The role of regional and local health system managers in the building of local health system: challenges for the decentralization of the National Health System in Brazil (SUS)

• Grant number: 05/58545-6
• Support Opportunities: Research Grants - Research in Public Policies for the National Health Care System (PP-SUS)
• Start date: January 01, 2006
• End date: June 30, 2007
• Field of knowledge: Health Sciences - Collective Health - Public Health
• Agreement: CNPq - PPSUS
• Principal Investigator: Luiz Carlos de Oliveira Cecílio
• Grantee: Luiz Carlos de Oliveira Cecílio
• Host Institution: Escola Paulista de Medicina (EPM). Universidade Federal de São Paulo (UNIFESP). Campus São Paulo. São Paulo , SP, Brazil

Abstract

A challenge in the present implementation stage of the National Health Service (SUS) in Brazil is the conquest of compatibility for the municipalization movement regarding the formation of regional health service networks to guarantee the constitution of integrated care lines. The study is aimed at identifying: a) the main difficulties faced by managers when building local health systems, according to the legal principles of the National Health Service in relation to access universalization and care integrality/equity warranty; b) the main difficulties presented by the regional rnanagement when articulating the intermunicipal care networks. Therefore, eight municipal units will be studied via their stratification according to their size and management conditions within one region in the State of São Paulo, Brazil. (AU)