Abstract
This article analyzes the management system in a health district in the State of Rio Grande do Sul, Brazil, through qualitative analysis, using a case study as the methodology and macro-organization theory as the analytical framework. For the current management system in the 6th Health Region, a clear mission statement and wide acceptance by health workers are facilitating factors for the current organizational practices within the health system. Nevertheless, the way health coordinators are currently prioritizing their time has diverted necessary resources from critical problems towards more remedial issues. The 6th Health Region has encouraged social control (or public oversight) in order to improve accountability. However, there is room for improvement in quality assurance management, since there were no well-defined goals, objectives, or accountability. Decentralized consultancy provided to the municipalities and the funding model itself have both promoted decentralization and autonomy, although the strategy requires better regional integration and greater commitment in managerial practices.
Highlights
This article analyzes the management system in a health district in the State of Rio Grande do Sul, Brazil, through qualitative analysis, using a case study as the methodology and macro-organization theory as the analytical framework
Decentralized consultancy provided to the municipalities and the funding model itself have both promoted decentralization and autonomy, the strategy requires better regional integration and greater commitment in managerial practices
Recebido em 18/Mar/2005 Versão final reapresentada em 14/Dez/2005 Aprovado em 10/Jan/2006
Summary
Este trabalho consiste em um estudo descritivo, que segue uma abordagem qualitativa e adota como estratégia metodológica o estudo de caso. No Relatório de Gestão da Secretaria Estadual de Saúde do Rio Grande do Sul (SES/RS) 5, consta: “...a instância regional é o espaço da pactuação e do planejamento da atenção. (...) De simples repassadoras de papéis para o nível central, as CRSs passam a ser responsáveis pelo planejamento, acompanhamento e gerenciamento das ações e serviços de saúde...”. Essas características da gestão da saúde no Rio Grande do Sul despertaram para a possibilidade de se visualizarem novas formas de se gerenciar a saúde no nível regional. A escolha da 6a Coordenadoria Regional de Saúde (6a CRS), na região de Passo Fundo, deuse em virtude da proximidade de um dos autores com a experiência da região, tendo observado um movimento que tinha o intuito de fortalecer a gestão nesse espaço. Possui 58 municípios, em sua grande maioria de pequeno porte, com uma população de 629.136 habitantes
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
