Processo de implementação da gestão plena do sistema municipal de saúde em Panambi/RS

Abstract

The NOB 01/96 of the Unified Health System (SUS) was the result of an intense debate and negotiations that lasted about 2 years, with the participation of the three spheres of government. It was through NOB 96 that the management conditions for the municipalities were determined, that is, Management of Primary Care and Full Management of the Municipal System. The objective of this study was to analyze how the process of implementing Full Management of the Municipal Health System in Panambi/RS occurred. This study is a case study because it is characterized as a health system and allows for deeper knowledge through documentary analysis, with a qualitative approach. It is evident through the study that the implementation of Full Management brought many achievements for management and users, since the wide range of services offered, especially with regard to medium and high complexity, is a significant differential. It is confirmed that Full Management is very well structured in Panambi, as it is a bold, comprehensive and very resolute model, since it requires the local manager to implement services and attributions of other federated entities, however, providing theSUS user with access to primary and secondary level health services, participation in intermunicipal agreements, better management performance through control, evaluation and auditing, as well as autonomy to hire both public and private service providers and providing access to medical specialties and highly complex exams in a shorter space of time.