Os desafios e entraves para a organização e funcionamento dos serviços e ações em saúde pública no Brasil: uma revisão de literatura

Abstract

The Unified Health System was established in the 1988 Constitution in which health is recognized as the right of everyone and the duty of the State. The advances in the System are undeniable, but there are challenges that can be consolidated as Universal and of quality. The general objective of this research was to analyze in the literature the challenges encountered for the management of Public Health, in the organization and operation of health services and actions in Brazil. We opted for the integrative review in which the bibliographic survey was carried out from February 18 to March 09, 2019, on the Virtual Health Library website, through the advanced search by subject descriptor. The following inclusion criteria were used: only scientific articles, published in full, between 2009 and 2019, which portrayed the subject of revision, in Portuguese, English or Spanish. For the analysis, several readings were carried out, exploratory, selective, analytical and interpretive. Fifteen articles were selected for the study. The challenges were allocated in 07 categories of analysis, such as Human Resources, Planning and Organization of Work Management, Quality of Health Care, Articulation, Financing, Social Participation and lastly, the issue of Party Political Interference that were found in this work as the challenges and obstacles of the SUS. It is hoped that this study can provide a panoramic view of the challenges that SUS management needs to face in order to consolidate the system as Universal and resolutive