Responsabilização pelo controle de resultados no Sistema Único de Saúde no Brasil Results-oriented management and accountability in the Brazilian Unified Health System
By 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 a...
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ftdoajarticles:oai:doaj.org/article:359573f9083e45a7bff288c8ec34afd6 2023-05-15T15:12:37+02:00 Responsabilização pelo controle de resultados no Sistema Único de Saúde no Brasil Results-oriented management and accountability in the Brazilian Unified Health System Maria Arlete Duarte Araujo 2010-03-01T00:00:00Z https://doaj.org/article/359573f9083e45a7bff288c8ec34afd6 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892010000300011 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/359573f9083e45a7bff288c8ec34afd6 Revista Panamericana de Salud Pública, Vol 27, Iss 3, Pp 230-236 (2010) Indicadores de gestão gestão em saúde Sistema Único de Saúde avaliação de resultados (cuidados de saúde) Brasil Management indicators health management Unified Health System outcome assessment (health care) Brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2010 ftdoajarticles 2022-12-30T21:59:46Z By 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. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
institution |
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collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Indicadores de gestão gestão em saúde Sistema Único de Saúde avaliação de resultados (cuidados de saúde) Brasil Management indicators health management Unified Health System outcome assessment (health care) Brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Indicadores de gestão gestão em saúde Sistema Único de Saúde avaliação de resultados (cuidados de saúde) Brasil Management indicators health management Unified Health System outcome assessment (health care) Brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Maria Arlete Duarte Araujo Responsabilização pelo controle de resultados no Sistema Único de Saúde no Brasil Results-oriented management and accountability in the Brazilian Unified Health System |
topic_facet |
Indicadores de gestão gestão em saúde Sistema Único de Saúde avaliação de resultados (cuidados de saúde) Brasil Management indicators health management Unified Health System outcome assessment (health care) Brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
By 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. |
format |
Article in Journal/Newspaper |
author |
Maria Arlete Duarte Araujo |
author_facet |
Maria Arlete Duarte Araujo |
author_sort |
Maria Arlete Duarte Araujo |
title |
Responsabilização pelo controle de resultados no Sistema Único de Saúde no Brasil Results-oriented management and accountability in the Brazilian Unified Health System |
title_short |
Responsabilização pelo controle de resultados no Sistema Único de Saúde no Brasil Results-oriented management and accountability in the Brazilian Unified Health System |
title_full |
Responsabilização pelo controle de resultados no Sistema Único de Saúde no Brasil Results-oriented management and accountability in the Brazilian Unified Health System |
title_fullStr |
Responsabilização pelo controle de resultados no Sistema Único de Saúde no Brasil Results-oriented management and accountability in the Brazilian Unified Health System |
title_full_unstemmed |
Responsabilização pelo controle de resultados no Sistema Único de Saúde no Brasil Results-oriented management and accountability in the Brazilian Unified Health System |
title_sort |
responsabilização pelo controle de resultados no sistema único de saúde no brasil results-oriented management and accountability in the brazilian unified health system |
publisher |
Pan American Health Organization |
publishDate |
2010 |
url |
https://doaj.org/article/359573f9083e45a7bff288c8ec34afd6 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 27, Iss 3, Pp 230-236 (2010) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892010000300011 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/359573f9083e45a7bff288c8ec34afd6 |
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1766343275750359040 |