Regionalization in the SUS: implementation process, challenges and perspectives in the critical view of system managers

This article examines the regionalization process in the Brazilian Health System, identifying frameworks and challenges of this process from critical dialogue on the subject, contextualized by the experience of the management system and in the light of an established theoretical debate in the last d...

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Bibliographic Details
Published in:Ciência & saude coletiva 2017-04, Vol.22 (4)
Main Authors: Andre Luis Bonifacio deCarvalho, Washington Luiz Abreu deJesus, Isabel Maria Vilas Boas Senra
Format: Article
Language:Portuguese
Subjects:
Content analysis
Health care
Regionalism
Systems management
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Summary:This article examines the regionalization process in the Brazilian Health System, identifying frameworks and challenges of this process from critical dialogue on the subject, contextualized by the experience of the management system and in the light of an established theoretical debate in the last decade. We used the thematic content analysis of legal and documentary surveys of the regionalization process in SUS, collated by elements of the historical and political context in the period. As evidence, it appears that the regionalization process has been incremental decentralization/deconcentration of management and health actions and services. There are important challenges, particularly in relation to ensuring access and system governance structure, which contributes to critical thinking and construction of new perspectives by those who lead their implementation.
ISSN:1413-8123
1678-4561
DOI:10.1590/1413-81232017224.30252016