Descentralização do Sistema Único de Saúde (SUS) no Estado do Ceará: a experiência na microrregião de Baturité / Descentralization of the Unic Health System in Ceará State: the experience on the Baturité District

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

The Brazilian Unified Health System presents the decentralization of management of health actions as one of the main strategies for reorganization of the sector. City Hall proves to be the main agent accountable for provision of health care support, guaranteeing the principles of universality and completeness of services at all levels of care. The Basic Operational Norms and Health Care Norms established the mechanisms which drove the process of decentralization of health actions. The state of Ceará began the process of decentralization of health actions to municipal administrations upon adhering to the Unified Health System (SUDS). This study describes this process of decentralization, with emphasis on the Baturité District, in terms of its political-administrative decentralization, organization of regionalization and ranking as identification of changes in the process of health care, based on health care services for women, children, tuberculosis control and control of high blood pressure. The benchmark for the study was the normative framework of the Health Care Operational Norms - NOAS/2001. The conditions offered to municipal administrations to perform decentralization of healthcare contributed to improvement in the Family Health structure, resulting in greater coverage in basic care from the standpoint of Family Health and better organization of care in terms of hierarchy and regionalization such as best percentage of investment of own financial resources.

ASSUNTO(S)

descentralização organization of health services regionalização/hierarquização regionalization/ranking decentralization model for care modelo de atenção organização de serviços de saúde

ACESSO AO ARTIGO

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