Some perspectives for the analysis of health management in Sao Paulo State

The current study aims to reflect the changes made in Secretaria do Estado da Saude de Sao Paulo (SES) (Sao Paulo's Health State Secretariat, Brazil) related to the theoretical management proposals. A brief bibliography research was done, in Lilacs and Scielo databases. Twenty two bibliography...

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Published in:Ciência & saude coletiva 2011-03, Vol.16 (3), p.1899
Main Authors: Ermel, Regina Celia, Bigio, Fernanda Ma, Evangelista, Aline Francine Raphael, Gomes, Maria Fernanda Pereira, Fracolli, Lislaine Aparecida
Format: Article
Language:Spanish
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Summary:The current study aims to reflect the changes made in Secretaria do Estado da Saude de Sao Paulo (SES) (Sao Paulo's Health State Secretariat, Brazil) related to the theoretical management proposals. A brief bibliography research was done, in Lilacs and Scielo databases. Twenty two bibliography sources from the period of 1993 to 2007 were selected. The results have shown that the main trends in the management of public administration are represented by the separation between the political and administrative functions, distinction between state exclusive activities from the ones that can be accomplished by other workers, emphasis of procedure control to product control, clear result attribution, definition of rendering account forms, governability and governing. It has been concluded that the redefinition and direction of several functions of the SES' management allowed the continuity of the decentralization processes so that health actions coverage is enlarged and it makes possible the attention inequalities decrease and promotes the equality in the health processes through an articulated management between states and cities. Key words Health manager, Decentralization, Equity O presente estudo visa refletir sobre as reformas efetuadas na Secretaria de Estado da Saude de Sao Paulo (SES) ante as propostas teoricas de gestao. Realizou-se uma breve pesquisa bibliografica, na base de dados Lilacs e Scielo. Selecionaram-se 22 fontes bibliograficas pertencentes ao periodo de 1993 a 2007. Os resultados mostraram que as principais tendencias no que concerne a administracao publica gerencial sao representadas pela separacao entre funcoes politicas e administrativas, distincao entre atividades exclusivas de estado das que podem ser realizadas por outros agentes, enfase do controle dos procedimentos para controle dos produtos, atribuicao clara de resultados, definicao de formas de prestacao de contas, governabilidade e governanca. Concluiuse que a redefinicao e o direcionamento das diversas funcoes de gestao da SES possibilitaram a continuidade dos processos de descentralizacao com o intuito de que a cobertura das acoes de saude fosse ampliada diminuindo as desigualdades de atencao e promovendo a equidade nos processos de saude atraves de uma gestao articulada entre o estado e os municipios. Palavras-chave Gestor de saude, Descentralizacao, Equidade
ISSN:1413-8123
1678-4561