A gestão semiplena e a participação popular na administração da saúde

Cadernos de Saúde Pública

Umberto Catarino Pessoto¹  Paulo Roberto Do Nascimento¹  Luiza Sterman Heimann¹ 

[1] ,Secretaria de Estado da Saúde de São Paulo Instituto de Saúde Núcleo de Investigação em Serviços e Sistemas de SaúdeSão Paulo SP ,Brasil

关键词: Consumer Participation;    Health System;    Decentralization;    Participação Comunitária;    Sistema de Saúde;    Descentralização;   

DOI  :  10.1590/S0102-311X2001000100009

来源: SciELO

【 摘 要 】

The introduction of the Unified Health System (SUS) by the Brazilian government has helped enhance community participation. A survey in 12 municipalities in different States of the country focused on the decentralization process implemented by the Federal government (Basic Operational Ruling NOB01/93). Based on the ruling's implementation, community participation has improved in the municipalities, the number of local health councils has increased, and more local people have become involved in the process. Another important aspect of the new health policy has been the direct influence of the local health councils in managing the system. Local health councils have thus been an efficient channel for community involvement. This paper discusses how the population has been represented in such councils in the wake of the decentralization process. The authors ask, what is the relationship between social democracy and political democracy, and what kind of state reform should be carried out?

【 授权许可】

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