Metropolitan and regional health planning: dilemmas of the Pact for Health in the Baixada Santista Metropolitan Area, São Paulo State, Brazil
This paper focuses on the relationship between metropolitan and regional health planning based on the processes of regionalization and the Pact for Health in the Baixada Santista Metropolitan Area, São Paulo State, Brazil. The method used was a case study in two stages, namely during initial impleme...
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| Veröffentlicht in: | Cadernos de saúde pública 2012-05, Vol.28 (5), p.925-934 |
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| container_title | Cadernos de saúde pública |
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| creator | Ianni, Aurea Maria Zöllner Monteiro, Paulo Henrique Nico Alves, Olga Sofia Fabergé Morais, Maria de Lima Salum e Barboza, Renato |
| description | This paper focuses on the relationship between metropolitan and regional health planning based on the processes of regionalization and the Pact for Health in the Baixada Santista Metropolitan Area, São Paulo State, Brazil. The method used was a case study in two stages, namely during initial implementation of the Pact for Health (2007) and the Regional Administration Committees (CGR) and in 2010. Municipal and regional health systems managers and the director of the Metropolitan Agency were interviewed, and records were analyzed from ten years of meetings of the Regional Inter-Administration Committee and the Regional Development Council. Four issues emerged: financing and infrastructure; health services utilization; inefficiency of the Regional Health Administration's instruments and decision-making levels; and the relationship between different levels in the Administration. Metropolitan health management remained as an underlying issue, appearing only incidentally or tangentially to regional management. Despite some limitations, the CGR has been legitimized as a space for regional health management. |
| doi_str_mv | 10.1590/S0102-311X2012000500011 |
| format | Article |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; PAIS Index; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Sociological Abstracts |
| subjects | Brazil Committees Decision-making Health Care Services Health Planning Health Policy Humans Infrastructure Management Metropolitan Areas National Health Programs - organization & administration Public Policy Public Sector - organization & administration Regional Development Regional Health Planning - organization & administration Sao Paulo, Brazil Urban Population |
| title | Metropolitan and regional health planning: dilemmas of the Pact for Health in the Baixada Santista Metropolitan Area, São Paulo State, Brazil |
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