Structure of public health consortiums: a study in the intermunicipal consortiums of health in the mata mineira area

Bruna Rodrigues De Freitas,Adriel Rodrigues De Oliveira,Kerla Fabiana Dias Cabral

doi:10.33448/rsd-v9i8.5538

Bruna Rodrigues De Freitas, Adriel Rodrigues De Oliveira + Show 1 more

Open Access

https://doi.org/10.33448/rsd-v9i8.5538

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Abstract

One of the ways for small cities to deal rationally with the problems pointed out above has been through the municipalities associations for the implementation of public policies. Initiative is already foreseen in the legislation (law 11.107/95) and in the Federal Constitution itself of 1988 through the called intermunicipal consortia. The purpose of intermunicipal health consortia is to make municipalities perform more efficiently and effectively the services vital to their population, based on the SUS principles. The municipalities come together to solve problems inherent to their region. Based on this vision, the intermunicipal health consortia seek to reduce costs and streamline accessible resources in order to offer medical assistance available in a municipality of the region to other municipalities in need of such services. This research sought to verify how consortia are structured in terms of hierarchy, division of labor and sharing responsibilities. Interviews were carried out with the executive secretaries of the eight inter-municipal health consortia of Mata Mineira Area. For the analysis of the qualitative data was used the content analysis. For this, some subcategories were identified which are: physical structure, direction of the consortium, form of decision and apportionment. The results showed that they need improvements and adjustments so that they can successfully meet the objectives for which they were created.

Highlights

The municipalities find several difficulties in the provision of health services to the population, due to the limitations of financial resources, limited technical capacities, administrative problems, among others.One of the ways for small cities to deal rationally with the problems pointed out above has been through the municipalities' associations for the implementation of public policies
Initiative is already foreseen in the legislation and in the Federal Constitution itself of 1988 through the called intermunicipal consortia
Initiative is already foreseen in the legislation and in the Federal Constitution of 1988 through the called intermunicipal consortia

Summary

Introduction

The municipalities find several difficulties in the provision of health services to the population, due to the limitations of financial resources, limited technical capacities, administrative problems, among others.One of the ways for small cities to deal rationally with the problems pointed out above has been through the municipalities' associations for the implementation of public policies. Initiative is already foreseen in the legislation (law 11.107/95) and in the Federal Constitution of 1988 through the called intermunicipal consortia. The intermunicipal consortia are an initiative that has existed for a long time, since the first Paulista Constitution of 1891 already dealt with the matter. According to Coutinho (2006), the Federal Constitution of 1988 did not contemplate cooperation between federated entities, via consortia and agreements. 19/98, article 241 began to deal with public consortia, establishing their regulation in ordinary law, where the Union, the States, the Federal District and the Municipalities will regulate through the law of the public consortia and cooperative agreements among federated entities, ratifying the joint management of public services (Brazil, 2006a) With Constitutional Amendment no. 19/98, article 241 began to deal with public consortia, establishing their regulation in ordinary law, where the Union, the States, the Federal District and the Municipalities will regulate through the law of the public consortia and cooperative agreements among federated entities, ratifying the joint management of public services (Brazil, 2006a)

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