Skateholders, spaces and policy network in health governance in two health regions of Legal Amazon

被引:2
作者
Casanova, Angela Oliveira [1 ]
Giovanella, Ligia [1 ]
da Cruz, Marly Marques [1 ]
Damous Castanho Ferreira, Milena Farah [2 ]
机构
[1] Fiocruz MS, Escola Nacl Saude Publ, Programa Posgrad Saude Publ, R Leopoldo Bulhoes 1480, BR-21041210 Rio De Janeiro, RJ, Brazil
[2] Secretaria Estado Saude Para, Belem, PA, Brazil
来源
CIENCIA & SAUDE COLETIVA | 2018年 / 23卷 / 10期
关键词
Governance; Regionalization; Social network; Health sytems; Public health policy; REGIONALIZATION; SYSTEM; SUS;
D O I
10.1590/1413-812320182310.15442018
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Governance is a concept with different hues in public policies. In this study, it is conceived as a policy network, with stakeholders who manage interests depending on available resources, mediated by rules and by their degree of influence. This paper analyzes the stakeholders, spaces of articulation, norms, and processes in health governance in two regions of the Legal Amazon and how managers shape their social network. This is a qualitative study with regional analysis plan, using as sources documents and interviews. An analysis matrix was formulated with adapted realms of conceptual models of governance and policy networks. Results point to differentiated policy networks. In the metropolitan region, stakeholders' diversity was more associated with state management and capital, given the articulation capacity and available resources. In the international border region, the policy network of municipal managers integrates stakeholders from diverse sectors in the face of regional specificity and articulation capacity. Regions, living territories, single out technical processes, leading stakeholders to seek partners and spaces beyond those established, to weave strategies closer to reality.
引用
收藏
页码:3163 / 3177
页数:15
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