Gestão estratégica de políticas públicas pelos governos subnacionais: análise da experiência 'municípios saudáveis' e 'consórcios de saúde' no estado do Paraná
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2005-11-24
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This research aims a) to understand the new role of the state government in the process of globalization, fragmentation weakening of Nation-state and the strengthening of the supranational level of power; 2) to fulfill the absence of updated studies on the regional level of health care management - because emphasis has been given to local level; 3) to analyze reform propositions that consider recent changes in the patterns of state-society relationship and new offers of health services, in which it could be signed a great effort of regional co-ordination. It will be analyzed the role assumed by the Health Secretary of Paraná State in the implementation of the Healthy Cities and the Health Consortia Programs, since 1995. The choice of Paraná State is given by its good performance in health indicators, upon the National Health Ministry. The Health Consortia renews the sense of regionalization. Both of the main actors, yet the state level action could be considered as strategic.