The city manager in the present phase of the SUS implementation: characteristics and challenges

Authors

  • Luiz Carlos de Oliveira Cecilio Universidade Federal de São Paulo, Departamento de Medicina Preventiva, São Paulo, Brasil
  • Rosemarie Andreazza Universidade Federal de São Paulo, Departamento de Medicina Preventiva, São Paulo, Brasil
  • Ana Lúcia Medeiros de Souza Universidade Federal de São Paulo, Departamento de Medicina Preventiva, Setor de Política Planejamento e Gestão em Saúde, São Paulo, SP, Brasil
  • Marlene Rizziolli Lima Secretaria de Estado da Saúde, Centro, Campinas, SP, Brasil
  • Claudia Elisa Belinazo Mercadante Secretaria de Estado da Saúde, Centro, Campinas, SP, Brasil
  • Nicanor Rodrigues da Silva Pinto Universidade Federal de São Paulo, Departamento de Medicina Preventiva, Setor de Política Planejamento e Gestão em Saúde, São Paulo, SP, Brasil
  • Claudia Vega Secretaria de Estado da Saúde, Centro, Campinas, SP, Brasil
  • Sandra Maria Spedo Universidade Federal de São Paulo, Departamento de Medicina Preventiva, Setor de Política Planejamento e Gestão em Saúde, São Paulo, SP, Brasil
  • Francisco Antonio de Castro Lacaz Universidade Federal de São Paulo, Departamento de Medicina Preventiva, Setor de Política Planejamento e Gestão em Saúde, São Paulo, SP, Brasil
  • Wanda Nascimento dos Santos Sato Universidade Federal de São Paulo, Departamento de Medicina Preventiva, São Paulo, Brasil
  • Ligia Maria de Almeida Bestetti Secretaria de Estado da Saúde, Centro, Campinas, SP, Brasil

DOI:

https://doi.org/10.3395/reciis.v1i2.903

Keywords:

City manager, health policy, municipal health systems, municipalization, decentralization, SUS (BR), health management

Abstract

Since the creation of the Unified Health System (SUS), by law number 8080/90 and its subsequent regulation systems, all city governments have seen their responsibilities increase in terms of organization and operation of the local health systems. This article presents the result of a qualitative survey carried out with the managers of 20 different municipalities from a Regional Health Board of the State Health Secretariat in São Paulo. An attempt has been made to outline the managers' profiles, their professional careers, whether they develop heath projects for their municipalities, and if so, how, what the composition of their teams are, their strategies to guarantee access to health services which are not available in their municipalities, and how they deal with their state manager and the inter-managerial issues which are present in their region. The study reveals a great heterogeneity among the municipal managers. However, limited abilities for creating, implementing and evaluating city health policies predominate. The article points out the need for permanent training strategies for managers so that they can perform their duties.

Downloads

Published

2007-12-31

How to Cite

Cecilio, L. C. de O., Andreazza, R., de Souza, A. L. M., Lima, M. R., Mercadante, C. E. B., Pinto, N. R. da S., … Bestetti, L. M. de A. (2007). The city manager in the present phase of the SUS implementation: characteristics and challenges. Revista Eletrônica De Comunicação, Informação & Inovação Em Saúde, 1(2). https://doi.org/10.3395/reciis.v1i2.903

Issue

Vol. 1 No. 2 (2007)

Section

Original articles

License

Author’s rights:  The author retains unrestricted rights over his work.

Rights to reuse: Reciis adopts the Creative Commons License, CC BY-NC non-commercial attribution according to the Policy on Open Access to Knowledge by Oswaldo Cruz Foundation. With this license, access, download, copy, print, share, reuse, and distribution of articles is allowed, provided that it is for non-commercial use and with source citation, granting proper authorship credits and reference to Reciis. In such cases, no permission is required from the authors or editors.

Rights of authors’s deposit / self-archiving: The authors are encouraged to deposit the published version, along with the link of their article in Reciis, in institutional repositories.