Responsabilização pelo controle de resultados no Sistema Único de Saúde no Brasil

Bibliographic Data

ID14965856
AuthorsMaria Arlete Duarte De Araujo (0000-0002-4137-4266, Gojo (France), corresponding author), Maria Arlete Duarte Araújo
Year2010
Volume27
Issue3
Pages230-236
Publication date2010-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueRevista Panamericana de Salud Pública (JOURNAL)
Journal identifiersISSN: 1020-4989 • E-ISSN: 1680-5348
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/s1020-49892010000300011
PMID20414513
OpenAlexW1966680664
SCIELO_PIDS1020-49892010000300011
LanguagePT
Citations received8

By examining normative instruments, the present article evaluates if the discourse of results-oriented management and accountability has become a reality within the Brazilian health care system following the reform started in the 1990s with the establishment of the Unified Health System (SUS). The analysis shows that there is, in fact, an effort aimed at the construction of results-oriented management, with the incorporation of many management tools (plans, reports, agendas, indicators, joint goals-setting). Also, the health care system has strived to adopt performance indicators and views evaluation as an essential management tool. However, difficulties are also evident, such as the absence of citizens in the construction of the system, due to an institutional design that only provides space for official bodies (Health Councils); accountability mechanisms that are limited to bureaucratic aspects typical of public administration, following the traditional accountability path of audit and controllership; no engagement of health care system users in the decision-making about health care policies and operating arrangements; and no evaluation of the efficacy and effectiveness of contracts, placing the current management systems far from results-oriented management. It is possible to state that the conditions for accountability are slowly being created; however, it is still not possible to foresee the consolidation of results-oriented management and accountability within the SUS

Accountability · Audit · Bureaucracy · Business · Health care · Management system · Normative · Operations management · Political science · Politics · Process management · Public relations · Business and Management Studies · Engineering · Health, Nursing, Elderly Care · Public Administration · Public Health in Brazil · Accounting

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Open DOIOpen Access