Jesus Washington Luiz Abreu de, Teixeira Carmen Fontes
Cien Saude Colet. 2014 Sep;19(9):3839-58. doi: 10.1590/1413-81232014199.11962013.
This article analyzes the process of government planning in health in the state of Bahia in the 2007-2010 period based on the formulation of the State Health Plan. The benchmark adopted involved adaptation of the theoretical model of the cycle of public policy, including analysis of context, characterization of the actors involved, operations conducted in decision making and the strategic means used. The production of information was through the analysis of documents organized in institutional portfolios and records of the planning process in the organization studied. The analysis of results reveals that the political game included "concessions" and "negotiations" regarding changes in the management and organization of the health system, highlighting the discussion on the problems facing the state management of the Unified Health System (SUS) during the period, and the search for alternatives and solutions to these problems. It also reveals the institutional learning acquired, involving managers and technicians who broadened and reinforced their capacity to analyze and formulate proposals around the government agenda.
本文基于《国家卫生计划》的制定，分析了2007 - 2010年期间巴伊亚州政府的卫生规划过程。所采用的基准涉及公共政策周期理论模型的调整，包括背景分析、相关行为体的特征描述、决策过程中的操作以及所使用的战略手段。信息的产生是通过对机构档案中整理的文件以及所研究组织的规划过程记录进行分析。结果分析表明，政治博弈包括在卫生系统管理和组织变革方面的“让步”和“谈判”，突出了该时期国家统一卫生系统（SUS）管理所面临问题的讨论，以及对这些问题的替代方案和解决方案的探寻。它还揭示了所获得的机构性学习成果，涉及管理人员和技术人员，他们围绕政府议程拓宽并增强了分析和制定提案的能力。
