Gestão pública e o planejamento de longo e médio prazo no RS: o Rumos 2015, o PPA 2008/11 e a saúde pública

Abstract

Through a review of concepts related to the planning and management in the public sector, a case analysis is conducted aiming to systematically assess the compatibility between the guidelines and proposals for public health in two action plans of different government administrations of the Rio Grande do Sul, State, Brazil a long-term strategic one and another medium-term, tactical and operational. The latter one, according to constitutional definition, organizes the actions of government and the financial resources for the implementation of public policies, while the former aims to provide guidelines for the development of the State through regional development. The proposals made to the health sector by the long-term plan ―Rumos 2015‖, conceived in 2005, are compared to the programs, actions and resources later executed by the multi-annual plan 2008/2011. On the conceptual level, there is compatibility between the guidelines of the plans, however, the actual situation, known by the results of the indicators of health care, shows that the management has not achieved the implementation of the propositions and goals set by the long-term plan, which influences the results of some of the indicators of population health. The disparity between the financial resources, given to the actions by the long-term plan and the allocation and execution in the medium term plan, compared to the results of the indicators, demonstrates the insufficiency of financial resources for the realization of public policies in order to achieve a more favorable situation for public health. With respect to the objectives of the regional development plan proposed by ―Rumos 2015‖, defined by greater reliance of resources for health care in regional and boosting the local economy by jobs in the health sector, the analysis shows that there was little scope for the period 2008/2011.