A programação pactuada integrada e a contratualização do SUS: desafios e possibilidades

Abstract

The contract system provides effective strategies to ensure that citizens have access to quality care and requires the manager to adopt effective monitoring and evaluation of services. In the context of decentralization, municipal manager has the responsibility for the contracting process for health services. This uses the Agreed and Integrated (PPI) which aims to allocate resources in health care in the states and municipalities. The PPI is the outcome of the definition, negotiation and formalization of agreements between managers, priorities, goals, criteria, methods and tools in order to define the care flows seamlessly within the regionalized and hierarchical service. This study aimed to compare the outpatient services of hospitals and the city of Juiz de Fora PPI in the years 2008, 2009 and early 2010 relating to the efficacy checking the monitoring of production and consequent population's access to outpatient services. For this we used the site and the information DATASUS of agreement at the site of the state board of health of Minas Gerais. The method was based on the establishment of indicators for monitoring and reporting of a strategy of monitoring indicators developed based on control charts. At the end, it was concluded that measures should be taken in order to better match the funding resources in the municipal sizing the PPI and monitoring the population's access to procedures agreed on the contracting.