Prestação de serviços de laboratório de análises clínicas por meio de consórcios intermunicipais de saúde: desafios e potencialidades

Abstract

The article analyzes the insertion of the Intermunicipal Health Consortiums (CIS) as a mechanism of regional governance, used as a management tool, helping in the national conduction of health policy in the process of decentralization and internalization. The difficulties inherent in the decentralization of actions and health services in the Brazilian federal pact go beyond the scarcity of services in certain regions, permeate the heterogeneous process of creating health networks, political fragmentation within them, conflict of interest, insufficiency of resources due to low public funding and the need for administrative modernization. In order to meet the demand in health, the legislation foresees the contracting of outsourced services. In this context, the present study aims to reflect on the challenges and potentialities of the provision of services of Clinical Analysis Laboratories (LAC) to the SUS through CIS. The formation of CIS has been an effective administrative alternative, however its financing structure is influenced by external factors, suggesting a greater control to order its continuity. As for the relationship between LACs and CIS, there is evidence of mutual gain and clear bibliographical shortage on the subject, which suggests the need for studies that really impact on the feasibility and real benefits of these relationships.