Farias Filho Milton Cordeiro, Silva Andréia Neves da, Mathis Armin
Cien Saude Colet. 2014 Jun;19(6):1911-9. doi: 10.1590/1413-81232014196.08062013.
This article addresses the collective actions of participation in the municipal health councils. The underlying research sought to establish the performance of the councilors in the municipal health councils in the Metropolitan Region of Belém in the State of Pará. A survey of documents for the 2005-2010 period, structured interviews and observations with counselors in sessions of meetings of the boards of three counties were analyzed. An indicator of three levels of participation centered on the legal functions of the health councils and based on the theory of social groups as its analytical principle was constructed. The results indicate that the activities of the councils are marked by the co-option of councilors and the definition of deliberative agendas on the part of representatives of management, in which individual interests predominate over the collective interests of the councilors in the deliberations. The conclusion is that such behavior is contrary to the principles of the Unified Health System - SUS and weakens the social image of the councils, in addition to opening up a new analytical perspective.
本文探讨了参与市卫生委员会的集体行动。相关基础研究旨在确定帕拉州贝伦大都市区市卫生委员会中议员的表现。分析了2005年至2010年期间的文件调查、与三个县议会会议中的议员进行的结构化访谈以及观察结果。构建了一个以卫生委员会的法律职能为核心、以社会群体理论为分析原则的三级参与指标。结果表明,委员会的活动以议员的被吸纳以及管理层代表对审议议程的定义为特征,在审议过程中个人利益优先于议员的集体利益。结论是,这种行为违背了统一卫生系统(SUS)的原则,削弱了委员会的社会形象,此外还开辟了一个新的分析视角。