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Partnerships in Health Systems: Social Organization as limits and possibilities in the Family Health Strategy Management

Silva, Vanessa Costa E ; Barbosa, Pedro Ribeiro ; Hortale, Virgínia Alonso

Ciência & saude coletiva, 2016-05, Vol.21 (5), p.1365-1376 [Periódico revisado por pares]

Brazil: Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO

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Título:
Partnerships in Health Systems: Social Organization as limits and possibilities in the Family Health Strategy Management
Autor: Silva, Vanessa Costa E ; Barbosa, Pedro Ribeiro ; Hortale, Virgínia Alonso
Assuntos: Administracion de la salud publica ; Analisis ; Aspectos sociales ; Brazil ; Cities ; Contratos ; Cooperative Behavior ; Delivery of Health Care - organization & administration ; Family Health ; Health care delivery ; Health Services Accessibility ; Humans ; Informes ; Investigacion en ciencia social ; Models, Organizational ; Patient Care Team - organization & administration ; Planificacion ; Politica medica ; Primary care ; Primary Health Care - organization & administration ; Public private partnerships ; Salud familiar
É parte de: Ciência & saude coletiva, 2016-05, Vol.21 (5), p.1365-1376
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: This is a case study in the municipality of Rio de Janeiro about management in the Family Health Strategy based on the Social Organizations model. The aims were to characterize and analyze aspects of the governance system adopted by the Rio de Janeiro Municipal Health Department and identify limits and possibilities of this model as a management option in Brazil's Unified Health System. A qualitative study was performed based on a literature review, document analysisand interviews with key informants. This management model facilitated the expansion of access to primary healthcare through the Family Health Strategy in Rio - where the population covered increased from 7.2% of the population in 2008 to 45.5% in 2015. The results showthat some practices in the contractual logic need to be improved, including negotiation and accountability with autonomywith the service suppliers. Evaluation and control has focus on processes, not results, and there has not been an increase in transparency and social control. The system of performance incentives has been reported as inducing improvements in the work process of the health teams. It is concluded that the regulatory capacity of the municipal management would need to be improved. On the other hand, there is an important and significant process of learning in progress.
Editor: Brazil: Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO
Idioma: Inglês;Português

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Partnerships in Health Systems: Social Organization as limits and possibilities in the Family Health Strategy Management

Silva, Vanessa Costa E ; Barbosa, Pedro Ribeiro ; Hortale, Virgínia Alonso

Brazil: Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO

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