Vieira Fabíola Sulpino
Departamento de Economia da Saúde e Desenvolvimento, Secretaria Executiva, Ministério da Saúde, Brasília, DF, 70058-900.
Cien Saude Colet. 2009 Oct;14 Suppl 1:1565-77. doi: 10.1590/s1413-81232009000800030.
Since the Unified Health System creation, managers have been expending efforts to discuss the planning and, made attempts to institutionalize it, considering that it's a basic management component. However, despite advances obtained, there are aspects that are priorities and that constitute challenges for the institutionalization of the planning at the Unified Health System. In this direction, this study describes the planning evolution in the system, by legal and technician material analysis of published documents by Ministry of Health. From the planning conception in these publications, it leads a reflection on the used approach, considering the established management instruments, and its entailing to the more currently accepted theory and methodology of health planning. Aspects that need to be observed are pointed for the effectiveness to ascendant planning at the Unified Health System.
自统一卫生系统创建以来，管理人员一直在努力讨论规划问题，并试图将其制度化，因为他们认为这是一个基本的管理组成部分。然而，尽管取得了进展，但仍有一些方面是优先事项，并且对统一卫生系统规划的制度化构成挑战。在这个方向上，本研究通过对卫生部发布文件的法律和技术材料分析，描述了该系统中规划的演变。从这些出版物中的规划概念出发，结合既定的管理工具，引发了对所采用方法的思考，以及其与当前更被接受的卫生规划理论和方法的关联。指出了统一卫生系统向上规划有效性所需注意的方面。
