The Regionalization Process in Brazil: influence on Policy, Structure and Organization dimensions

Ana Luiza d'Ávila Viana, Maria Paula Ferreira, Maria Alice Cutrim, Edgar Rodrigues Fusaro, Miriam Regina de Souza, Laís Mourão, Ana Paula Chancharulo de Moraes Pereira, Paulo Henrique dos Santos Mota, Fabíola Lana Iozzi, Liza Yurie Teruya Uchimura
2017 Revista Brasileira de Saúde Materno Infantil  
Objectives: to analyze the influence and performance on Policy, Structure and Organization dimensions in the regionalization process in five health regions in Brazil. Methods: a quantitative, cross-sectional study using primary data from 217 fulfilled interviews with managers, service providers and representatives of society in five health regions in Brazil. Calculation on the Influence Index that measures the contribution level of three dimensions in regionalization. Results: after analyzing
more » ... : after analyzing the three dimensions that influence the regionalization process separately, it is necessary to point out that there is a better performance on the Policy dimension in front of all the others; on the other hand, Structure dimension shows itself to be feeble, configuring a real obstacle to progress the regionalization process; Organization occupies an intermediate place in all the regions of the study. The insufficient availability of physical, human and financial resources impedes to advance the regionalization and the achievement of its major objectives, which are the integration of services and coordination care. Conclusions: regionalization follows an uncertain path and without clear direction of its objectives, goals and deployed instruments. The Regional planning, in the case of health, is still a theoretical exercise.
doi:10.1590/1806-9304201700s100003 fatcat:e3aaqu6nzrhhfdzocfs6l4wjby