Abstract
To analyze social health organizations in the light of public control and the guarantee of equity of access to health services. Utilizing the case study technique, two social health organizations in the metropolitan region of São Paulo were selected. The analytical categories were equity of access and public control, and these were based on interviews with key informants and technical-administrative reports. It was observed that the overall funding and administrative control of the social health organizations are functions of the state administrator. The presence of a local administrator is important for ensuring equity of access. Public control is expressed through supervisory actions, by means of accounting and financial procedures. Equity of access and public control are not taken into consideration in the administration of these organizations. The central question lies in the capacity of the public authorities to have a presence in implementing this model at the local level, thereby ensuring equity of access and taking public control into consideration.
Highlights
There is a need to understand how new management methods fit into the scenario of transformations in the relationship between the State and contemporary society, in the light of technological advances in the production of goods and social wealth and complex demands from society that are characterized by social group heterogeneity and marked social inequality.The dominant thinking that has arisen within this context identifies the State as a factor holding back economic development
Equity of access and public control are not taken into consideration in the administration of these organizations
The central question lies in the capacity of the public authorities to have a presence in implementing this model at the local level, thereby ensuring equity of access and taking public control into consideration
Summary
There is a need to understand how new management methods fit into the scenario of transformations in the relationship between the State and contemporary society, in the light of technological advances in the production of goods and social wealth and complex demands from society that are characterized by social group heterogeneity and marked social inequality.The dominant thinking that has arisen within this context identifies the State as a factor holding back economic development. The State intervenes in the market and carries out productive functions and service provision with less competence than do private agents, thereby favoring the appropriation of company policies. This causes strangulation of production and is detrimental to social wealth, with resultant harm to the population. At the end of the 1970s, movements for reforming the State emerged with a variety of concepts and implementation methods These originated from the countries at the center of capitalism and were based on neoliberal concepts as the principal response to this crisis in the State’s role regarding social development
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