Ribeiro Patrícia Tavares, Tanaka Oswaldo Yoshimi, Denis Jean-Louis
Departamento de Ciências Sociais, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.
Faculdade de Saúde Pública, Universidade de São Paulo. São Paulo SP Brasil.
Cien Saude Colet. 2017 Apr;22(4):1075-1084. doi: 10.1590/1413-81232017224.28102016.
This article is a conceptual essay aimed at supporting analyses of the regionalization processes implemented in Brazil's Unified Health System, from the perspective of regional governance. The authors conducted a literature review in the social sciences, public administration, and critical geography, focusing on the concepts of governance, territorial governance, and regional governance in the debate on development. In dialogue with these contributions to the analysis of recent regulation and implementation of health sector regionalization in Brazil, with special reference to use of the Organizational Contract for Public Action (COAP) in the country's health regions, the article concludes that the research on governance as a modern approach to linking public policies highlights the timeliness of developing methodologies and critical reflection on the relevant national processes in Brazil for future health sector proposals, thereby pointing to a new stage in the improvement of the Unified Health System.
本文是一篇概念性文章，旨在从区域治理的角度支持对巴西统一卫生系统中实施的区域化进程的分析。作者在社会科学、公共行政和批判地理学领域进行了文献综述，重点关注发展辩论中的治理、领土治理和区域治理概念。在与这些对巴西卫生部门区域化近期监管和实施分析的贡献进行对话时，特别提及该国卫生区域使用公共行动组织契约（COAP）的情况，文章得出结论，将治理作为一种联系公共政策的现代方法进行研究，凸显了为巴西未来卫生部门提案制定方法和对相关国家进程进行批判性反思的及时性，从而为统一卫生系统的改进指明了一个新阶段。
