[The contracting process and outsourcing in health: the scenario for dispute between public and private interests].

Abstract:

:This research analyzed the public-private composition in the municipal health network and aspects of the contracting/outsourcing process for services over the period from 2001 to 2008. The research method used was a case study with documentary research and interviews. The interviewees were former secretaries of health, directors of regulation and district managers. The categories of analysis used were public funds, care networks and public control. The results showed that the contracting was restricted to philanthropic units. With respect to the other private establishments linked to the public care network, non-compliance with programmatic aspects was detected, such as the lack of regulation of bidding processes required for contracting. Management authorities did not actively pursue building up state public services, or the formation of care networks. The contracted establishments conducted their activities without effective external and internal control mechanisms, which are paramount for the proper use of public resources. The authors conclude that the contracting process does not significantly alter the standard of buying and selling of services and indeed does not enhance the empowering process of the role of the public domain.

journal_name

Cien Saude Colet

journal_title

Ciencia & saude coletiva

authors

Albuquerque Mdo S,Morais HM,Lima LP

doi

10.1590/1413-81232015206.11862014

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

1825-34

issue

6

eissn

1413-8123

issn

1678-4561

pii

S1413-81232015000601825

journal_volume

20

pub_type

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