O aumento de recursos versus aperfeiçoamento da gestão na saúde pública: a saúde é problema de gestão ou de recursos?

Abstract

The Federal Constitution guarantees to all Brazilian citizens or residents in the country the right to health. This right is guaranteed by the government at the federal, state and municipal, through policies to reduce the risk of disease and to enable implementation of actions and promotion, protection and recovery of health. The issues addressed here will be of great assistance to the theme of explanation. Health is management problem or resource? The choice theme: The increase in resources versus improvement of management in Public Health is had from the need to better understand the problem of public health in Brazil, through related research it was observed that the main factor of failure here mentioned due to mismanagement more than financial resources. This work has the objective to analyze what the problem existing in the Brazilian public health. The Union, the states, the Federal District and the municipalities share the responsibility of promoting the coordination and interaction within the Unified Health System - SUS, ensuring universal and equal access to actions and health services. SUS is a health system, regionalized and hierarchical, which integrates all the health activities of the Union, States, Federal District and municipalities, where each part meets specific duties and powers, but interlinked, which characterizes levels NHS management in the three spheres of government. The methodology used here was characterized by qualitative and quantitative approach, through literature descriptive, making a correlation between the history and the current Health System, through published articles, mostly on the Internet and interviews with users, managers and professionals working in the NHS. Justified this work noting that before the research done, there are sufficient financial resources, and what we really lack is a management committed to the interests of organizations. Planning human resources means include this issue in the planning of federal, state and municipal agencies and bring to strategic issues SUS policy decision-making forums such as the funding directed to the hiring and retention of the workforce; the qualification of workers and the protection of their health programs, also giving special attention to a modernization process necessary to systems that organize these issues, to make agile and transparent actions taken; and communication with workers and other agencies of the federal, state or municipal systems that interact with these policies.