Shimizu Helena Eri, Cruz Mariana Sodário, Bretas Nilo, Schierholt Sergio Ricardo, Ramalho Walter Massa, Ramos Maíra Catharina, Mesquita Monique Santos, Silva Everton Nunes
Departamento de Enfermagem, Faculdade de Ciências da Saúde, Universidade de Brasília. Asa Norte, Campus Darcy Ribeiro. 70910-900 Brasília DF Brasil.
Cien Saude Colet. 2017 Apr;22(4):1131-1140. doi: 10.1590/1413-81232017224.28232016.
This study aims to analyze the perception of managers of the Councils of Municipal Health Secretariats (COSEMS) and their contributions to the health regionalization process. We conducted thorough interviews with presidents of COSEMS of the states of Mato Grosso do Sul, Paraná, Ceará, Tocantins and Minas Gerais. Data were analyzed with Iramuteq software, which generated a dendrogram with three themes: The first thematic axis: the prominent role of COSEMS in the regional governance process, which includes class 1 - COSEMS' leadership in the process of regionalization, and class 3 - The strategic experience of the regional agreement process. The second thematic axis includes the challenges to the provision of health care in the regions, consisting of class 2, which shows how to meet community needs, and class 4, which shows the local support carried out by COSEMS' teams. The third thematic axis consists of class 5, which describes the operational aspects of the provision of health care in the region. COSEMS play an important role in the regionalization process, especially because they have an organic performance and leadership. Its organic performance in these areas has ensured its legitimacy and leadership. It is a daily construction that ensures the advancement of collaborative governance in health regions.
本研究旨在分析市卫生秘书处理事会（COSEMS）管理人员的认知及其对卫生区域化进程的贡献。我们对南马托格罗索州、巴拉那州、塞阿拉州、托坎廷斯州和米纳斯吉拉斯州的COSEMS主席进行了深入访谈。数据使用Iramuteq软件进行分析，生成了一个带有三个主题的树形图：第一个主题轴：COSEMS在区域治理进程中的突出作用，包括第1类——COSEMS在区域化进程中的领导作用，以及第3类——区域协议进程的战略经验。第二个主题轴包括区域医疗服务提供面临的挑战，由第2类组成，展示了如何满足社区需求，以及第4类，展示了COSEMS团队提供的本地支持。第三个主题轴由第5类组成，描述了该区域医疗服务提供的运营方面。COSEMS在区域化进程中发挥着重要作用，特别是因为它们具有有机的运作和领导能力。其在这些领域的有机运作确保了其合法性和领导地位。这是一项日常建设，确保了卫生区域合作治理的推进。
