Zambon Vera Dib, Ogata Márcia Niituma
Universidade Federal de São Carlos, São Carlos, SP, Brasil.
Rev Esc Enferm USP. 2011 Aug;45(4):890-7. doi: 10.1590/s0080-62342011000400014.
This article discusses the legal structure of the municipal Health Councils in a Health County in the state of Sao Paulo comprising six municipalities. This descriptive and exploratory study was based on documental research according to federal laws for the creation, organization, structure and routine work of the health councils. Results were presented and discussed in categories. The health councils were created in 1991, and four of them have changed their legal instruments, two of them have innovated in some procedures, such as election of the director, administration non-coincident with local majors, administrative structure and commissions. Some council regulations are in disagreement with local and federal laws, such as the deliberative character, parity representation of users, internal regiment, municipal staff in charge of council directory, and no guarantee of administrative and financial support for routine work. It can be concluded that it is necessary to improve and correct regulations to guarantee a suitable performance of health councils and also to improve the discussion about social participation in the nursing curriculum.
本文探讨了圣保罗州一个包含六个市的健康县市级健康委员会的法律架构。这项描述性和探索性研究基于有关健康委员会设立、组织、架构及日常工作的联邦法律进行文献研究。研究结果按类别呈现并讨论。健康委员会于1991年设立，其中四个已更改其法律文书，两个在某些程序上进行了创新，如主任选举、与当地市长不一致的管理方式、行政架构和委员会。一些委员会规定与地方法规和联邦法律存在分歧，如审议性质、用户的平等代表权、内部规章制度、负责委员会指导的市政工作人员，以及日常工作缺乏行政和财政支持保障。可以得出结论，有必要改进和纠正规定，以确保健康委员会的适当运作，并改善关于护理课程中社会参与的讨论。
