Análise de uma comissão intergestores regional do estado de Goiás na estruturação das redes de atenção à saúde
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2018-08-28
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Universidade Federal de Goiás
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INTRODUCTION: The decentralization process has brought the Unified Health System
(UHS) closer to the needs of the population, giving managers the challenge of
organizing health service networks and services. The strategy used to consolidate
regionalization is the structuring of health care networks (HCN), by overcoming
fragmented care models. One component employed in the construction of this model
of attention is governance through inter- managers relations, mainly at the regional
level, in the case of the Regional Inter-managers Commission (RIC). OBJECTIVES: To
describe and analyze the nature of the deliberations of the RIC of the state of Goiás
and to investigate its process of governance and structuring of HCN; to relate the
composition of health services in this region; identify the profile of managers; to
describe the organization of the RIC under study and to analyze the perception of the
municipal health secretaries on RIC governance and the consolidation of HCN’s.
METHOD: Descriptive study with a qualitative approach, using content analysis of
data collected from interviews guided by a semi-structured script, with the managers
that make up the CIR, associated with the analysis of documents produced by RIC,
such as meeting minutes, resolutions and guidelines. RESULTS: The study showed
that the RIC in question has a consolidated institutional structure, adequate
organizational and technical structuring, with a collaborative and consensual
governance process with no state representation in the decisions, and in relation to
the HCN, there was a recognition of the importance of RIC as a key actor in
governance, but the mechanisms for implementing this process have not been clearly
defined. FINAL CONSIDERATIONS: This study pointed out the need to broaden the
participation of other actors in the regional governance process, such as health
regional, health councils and other, improving managers in relation to HCN’s,
institutional and normative planning, institute processes for monitoring and
evaluation of HCN’s and redefining the role and relationship of primary health care in
HCN’s and their thematic networks.
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CAMPOS, Cláudio Silva. Análise de uma comissão intergestores regional do estado de Goiás na estruturação das redes de atenção à saúde. 2018. 145 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2018.