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Gest??o estrat??gica nas organiza????es p??blicas de sa??de : um estudo de caso da consolida????o do SUS Municipal

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Previous issue date: 2003-08-25 / The study, in its initial part, aims to relate aspects of the organizational theory and the main tools for administrative management. In sequence, it shows the complexity of the Brazilian Public Health system - SUS - and relates the main factors that permeate the management of the Public Health sector, emphasizing the issues of the three level government agents, which integrate it. As a basic element of this survey, it was developed a case study of a Health Public Organization at municipal level. In this case it was analyzed, with emphasis, the management actions related to the financial and administrative resources from the Municipal Health Fund, which allowed the effectuation of strategic actions for a Municipal Public Health Model consolidation. In the structuring of the case, the applied methodology embraced large documental and bibliographic survey, which was joined by the execution of openstructured interviews with administrators and managers who acted during different periods of the public management, between 1983 and 2000, towards the referred Health program. Those interviews provided subsidies for the identification and rating of the actions, which consolidated the adopted policies and strategies, and moreover, the formation of the reference basis for the data structuring necessary to the evaluation of the accomplished results by this Municipal Health System. All those elements based the historical evolution course study of the Municipal Health System, through constant growth of the physical and human basis, either under qualitative or quantitative criteria, the importance of the non-centralized establishment and operational management of the Municipal Health Fund and, finally, the different strategies implemented, characterized by the actions that allowed the increase in the offer of the Municipal SUS s services, main objective of the System. / O estudo, em sua parte inicial, busca relacionar aspectos da teoria organizacional e as principais ferramentas de gest??o administrativa. Em seguida, demonstra a complexidade do sistema de Sa??de P??blica brasileiro - SUS - e relaciona os principais fatores que permeiam o gerenciamento do setor de Sa??de P??blica, enfatizando as quest??es da integra????o de tr??s n??veis de agentes de governo que o integram. Como elemento b??sico da pesquisa, foi desenvolvido um estudo de caso de uma Organiza????o P??blica de Sa??de em n??vel municipal. Neste caso foram analisadas com ??nfase as a????es de gerenciamento, com respeito aos recursos administrativos e financeiros, do Fundo Municipal de Sa??de, ao que permitiu a efetiva????o de a????es estrat??gicas para consolida????o de um Modelo de Sa??de P??blica Municipal. Na estrutura????o do caso, a metodologia aplicada abrangeu amplo levantamento bibliogr??fico e documental, ?? qual se acoplou a realiza????o de entrevista estruturada aberta, junto a administradores que atuaram em diferentes per??odos da gest??o p??blica, entre 1983 a 2000, na dire????o do programa de Sa??de referido. Essas entrevistas ?? que forneceram subs??dios para a identifica????o e categoriza????o das a????es que consolidaram as pol??ticas e estrat??gias adotadas, e ainda, formar o referencial para estrutura????o de dados, necess??rios para avalia????o dos resultados alcan??ados por este Sistema Municipal de Sa??de. Todos estes elementos embasaram o estudo do curso hist??rico de evolu????o do Sistema de Sa??de Municipal, mediante uma constante amplia????o da base f??sica e humana, tanto sob o crit??rio qualitativo como quantitativo, a import??ncia da institucionaliza????o e operacionaliza????o descentralizada do Fundo Municipal de Sa??de, e finalmente, as diferentes estrat??gias implementadas, caracterizadas pelas categorias de a????es que permitiram a amplia????o da oferta de servi??os do SUS Municipal, principal objetivo do Sistema.

Identiferoai:union.ndltd.org:IBICT/oai:132.0.0.61:tede/316
Date25 August 2003
CreatorsSim??es, Adriana Rotger
ContributorsPagnani, Eolo Marques, Castro, Claudio Gast??o Junqueira de, Beraldo, Valter
PublisherFECAP - Faculdade Escola de Com??rcio ??lvares Penteado, Mestrado em Administra????o de Empresas, FECAP, BR, Administra????o estrat??gica
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Formatapplication/pdf
Sourcereponame:Biblioteca Digital de Teses e Dissertações do FECAP, instname:Fundação Aramando Álvares Penteado, instacron:FAAP
Rightsinfo:eu-repo/semantics/openAccess

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