A dinâmica de uma Comissão Intergestora Regional (CIR) em Goiás
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2016-06-10
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Universidade Federal de Goiás
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Decentralization, through regionalization, acts as a strategy to expand coverage, access of the population to services and health actions; Promotes the organization of health care at the local level, and broadens the participation of social control. From this perspective, in 2011, Federal Decree 7,508 / 2011 was published, which improved the concept of regionalization, presenting the Inter-Management Committees as negotiating bodies. Notwithstanding the advances of previous instruments, Decree 7,508 / 2011 regulated Law 8.080 / 90, and improved the inter-agency instances of the SUS, conferring legal security in interfederative relationships, greater transparency, and greater social control. At the regional level, inter-managerial commissions (CIR); At the federal level, Tripartite Interagency Committee (IAC); And at the state level by the Bipartite Interactive Commission, the CIB. Considering regionalization, as a strategy to increase access to promote the integrality of health care; As a way of expanding community participation in health management; And as a result, the responsibility of the municipal manager. In this perspective, the present research was constituted with the purpose of understanding the dynamics of the operation of the CIR Oeste II in Goiás, with the analysis of the participation of their respective municipal health secretaries in the meetings of the year 2014, pursuing initiatives that could be attributed as Form of municipal protagonism. It was also made the characterization of the professional and political profile of the respective health secretaries of CIR Oeste II of the same period; And demonstrated the flow of discussions scheduled in 2014. Qualitative method with quantitative aspects; Where documentary analysis was developed, and interview applied through a semi-structured script, composed of open and closed questions. The findings showed that CIR Oeste II, in the year 2014, presented permanent political-scientific support structures, but with discrete initiatives of municipal protagonism. Her municipal health secretaries, in the year 2014 had a varied professional profile, with a majority of women, and with party affiliation. The resolutions produced during this period were not sufficient to characterize regional governance, since they were mostly a reproduction of the CIB-GO's discussions, where "ad referendum" approvals of ordinary meetings were also identified.
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OLIVEIRA, S. A. S. A dinâmica de uma Comissão Intergestora Regional (CIR) em Goiás. 2016. 100 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2016.