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

dc.contributor.authorAraujo, Maria Arlete Duartees_ES
dc.date.accessioned2015
dc.date.available2015
dc.date.issued2010es_ES
dc.identifier.citationAraujo, Maria Arlete Duarte (2010) Responsabilização pelo controle de resultados no Sistema Único de Saúde no Brasil. Rev Panam Salud Publica;27(3) 230-236,mar. 2010. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892010000300011pt_BR
dc.identifier.urihttp://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892010000300011es_ES
dc.identifier.urihttps://iris.paho.org/handle/10665.2/9705
dc.relation.ispartofseriesRev Panam Salud Publica;27(3),mar. 2010es_ES
dc.subjectIndicadores de gestãoes_ES
dc.subjectGestão em Saúdept_BR
dc.subjectSistema Único de Saúdept_BR
dc.subjectAvaliação de Resultados (Cuidados de Saúde)pt_BR
dc.subjectBrasilpt_BR
dc.subjectManagement Indicatorses_ES
dc.subjectHealth Managementen_US
dc.subjectUnified Health Systemen_US
dc.subjectOutcome assessment (health care)es_ES
dc.subjectBrazilen_US
dc.subjectAssistência à Saúdept_BR
dc.subjectResponsabilidade Socialpt_BR
dc.subjectBrasilpt_BR
dc.subjectIndicadores de Qualidade em Assistência à Saúdept_BR
dc.subjectControles Formais da Sociedadees_ES
dc.titleResponsabilização pelo controle de resultados no Sistema Único de Saúde no Brasilpt_BR
dc.typeJournal articlesen_US
dc.rights.holderPan American Health Organizationen_US
dc.description.notesBy 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.(AU)en_US


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