A descentralização do SUS na administração pública

Abstract

This article focuses on SUS decentralization in public administration, emphasizes SUS as one of the great pillars of public policies implemented in Brazil, whose research problem is, decentralization is effective in public administration ?. Decentralization has the scope of a municipalized administrative management in the provision of health actions and services and it is possible to perceive a paradox of Brazilian politics in which the technocratic structure of the centralizing state is forced to live with the political-administrative autonomy of the federated entities, according to art.18, caput, of CF / 88, in any case, such political structuring implied positive points, as negative points in the development of SUS. The methodology used was a bibliographic review based on a legislative roll (CF / 88, Law 8.080 / 90, Law 8.142 / 90, NOB-SUS 01/93, NOAS-SUS 01/2001), sources of the Ministry of Health, which is the SUS, books, periodicals, conferences, booklets, scientific articles and so many other materials that matched the theme. SciELO, a portal of theses and dissertations of UNICAMP and specialized publications pertinent to the subject were used as a database. The work focused on the following topics: Unified Health System; organizational forms of the Brazilian State; decentralization of SUS and positive and negative aspects of SUS. Finally, it is noted that the administrative structure of the Brazilian State is still quite bureaucratic, even though political, economic and social aspirations dictate different perspectives and the decentralization of the Unified Health System is an attempt to adjust to these changes.