[Municipal health policy planning and implementation].

Abstract:

:Municipal health policy planning can include exemplary practices for expanding the population's access to health services. The current study seeks to analyze the limits and possibilities of planning practices for policy implementation by a municipal health department. The empirical data were analyzed based on a concept of planning practices and the theoretical link between the three spheres of government and the postulate of coherence. The use of unstructured strategic planning practices by the management team allowed a significant expansion in the supply of services to the population, but lacked the scope to overcome the limits imposed on the organization's governability by the health services funding model, characterized by strong induction from the federal level. The project was the most robust vertex in the government triangle and led to the development of initial expertise by the municipal management team, thereby ensuring a certain level of governability over the health project. The goals of increasing the supply of health services were constrained by the method's weakness and the organization's institutional insipience.

journal_name

Cad Saude Publica

authors

Vilasbôas AL,Paim JS

doi

10.1590/s0102-311x2008000600005

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

1239-50

issue

6

eissn

0102-311X

issn

1678-4464

pii

S0102-311X2008000600005

journal_volume

24

pub_type

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