Análise das contribuições de uma regional de saúde do estado de Goiás na governança interfederativa da região

Abstract

Introduction: The Health Department of Goiás has 18 Health Regions acting as administrative support to articulate, refine and plan the health services offer, identifying priorities for intervention in order to allow greater access of citizens to services. The Pireneus Health Region, located within the central-north macroregion, is responsible for supporting a region that includes 10 municipalities, with a population of 500,652 people. Understanding the potential of Regional Health as a participant in guidelines for collective health actions in the region may favor the cooperation of each of the parts that make up the health region. Objective: To analyze the performance of the Regional of Pireneus Health of the State of Goiás before the process of regionalization of SUS. Methodology: Mixed, descriptive and qualitative study, using questionnaire applied to the servers of the Regional Health of the Pyrenees; documentary research and focal group interview with representatives of the workers of the Unified Health System and collegiate bodies of interfederative articulation (CIB, CIR and COSEMS). The analysis and comprehension of the data collected was based on the categorization of information, through spreadsheets and figures formulated in Microsoft Office (Excel) and by the use of MAXQDA 2018 software. Results: It was possible to correlate the demographic profile and the workforce of the Pireneus Health Region, to relate the actions performed and the level of satisfaction of the employees, and to discuss the political-administrative relations of the Pireneus Health Region. Regarding the Regional Health contributions to the region it was observed, it was observed that the team has sufficient technical capacity to support the municipalities and region and perform the administrative and support function for the region. As for the weaknesses pointed out, there is little integration among the regional sectors, difficulty in monitoring the actions and services carried out by the region, and absence of the situational diagnosis of the region with the implementation of the actions according to the demand due to insufficient human resources. Considerations: This research contributed to identify strengths and fragilities of the Pyrenean Health Region in order to subsidize the delimitation of its responsibilities and attributions. It is considered important to expand the technical capacity of professionals working in the region studied, institutionalize planning processes in all sectors using the monitoring and evaluation of actions performed, strengthening and encouraging the greater commitment of the institution's employees. This action can contribute to the technical needs of the municipalities, boosting the organization of health services in a regional manner defined by the municipalities and state, in the implementation, consolidation and management of health care networks according to the needs of the region.