Problemas e desafios enfrentados pelos gestores públicos no processo de gestão em saúde

Abstract

The Brazilian Public Health System had many changes along of years. Due to of all these changes that occurred in public health, more studies and knowledge involving the management process in health are needed. It is of essential importance that the managers are prepared and each time more qualified to confront the challenges and problems that presented. The objective of this article was check, through a literature review, what are the principal problems and challenges confront in the management process in health. Were analysed fourteen publications, and as major challenges confronted by managers were the lack of planning, comprehensiveness of health actions, equity, universality, funding, bureaucracy, decentralization, work in multidisciplinary team, popular participation, regulating access, the management of human resources, evaluation and auditing and management of quality of service. Given this, it is necessary that the public managers aware of the problems to be faced, being agile, flexible, know plan, structure, organize and evaluate the actions performed in this process and having access to information technical-scientific and political-institutional so that they can contribute to aggregate knowledge and formulation technology, implementation and evaluation of policies, plans, programs and projects that are capable of intervening on the health status of the population to be served.