Ouverney Assis Mafort, Carvalho André Luis Bonifácio de, Ribeiro José Mendes, Moreira Marcelo Rasga
Departamento de Ciências Sociais, Escola Nacional de Saúde Pública Sergio Arouca, Centro de Estudos Estratégicos, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.
Departamento de Promoção da Saúde, Universidade Federal da Paraíba. João Pessoa PB Brasil.
Cien Saude Colet. 2021 Oct;26(10):4715-4726. doi: 10.1590/1413-812320212610.22882020.
The scope of this article is to present and analyze the institutional governance profile of the 434 regional interagency committees operating in 25 states of the Brazilian Federation. The data were taken from the National Survey of Regional Interagency Committees (CIR), a census conducted in the years 2017 and 2018, and were collected through a questionnaire applied to the coordinators/directors/presidents of the CIR. The composition of the CIR profile was carried out using an analysis matrix specifically developed for this study, which combines 23 variables organized in five dimensions of institutional governance: institutional legitimacy, compliance and consistency of operation, quality of structure and operating conditions, federative equilibrium and quality of decision-making. The results show, on the one hand, an interagency institutional governance system consolidated throughout the national territory, with significant acceptance by the state and municipal spheres and clearly defined and publicized operating rules. On the other hand, it reveals a complex of levels characterized by marked limitations in financial and human resources and management infrastructure, in addition to action concentrated on emergency problems in the management of the network of health care and services.
本文的范围是呈现并分析在巴西联邦25个州运作的434个区域跨部门委员会的机构治理概况。数据取自区域跨部门委员会全国调查（CIR），这是一项在2017年和2018年进行的普查，通过向CIR的协调员/主任/主席发放问卷收集。CIR概况的构成使用了专门为本研究开发的分析矩阵，该矩阵结合了23个变量，这些变量被组织在机构治理的五个维度中：机构合法性、运作的合规性和一致性、结构质量和运作条件、联邦均衡以及决策质量。结果一方面显示，一个跨部门机构治理系统在全国领土范围内得到巩固，得到州和市两级的广泛认可，且运作规则明确并已公布。另一方面，它揭示了一个多层次的复合体，其特点是在财政、人力资源和管理基础设施方面存在明显限制，此外，行动集中在医疗保健和服务网络管理中的紧急问题上。
