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Regionalização no SUS: processo de implementação, desafios e perspectivas na visão crítica de gestores do sistema

2017; ASSOCIAÇÃO BRASILEIRA DE SAÚDE COLETIVA; Volume: 22; Issue: 4 Linguagem: Inglês

10.1590/1413-81232017224.30252016

ISSN

1678-4561

Autores

André Luís Bonifácio de Carvalho, Washington Luiz Abreu de Jesus, Isabel Maria Vilas Boas Senra,

Tópico(s)

Male Reproductive Health Studies

Resumo

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.

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