DECENTRALIZATION, TERRITORY AND REGIONALIZATION OF HEALTH SERVICES: CONTEXTUAL ANALYSIS OF THE MUNICIPALITIES OF GUARATINGUETÁ AND APARECIDA IN RRAS-17, SP

Abstract

Starting from the need for an overview of SUS itself, ists history, principles and guidelines, is was intended to add to the understanding of this need, a conceptual incursion on health and territory and an empirical approach to the municipalities of Aparecida and Guaratinguetá, SP, through the description of statistical and factual data, in order to contextualize and identify their relative position in RRAS-17. This study, in addition to being comprehensive and descriptive, adopted the bibliographic and documentary analysis as the main methodological procedures. It was evidenced that the decentralization proves to be a political and management strategy on which municipalities rely for the implementation of the SUS. The territorialization process assumes a relevant role for the strengthening of the healthy system, because it is a dimension of the policy and methodology of organization of managers and professionals. In relation to regionalization, it has become equally important in the process of consolidating the SUS service network, as it produces new institutionalities and defined roles for managers of regional and municipal systems, in the coordination and planning for the construction of differentiated models for the implementation of public policies and territorial-based programs. Efforts have been observed by managers, and advances have been noted in the municipalities analyzed regarding the reorganization of local primary care, due to the implementation of the Family Health Strategy, although the need for creation of mechanisms is still observed so that, in fact, the potential of the SUS is fully appropriate for the consolidation of changes in the universal, equitable and integral health care model to the population.