The new profile of local managers in the decentralized health system in Brazil

Datos Bibliográficos

ID5335883
AutoresSonia Fleury (0000-0002-7678-7642, Fundação Oswaldo Cruz, autor de correspondencia), Assis Mafort Ouverney (0000-0002-8581-3777, Fundação Oswaldo Cruz)
Año2018
Volumen42
Número119
Páginas809-825
Fecha de publicación2018-10-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSaúde em Debate (JOURNAL)
Identificadores de la revistaISSN: 0103-1104 • E-ISSN: 2358-2898
EditorialFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0103-1104201811902
OpenAlexW2912390410
SCIELO_PIDS0103-11042018000400809
IdiomaEN
Citas recibidas1
Referencias citadas15

This article analyzes the impact of decentralization on the recruiting standards for the position of municipal health secretary, aiming to understand the extent to which local power has been democratized, as a consequence of the Unified Health System (SUS) implementation. Municipal health secretaries all over the country answered a questionnaire at two different times in the decentralization process - 1996 and 2006 - achieving representative results. The goal was to collect data about their socioeconomic, professional profile, political trajectory and public life. Results show that there are more women, brown ('pardos') and low-income people holding the position, and that the qualification of municipal health secretary improved in the period between the two surveys. However, this does not apply to the larger cities and more developed regions, where competition for this position has led to a recruiting standard that combines high levels of professionalism with restricted access for disadvantaged groups. We also found that municipal health secretary are now more politically engaged in manager's associations than in their previous insertion in civil society networks

Business · Competition (biology) · Decentralization · Disadvantaged · Economic growth · Economics · Monopoly · Political science · Politics · Position (finance) · Public health · Health, Nursing, Elderly Care · Law · Medicine · Nursing · Public Administration · Public Health in Brazil · Public Policy and Administration Research