| Autor: |
Biscarde DGDS; Escola de Enfermagem, Universidade Federal da Bahia. R. Basílio da Gama 241, Canela. 40231-300 Salvador BA Brasil. dbiscarde@ufba.br., Santos JVPD; Escola de Enfermagem, Universidade Federal da Bahia. R. Basílio da Gama 241, Canela. 40231-300 Salvador BA Brasil. dbiscarde@ufba.br., Santos VO; Escola de Enfermagem, Universidade Federal da Bahia. R. Basílio da Gama 241, Canela. 40231-300 Salvador BA Brasil. dbiscarde@ufba.br., Prado NMBL; Instituto Multidisciplinar de Saúde, Universidade Federal da Bahia. Salvador BA Brasil., Almeida PF; Universidade Federal Fluminense. Niterói RJ Brasil., Pereira APCM; Universidade do Estado da Bahia. Salvador BA Brasil., Santos AMD; Instituto Multidisciplinar de Saúde, Universidade Federal da Bahia. Salvador BA Brasil. |
| Jazyk: |
Portuguese; English |
| Zdroj: |
Ciencia & saude coletiva [Cien Saude Colet] 2024 Sep; Vol. 29 (9), pp. e07052023. Date of Electronic Publication: 2023 Sep 11. |
| DOI: |
10.1590/1413-81232024299.07052023 |
| Abstrakt: |
Public Health Consortiums (PHC) in Brazil represent a strategy to enhance regionalization in the Public Health Care System (SUS in Portuguese) and State/interstate/intermunicipal cooperation. The establishment of regional polyclinics aims to improve access to services with greater technological concentration and closer to users' homes. This study specifically aims to analyze the process of creating PHC and regional polyclinics in Bahia State, based on documental analysis, identifying aspects related to entering the political agenda that facilitate and hinder, the role of state administration, specificities of the composition of these PHC and regional polyclinics. A documental analysis was carried out of the minutes of the Comissão Intergestores Bipartite (CIB-BA) [Bipartite Administrative Commission] from 2015 to 2018 and of constitutive documents of the consortiums established in this state. The Ceará State experience inspired the creation of consortiums in Bahia, especially the structuring of polyclinics. Municipal administrators demonstrated a favorable position regarding the potential of consortiums with cooperation among municipalities. The role of the state government proved to be a facilitating condition, whereas the maintenance of the municipal counterpart in finance constituted a hindering element. The consortiums contributed to the regionalization of health in the state as well as expansion of access to specialized care. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
