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Aten??o básica na agenda da saúde

机译:对卫生议程的基本关注

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The article discusses the policies of reorganization of the primary health care taking the recent process of decentralization of SUS in Brazil. The central government's paper as inducement is emphasized. This can be verified by several measures and specific programs (PAB and PACS/PSF, mainly) that transfer for the municipal level the responsibility with the primary care. So it is in the municipal level that happens the process of implementation of that policies generating effects of difficult evaluation given the diversity of local contexts. The central argument emphasizes the importance of the evaluation process and intermediary results turned to the institutional performance that can be translated in accountability and public commitment, administration capacity and larger control and social participation - rather than final effects or more direct impacts on the offer of services. The conclusion is that in spite of all the difficulties and obstacles the process has strengthening the capacity of municipal administration regarding the organization of the primary health care.
机译:本文以巴西SUS的近期分权进程为基础,讨论了重组基本医疗保健的政策。强调以中央政府的文件为诱因。可以通过几种措施和特定计划(主要是PAB和PACS / PSF)来验证这一点,这些计划和计划可以将市政服务的责任转移到基层。因此,鉴于地方环境的多样性,正是在市政一级,政策的实施过程产生了难以评估的影响。中心论点强调评估过程的重要性,中介结果转向机构绩效,可以转化为问责制和公共承诺,行政管理能力以及更大的控制和社会参与度,而不是最终效果或对服务提供的更直接影响。结论是,尽管有种种困难和障碍,但这一进程仍在加强市政当局在组织初级卫生保健方面的能力。

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