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首页> 外文期刊>Ciencia e Saude Coletiva >A governan?§a e a rela?§?￡o p?oblico-privado no cotidiano das pr??ticas em munic?-pios de pequeno porte
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A governan?§a e a rela?§?￡o p?oblico-privado no cotidiano das pr??ticas em munic?-pios de pequeno porte

机译：治理是令人责任的倾斜 - 私人在私营

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Within the institutional healthcare system, the public and private sectors come into relationship mainly in the context of the execution of medium-complexity health services, especially in small municipalities (SMs). The aim of this study is to analyse the relationship between public managers and private providers in the regional governance process with regard to the factors involved in the contracting process and management and planning mechanisms of medium-complexity actions. This is a qualitative case study conducted in a health region of the state of Paran?? via interviews with public and private managers performed from December 2016 to February 2017. Documental analysis of management tools and price schedules in contracts between public and private managers was also performed. The results indicated interdependence in the relationship between public managers and private providers, power asymmetries, interests, and benefits, depending on the type of contract between the municipality and the provider and, of particular note, advantages and clientelistic practices. The incipient planning process and regulatory measures of the municipalities in the region and state indicate the need to invest in actions that favour governance, the regulatory capacity of local governments, and social scrutiny in this region.
机译：在机构医疗保健系统中，公共和私营部门主要在执行中型复杂性健康服务的背景下，特别是在小型城市（短信）的背景下。本研究的目的是分析区域治理过程中公共管理人员与私人提供商之间的关系，了解缔约进程和管理和规划机制的缔约方的因素。这是在Paran州的卫生地区进行的定性案例研究？通过从2016年12月至2017年2月开始的公共和私人管理人员的采访。还执行了公共和私人管理人员合同中管理工具和价格时间表的文件分析。结果表明，根据市政和提供者之间的合同类型，特定说明，优缺点，优势和客户拟订实践，结果表明相互依存。该地区市政当局的初期规划流程和监管措施和国家表明需要投资有利于治理的行动，地方政府的监管能力，社会审查。

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