Loading...
Please wait, while we are loading the content...
Similar Documents
[Constructing the "management pact" for Brazil's National Health System (SUS): from supervised decentralization to network management].
| Content Provider | Semantic Scholar |
|---|---|
| Author | Trevisan, Leonardo Nelmi Junqueira, Luciano Antonio Prates |
| Copyright Year | 2007 |
| Abstract | Over time, the implementation of Brazil's National Health System (SUS) has encountered management problems. Initially, steadily rising pressures calling for State reform and trimmer costs affect the universal healthcare that is the purpose of this system. Conflicts then flare up between the decentralization principle and the network concept, viewed here as not merely links among different spheres of management, but rather the model through which access to a right is exercised through a network. Operating decisions on healthcare have been decentralized, while the budget transfers underwriting these decisions remain unchanged. From the civil service standpoint, the decentralization of healthcare management was halted by the issue of the Operational Healthcare Directive in January 2001. From the management standpoint, the introduction of the network concept - which is the most effective weapon against verticalizing decision structures - must deal with operating and financial bottlenecks that prevent players in different organizations from speaking the same 'language', which is the most effective way of building up inter-organizational links. Effective interaction among these languages will be attained only through constructing management pacts. |
| Starting Page | 893 |
| Ending Page | 902 |
| Page Count | 10 |
| File Format | PDF HTM / HTML |
| PubMed reference number | 17680148 |
| Journal | Medline |
| Volume Number | 12 |
| Issue Number | 4 |
| Alternate Webpage(s) | http://www.scielosp.org/pdf/csc/v12n4/08.pdf |
| Alternate Webpage(s) | http://www.redalyc.org/pdf/630/63012408.pdf |
| Journal | Ciencia & saude coletiva |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
