Eficiência e gestão pública em saúde na APS

Abstract

The adverse health scenario in the country, aggravated by the weakening of the Unified Health System (SUS), which, despite such a context, tries to face the greatest health tragedy in our recent history, has in this document a position for reflection by the Research Network in Primary Health Care (PHC) of ABRASCO, about Efficiency and Public Management in the context of PHC. These notes address the context of PHC and the worsening with the COVID-19 pandemic, reinforcing the importance of the debate on underfunding with public resources and aiming to enhance the social goals and values ​​that permeate universal and quality PHC. They also address the understanding of the concept of efficiency and its adoption in the context of PHC, focusing on the generation of services and care with human, material, physical and financial resources available for deliveries and resulting results. From this perspective, the premise that measuring efficiency is a way capable of stimulating optimal results with available resources will be addressed. In the case of PHC, the effects and impacts on other levels of care are measurable. Still, the discussion on Public Management in the context of PHC is carried out considering the different possible formats and their effects in light of the precepts advocated for universal and public health. Finally, these notes present a position for debate in the Rede APS.