Os Consórcios Intermunicipais de Saúde e o Sistema Único de Saúde

Cadernos de Saúde Pública

Ana Paula Gil De Lima¹ 

[1] ,Fundação Oswaldo Cruz Escola Nacional de Saúde Pública Departamento de Ciências SociaisRio de Janeiro RJ ,Brasil

关键词: Local Health Systems;    Health Policy;    Public Sector;    Sistemas Locais de Saúde;    Política de Saúde;    Setor Público;   

DOI  :  10.1590/S0102-311X2000000400017

来源: SciELO

【 摘 要 】

Municipalities (or counties) in the interior of Brazil have encountered difficulties in implementing the public health system as regulated by the 1988 National Constitution. The lack of human and financial resources, accessible technology, and adequate physical infrastructure, plus the remote location of public health facilities, constitute the most common obstacles that have led municipal managers to seek administrative alternatives. Intermunicipal Health Consortiums have been formed within that framework and present an innovative approach to the administration of the Brazilian public health system. This study describes the current status of the Health Consortiums and their distribution and organization in different regions of the country. This administrative strategy has been used mainly in small municipalities, especially in States from the Southeast and South. The strategy involves different interests and forms of implementation.

【 授权许可】

CC BY   
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