Governance in the health sector

Abstract

The objective of the article was to analyze the functioning of governance in the health sector in the global and national context; the starting point was a diagnostic Literature Review (RSL) using scientific and institutional articles. The problem is approached from the existence of an evident lack of conceptual coherence in the use of the terms governability and governance (considered synonymous with "governance") in Latin America, both in social and political sciences, as well as in the health domain. This is expressed with wide dynamics in a different understanding of the term governance by researchers, a heterogeneous use in academic circles. Governance constitutes a social fact in itself and can be analyzed from a non-normative and non-prescriptive approach. In itself, it is not a search for a "new model of public management" that is "desirable to promote". There cannot be more or less governance. Every society is endowed with "governance", the characteristics of which evolve over time. There are therefore numerous forms of governance, in history, but still in the present. These different forms can be analyzed and interpreted. They can be described and broken down into their constituent elements in order to understand how they function. To this end, the development of a methodology of analysis that allows the passage between an interpretative framework and empirical observation is proposed