Processo decisório e a gestão pública da saúde: estudo de caso em um município do noroeste gaúcho

Abstract

The issue of health in Brazil and in the world has always been the subject of debates and discussions, aiming at its improvement and given its importance to society. However, today the situation has become more worrying due to COVID-19, which causes millions of deaths. It is worth mentioning that public health did not collapse only with the pandemic, since there was always a lack of necessary investments to meet the existing demand. With all this context, public health management has the challenge of raising resources and managing them, in order to serve patients and offer quality services. Thus, this work aims to analyze the decision-making process and public health management in the municipality of Palmeira das Missões, in RS. The method used consisted of applying questionnaires and conducting interviews, in order to study the case and obtain an in-depth assessment of the reality of health management in the municipality, as well as understanding how decision-making is carried out in the body. Among the difficulties in decision-making and health management, the lack of technical training of managers and the lack of autonomy of the members responsible for management were mentioned, showing that for an excellent service to the population, managers and a trained team are needed in their respective areas of operation, thus making the decision-making process more effective and efficient in ways that meet the demands of the sector. In relation to the pandemic and the performance of health management in the midst of it, it was evidenced that the health units sought to act in order to meet the demands, but that actions were taken in haste, since there was no planning and guidance from the government federal.