Social participation within the Unique Health System: the experience of the Municipal Health Department, city of Ribeirão Preto- SP- Brazil. / Participação social no sistema único de saúde: a experiência do conselho municipal de saúde de Ribeirão Preto - SP.

AUTOR(ES)

Maria de Lourdes Gonçalves

DATA DE PUBLICAÇÃO

1999

RESUMO

This study analysed the experience of building social participation in the Unique Health System (Sistema Único de Saúde), having as its study object the Municipal Health Council of Ribeirão Preto, during the period of 1991 - 1998. The theoretical reference was built from the county’s redemocratization and the Sanitary Reform, broaching the study object in the dimensions: the Right to Health, Participation, Social Control and Citizenship. The methodology was Case Study, in the qualitative aspect of health research. We sought, from document analysis and interviews with Counsellors and former Municipal Healt Secretaries, through the technique of Thematic Analysis, to identify relations established among the social subjects which compose the Council, projects of interest and the conception on the Right to Health; we sought to point out limits and potencialities of the space of participation for the construction of citizenship. Main limits: the themes are sent to the Council for aprovement only, not allowing previous discussions; the bond between the Municipal Health Fund and the Secretary of Treasure, obstructs Manager and Council of having autonomy in the decision on the use of resources; some segments don’t take their pleas to the Council, using other channels; the corporativism of some segments don’t allow publicizing projects of interest. As potentiality, we observed that those interviewed have in the Council, the legitimate political forum to discuss and deliberate on the political directions for health in the Municipality, legitimating it as a public space for the construction of Rights and Citizenship. This allowed its functioning, during 8 years, without interruption.

ASSUNTO(S)

política de saúde participação nas decisões counsellors decision participation health policy política social social policy conselheiros

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