Análise do processo de implementação do plano estadual de saúde 2012-2015: o caso Goiás
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Data
2015-12-16
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Universidade Federal de Goiás
Resumo
For the Brazilian Health System (SUS) to be effective and able to meet all doctrinal
and organizational principles for which it was designed, it needs to be well structured.
In this sense, we realize that the efforts made by the Health Ministry in order to
strengthen and institutionalize planning, through the elaboration and implementation
of their planning instruments, considered as of great importance taking into account
that it is a relevant management mechanism which aims at giving directionality to the
consolidation process of SUS. This study aimed at analyzing the implementation
process of the State Health Plan of Goiás for the four-year period of 2012-2015, as
well as answering the following questions: how is the implementation process of the
State Health Plan 2012-2015 being developed? (b) which methodology is used to
design the plan? c) How structured is the monitoring and evaluation process of the
Annual Schedules of health? d) What advantages and difficulties were identified in
the implementation process of the Health Plan? This is a case study, exploratory
qualitative research in which the author used as a secondary data source: The
Annual Health Schedules and Annual Management Reports. Data was collected
through two sources which allowed monitoring implementation of the goals,
identifying the following aspects: the guideline, the goal, the percentage of
implementation of goals, the area and the factors which are responsible for
facilitating and inhibiting execution. The theoretical framework used was based on
concepts and approaches on Carlos Matus’s situational strategic planning, Mario
Testa’s Assumption of consistency and Habermas’s communicative action. We also
analyzed theoretical course on public policies and their constituting elements.
Another relevant point discussed was the concept of strategic management, resultoriented
management, directly related to the implementability of government policies
and programs, in an environment marked by increasing limitations to development
funding from fiscal resources. We also presented the legal framework of the
Government and the SUS. The results show that the process of institutionalization of
planning, through implementation of the State Health Plan and other planning
instruments of SUS, has not been effective yet in SES-GO. It is mentioned the
various initiatives and strategies developed by managing instances of SUS in the
search of incorporation of such instruments. We emphasize the need to improve
working practices of management of SUS in Goiás, through the expansion of room
for dialogue and negotiation, enabling the technical areas and promoting
partnerships with educational institutions.
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Citação
PAIVA, C. M. V. Análise do processo de implementação do plano estadual de saúde 2012-2015: o caso Goiás. 2015. 133 f. Dissertação (Mestrado Profissional em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2015.