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Gest?o p?blica em sa?de mental: um estudo em CAPS com ger?ncia p?blica e privada do Rio Grande Do Norte

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Previous issue date: 2013-05-02 / Currently, several models of management services from the public administration are in operation in Brazil following a global trend. Besides the traditional public management operated in SUS, there are ongoing experiments of privately management in the public health services. Accordingly, we have developed an investigation into two Psychosocial Care Centers operating between these two forms of financial resources management: the first is the CAPS II - PAR situated in the municipality of Parnamirim whose form is private and the second is the CAPS II West Christmas is that the municipal government. We seek to know the workings of services, planning forms and criteria for use of financial resources, identify differences between departments on ways to run and see how technicians and users participate in the planning and management of these resources. Documentary Research was conducted by the municipal Christmas and the financial administration of the CAPS service in Parnamirim. Were conducted an interview with manager (mental health coordinator of Natal) and another interview with an employee of planning department in the Health Department of Natal, an interview with the coordinator and financial administrator of CAPS - PAR and two groups of discussion taped conversation with semi structured script interviews with six technicians in CAPS PAR and six professionals crowded in CAPS - West.Differences were observed in the management of resources funded from four blocks of discussion and analysis of results, where the privately-run service for the direct management and bureaucracy without being discussed and planned spending on staff, as well as through meetings with users, the use of the financial resources available in box; already in service with municipal public administration there is a hierarchy, this answering the coordination of mental health and the local health department that centralizes resources and defines their spending. There are meetings with patients and families, but the demands are limited as to what can be sued because of the manager s authorization. Such differentiation would be related to differences in the articulation of public management with the different types of possible management in public services, where from the implementation of new public administration in the Brazilian s State Management Reform initiated in the second half of the 1990s, benefit management services with private regime, with autonomy and direct transfer of resources / Atualmente, diversos modelos de ger?ncia dos servi?os a partir da gest?o p?blica est?o em opera??o no Brasil seguindo uma tend?ncia mundial. Al?m da tradicional ger?ncia p?blica operada na rede SUS, h? experi?ncias em curso de ger?ncia privada de servi?os p?blicos de sa?de. Nesse sentido, desenvolvemos uma investiga??o em dois Centros de Aten??o Psicossocial que operam entre essas duas formas de ger?ncia os seus recursos financeiros: o primeiro deles ? o CAPS II PAR situado no munic?pio de Parnamirim cuja forma ? a privada e o segundo ? o CAPS II - Oeste de Natal que ? da administra??o p?blica municipal. Buscamos conhecer o modo de funcionamento dos servi?os, as formas de planejamento e crit?rios para utiliza??o dos recursos financeiros, identificar diferen?as entre os servi?os quanto ?s formas de ger?ncia e verificar como t?cnicos e usu?rios participam no processo de planejamento e manejo desses recursos. Foi realizada Pesquisa Documental junto ? gest?o municipal de Natal e ? administra??o financeira do servi?o CAPS em Parnamirim. Foram realizadas uma entrevista com gestor (coordenadora de sa?de mental do munic?pio de Natal) e outra entrevista com funcion?ria de planejamento da secretaria municipal de sa?de de Natal, uma entrevista com coordenadora e administradora financeira do CAPS - PAR e duas rodas de conversa gravadas com roteiro de entrevista semiestruturado com seis t?cnicos no CAPS PAR e seis profissionais lotados no CAPS Oeste. Foram constatadas diferen?as na ger?ncia dos recursos financiados a partir de quatro blocos de discuss?o e an?lise dos resultados, em que no servi?o com ger?ncia privada h? o manejo direto e sem burocracia, sendo discutidos e planejados os gastos em equipe, bem como atrav?s de assembleias com usu?rios, a utiliza??o do recurso financeiro dispon?vel em caixa; j? no servi?o com gest?o p?blica municipal h? uma hierarquiza??o, este respondendo ? coordena??o de sa?de mental, sendo a secretaria municipal de sa?de que centraliza os recursos e define os seus gastos. H? assembleias com usu?rios e familiares, mas as demandas s?o limitadas quanto ao que pode ser demandado devido ? autoriza??o do gestor. Tal diferencia??o estaria relacionada com as diferen?as na articula??o da gest?o p?blica com os diferentes tipos de ger?ncia poss?veis nos servi?os p?blicos, onde a partir da implanta??o da nova administra??o p?blica na reforma gerencial do Estado brasileiro iniciada na segunda metade da d?cada de 1990, s?o beneficiados os servi?os com ger?ncia em regime privado, com autonomia e repasse direto dos recursos

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/17541
Date02 May 2013
CreatorsCosta, Marcelo Menezes da
ContributorsCPF:24383481353, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4763508E6, Amorim, Ana Karenina de Melo Arraes, CPF:02126900436, http://lattes.cnpq.br/9847082748841264, Macedo, Jo?o Paulo Sales, CPF:63273764368, http://lattes.cnpq.br/6624843385034057, Dimenstein, Magda Diniz Bezerra
PublisherUniversidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Psicologia, UFRN, BR, Psicologia, Sociedade e Qualidade de Vida
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguagePortuguese
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Formatapplication/pdf
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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