Regional Governance in Brazil's Unified Health System: a conceptual essay.
نویسندگان
چکیده
This article is a conceptual essay aimed at supporting analyses of the regionalization processes implemented in Brazil's Unified Health System, from the perspective of regional governance. The authors conducted a literature review in the social sciences, public administration, and critical geography, focusing on the concepts of governance, territorial governance, and regional governance in the debate on development. In dialogue with these contributions to the analysis of recent regulation and implementation of health sector regionalization in Brazil, with special reference to use of the Organizational Contract for Public Action (COAP) in the country's health regions, the article concludes that the research on governance as a modern approach to linking public policies highlights the timeliness of developing methodologies and critical reflection on the relevant national processes in Brazil for future health sector proposals, thereby pointing to a new stage in the improvement of the Unified Health System.
منابع مشابه
Polycentrism in Global Health Governance Scholarship; Comment on “Four Challenges That Global Health Networks Face”
Drawing on an in-depth analysis of eight global health networks, a recent essay in this journal argued that global health networks face four challenges to their effectiveness: problem definition, positioning, coalition-building, and governance. While sharing the argument of the essay concerned, in this commentary, we argue that these analytical concepts can be used to explicate a concept that h...
متن کاملGovernance and Capacity to Manage Resilience of Health Systems: Towards a New Conceptual Framework
The term resilience has dominated the discourse among health systems researchers since 2014 and the onset of the Ebola outbreak in West Africa. There is wide consensus that the global community has to help build more resilient health systems. But do we really know what resilience means, and do we all have the same vision of resilience? The present paper presents a new conceptual framework on go...
متن کاملGovernance and pharmacovigilance in Brazil: a scoping review.
BACKGROUND This scoping review investigates the relationship between governance, pharmacovigilance, and Agencia Nacional de Vigilancia Sanitaria (ANVISA) in Brazil, which has authority over Brazil's national pharmaceutical policy, drug registration and coordination of the national pharmacovigilance system. The purpose is to investigate opportunities for effective pharmacovigilance. METHODS Si...
متن کاملBrazil's Emerging Role in Global Governance: Health, Food Security and Bioenergy*
Ever-expanding global interdependences associated with an increasingly dynamic international order makes the continuous updating of our understanding of the structures and processes of global governance a mandatory task. Emerging sources of authority, such as private regulatory mechanisms, and the emerging power of traditional sources of authority, such as developing states, place the debate ad...
متن کاملA systematic review of the process of regionalization of Brazil's Unified Health System, SUS.
This review focuses only on specific studies into the SUS regionalization process, which were based on empirical results and published since 2006, when the SUS was already under the aegis of the Pact for Health framework. It was found that the regionalization process is now underway in all spheres of government, subject to a set of challenges common to the different realities of the country. Th...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Ciencia & saude coletiva
دوره 22 4 شماره
صفحات -
تاریخ انتشار 2017