Vol. 29 (2024)Redes; Vol. 29 (2024)Redes; Vol. 29 (2024)Redes; v. 29 (2024)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/18303/11508https://online.unisc.br/seer/index.php/redes/article/view/18303/11509Copyright (c) 2024 Redesinfo:eu-repo/semantics/openAccessFarfan Barroso, Priscila Alves de Quevedo, André LuisChioro, ArthurFabiano Guimarães, Cristian 2024-02-09T13:21:55Zoai:ojs.online.unisc.br:article/18303Revistahttp://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:2024-02-09T13:21:55Redes (Santa Cruz do Sul. Online) - Universidade de Santa Cruz do Sul (UNISC)false |
dc.title.none.fl_str_mv |
Regionalization of health and the Government Triangle: reflections from the perspective of municipal health managers Regionalización de la salud y el Triángulo del Gobierno: reflexiones desde la perspectiva de los gerentes municipales de salud Regionalização da saúde e o Triângulo de Governo: reflexões a partir da perspectiva dos gestores municipais de saúde |
title |
Regionalization of health and the Government Triangle: reflections from the perspective of municipal health managers |
spellingShingle |
Regionalization of health and the Government Triangle: reflections from the perspective of municipal health managers Farfan Barroso, Priscila Regionalización Gestión en Salud Gobernanza Gestor de Salud Servicios de Salud Regional Health Planning Health Management Health Governance Health Manager Health Services Regionalização da Saúde Gestão em Saúde Governança em Saúde Gestor de Saúde Serviços de Saúde |
title_short |
Regionalization of health and the Government Triangle: reflections from the perspective of municipal health managers |
title_full |
Regionalization of health and the Government Triangle: reflections from the perspective of municipal health managers |
title_fullStr |
Regionalization of health and the Government Triangle: reflections from the perspective of municipal health managers |
title_full_unstemmed |
Regionalization of health and the Government Triangle: reflections from the perspective of municipal health managers |
title_sort |
Regionalization of health and the Government Triangle: reflections from the perspective of municipal health managers |
author |
Farfan Barroso, Priscila |
author_facet |
Farfan Barroso, Priscila Alves de Quevedo, André Luis Chioro, Arthur Fabiano Guimarães, Cristian |
author_role |
author |
author2 |
Alves de Quevedo, André Luis Chioro, Arthur Fabiano Guimarães, Cristian |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Farfan Barroso, Priscila Alves de Quevedo, André Luis Chioro, Arthur Fabiano Guimarães, Cristian |
dc.subject.por.fl_str_mv |
Regionalización Gestión en Salud Gobernanza Gestor de Salud Servicios de Salud Regional Health Planning Health Management Health Governance Health Manager Health Services Regionalização da Saúde Gestão em Saúde Governança em Saúde Gestor de Saúde Serviços de Saúde |
topic |
Regionalización Gestión en Salud Gobernanza Gestor de Salud Servicios de Salud Regional Health Planning Health Management Health Governance Health Manager Health Services Regionalização da Saúde Gestão em Saúde Governança em Saúde Gestor de Saúde Serviços de Saúde |
description |
This article analyzes the perception of municipal health managers about the process of regionalization of health in the State of Rio Grande do Sul. It has a qualitative nature, employing semi-structured interviews with eight municipal health managers, chosen intentionally. In the theoretical approach, the concept of Government Triangle was used, matching it with the categories of thematic analysis. In the government project on the regionalization of health, the means and objectives identified were the Pact for Health, financing, solidarity, access, health consortia, models of supply and contracting of health actions and services. In the capacity of government in the Health Care Networks and the instances of agreement, the ways of conducting, maneuvering and overcoming that emerged from the analysis were the Regional Intermanagers Commission, the decentralization of health services and intersectoriality. As for management and health governance, the interviewees identified the manager not having time and/or not prioritizing the planning and management processes, managers as political figures and without preparation, the technical staff without specific training, the care gaps and the fixation of professionals. The results of this study point to clues about possible paths to be followed in the theme of health management and regionalization. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-04-11 |
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/18303 10.17058/redes.v29i1.18303 |
url |
https://online.unisc.br/seer/index.php/redes/article/view/18303 |
identifier_str_mv |
10.17058/redes.v29i1.18303 |
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/18303/11508 https://online.unisc.br/seer/index.php/redes/article/view/18303/11509 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2024 Redes info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2024 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. 29 (2024) Redes; Vol. 29 (2024) Redes; Vol. 29 (2024) Redes; v. 29 (2024) 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 |
_version_ |
1800218767382282240 |