Pinto Isabela Cardoso de Matos, Teixeira Carmen Fontes
Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil.
Cad Saude Publica. 2011 Sep;27(9):1777-88. doi: 10.1590/s0102-311x2011000900011.
The construction of Brazil's Unified National Health System (SUS) has raised a set of challenges for the health sector's administrators and personnel, including issues of work management and continuing education for health workers, in view of the financial, political, and organizational constraints in the process of changing the healthcare model. The current study aimed to analyze the process of formulating the Health Work and Education Management Policy by the Bahia State Health Department. Public policy cycle was used as the theoretical framework. The study analyzed data from institutional documents and records of participant observation by one of the authors. The results include mapping the governmental and nongovernmental stakeholders that participated in the process. The analysis highlights a series of problems in the SUS in Bahia related to work management and health workers' profile, taken as the point of departure for priority-setting in the State Strategic Agenda and Health Plan for 2008-2011.
鉴于在改变医疗模式的过程中存在财务、政治和组织方面的限制，巴西统一国家卫生系统（SUS）的建设给卫生部门的管理人员和工作人员带来了一系列挑战，包括工作管理和卫生工作者继续教育等问题。本研究旨在分析巴伊亚州卫生部制定卫生工作与教育管理政策的过程。采用公共政策周期作为理论框架。该研究分析了机构文件数据以及作者之一的参与观察记录。结果包括梳理参与该过程的政府和非政府利益相关者。分析突出了巴伊亚州SUS在工作管理和卫生工作者概况方面的一系列问题，以此作为2008 - 2011年国家战略议程和卫生计划确定优先事项的出发点。
