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DECRETO EM EPUB DOWNLOAD UNA-SUS has succeeded in expanding em 3 níveis: União – 26 Estados e 01 Distrito Federal – Municípios (70% com. 7, In addition to the COAP monitoring indicators, this decree guides the needs to be the object of the pact between the federal Decreto nº. Healthcare financing, decentralization and regional health planning: federal transfers and the healthcare networks in Minas Gerais, Brazil The Decrees /10 and /11 established norms to guide health politics, with .. Decreto nº.

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Group 1 features low socioeconomic development and low supply of services, and Group 5, high socioeconomic development and high service supply 6.

These data highlight an interesting aspect of devreto state regionalization process. Financing, since there is no guarantee that decentralization of responsibilities, by itself, will promote, in an efficient and responsible manner, universal access to equitable levels of health care, requiring a consolidated institutional arrangement that, while respecting the different collection capacities of entities, can facilitate the triple federal, state and municipality commitment of financing the system.

This paper discusses the triad financing, decentralization and regionalization, based on the guidelines for the RAS implementation process, with reference to the case study of Minas Gerais. To make interface of the Brazilian dexreto with the international findings, Cashin et al.


April 30, ; Revised: Authors highlight that these initiatives, dating back to experiments adopted in private enterprise in the United States at the beginning of the s, are being developed in a wide variety of countries, mentioning not just Brazil, but also the United Kingdom, Germany, China, India and even low-income countries like Rwanda.

Inthis percentage has remained stable 1. Of the total funds transferred to the network, only 0. The decdeto step of the analysis comprised the characterization of the Expanded Regions. In the analyzed dimensions, we highlight as results in discussion: In the analysis and sharing of the experiment of the research, we highlight the work of the supervising group2 2 Group of researchers that integrated the research of the PPSUS, decreto em united in the period of its realization, between decrero June We are forced to think.

Orthopedic Workshops – – 8, Decreto deccreto revealed what is put outside of the official knowledge about the regionalization.

To verify the effects on the consolidation of care networks in Minas Gerais, we performed an analytical-descriptive study of the National Health Fund from to Less decrreto half of the high complexity hospital care demand of residents was met in the Expanded Region itself in Healthcare federao, decentralization and regional health planning: Physis, Rio de Janeiro, v.


The federal government definitions suggest reduction of the autonomy and limitation of regional solutions. Suspensions interrogate our positions of knowledge and power. The Central Expanded Region concentrates most features, regardless of component. A ordem do discurso: When they circulate, the statements produce a certain set of operation of things – and also of tensions, as they provoke decreto em who are opposed to them.

Prolonged Care Beds 6, The trend of the volume of funds transferred for the implementation of the RUE in the state is noted.

Hence, increased transfers criteria and tools that seek to align pay incentives with goals of healthcare systems have been observed. Own elaboration based on data provided by the FNS. August 04, ; Accepted: It is noteworthy that, in 75508, only 59 municipalities managed the service providers, reaching 84 in December Regarding the volume of funds, Two aspects draw our attention from the management viewpoint. By cross-referencing indicators that make up the socioeconomic situation and fedeeal services supply, the national typology classifies Health Regions into five categories.

Regarding this aspect, we can observe that The latter level, concentrate in a hub the services that offer high-complexity and special medium-complexity care for the group of municipalities, therefore this is the setting in which comprehensive care is achieved and, thus, the focus of this work.

In light of the financing-decentralization-regionalization triad, we conclude that municipal managers are gradually assuming a set of new responsibilities, whether in the contractualization of services, in the agreement of indicators, in the execution fexeral resources or in decrwto mediation of conflicts of the various stakeholders involved in the RAS consolidation process.

The first one defines the guidelines for the structuring of the Health Care Network RASwhich aims to promote the decrsto integration of health actions and services, ensuring the provision of continuous, comprehensive, responsible, humanized and quality care 3. The Federal Constitution establishes that public health actions and services must integrate a regionalized and hierarchical network, constituting a unified and decentralized system financed by the three federated spheres.

With regard to public-private relationship, findings by Viana et al 7 reinforce the importance of analysis based on the proposed triad, considering that decentralization promoted by the Brazilian health policy, without regional integration and weak public supply of services of higher complexity, with the presence of large healthcare gaps enabled a growing private supply, financed both by the State in the form of a tax waiver, and by all through payments of plans and insurance.


Mental health bed service in General Reference Hospital – – 35, Table 2 categorizes the resources by component and the Expanded Health Region, by decentralized amounts for the municipalities covered, by yearsand Figure 1 The normative discursive formation of health regionalization Each normative edition Figure 1 elaborated concepts that, among other things, focused on: Services on Demand Journal.


A framework of a new social order in Brazil, the Unified Health System SUS represents the overcoming of a contributory and centralized healthcare model with another of a redistributive, universalist and egalitarian character.

They also clarify that the amount transferred has proved to be insufficient for the implementation of the RAS in all the States, which, in addition to compromising the national policy, has overwhelmed states and municipalities, mainly fromwith the backdrop of budget constraints, whether by lack of adjustment of costing amounts or lack of transfers to services already provided for in action plans.

Thus, one of the major challenges is the building of a national health system capable of simultaneously addressing the heterogeneity of regional needs and reducing existing inequalities 1. How to cite this article. These findings confirm efforts to overcome the fwderal model established fexeral the s and in force to this day, knowingly inducing a fragmented and inefficient production of care. From tohealth policies tended to promote regionalization under the normative regulation of the Ministry of Health Figure 1.

Fedegal planning tool organizes Minas Gerais territory in three feseral EIG Andrade worked on the conception and design of the study, data analysis and interpretation, critical review and approval of the version to be published. Own elaboration based on data provided by FNS.

decreto federal 7508 pdf

In this context, it is clear that the expected results for each Expanded Health Region is only achieved through strengthening and maturation of these interfederative relationships, in order to have convergent efforts to reduce inequalities and effective guarantee of constitutional rights. Both highlight the need to consolidate the health region as a privileged section for the induction and integration of policies, the expansion of cooperative intergovernmental financing and the structuring of thematic networks aiming at ensuring comprehensive access to the system.

Inthis incentive policy for the structuring of SAMU had already covered nine regions. Regulamenta drcreto Lei n o 8. October 5, – The full realization of these constitutional social rights requires the configuration of a complex institutional structure capable of concretizing citizenship.