O processo de descentralização da gestão orçamentária nos núcleos regionais da Agência Nacional de Saúde Suplementar: um estudo de caso
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2015-11-24
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Cunha, Armando
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This study aimed to analyze how was the decentralization of budget management in the National Health Agency in its Coordination of Brasilia and Sao Paulo and to what extent it is possible to replicate it to other Regional Centers scattered throughout the country. To this end, leaned on a set of data / evidence gathered from the literature review, desk research and field research involving participant observation and application of interviews and questionnaires. As a research strategy was used the case study, as this was the analysis of an intervention in an organization, if the National Health Agency, in order to clarify how and why decisions were implemented and with what results. For understanding the phenomenon studied, it needed to explore the concepts of decentralization, understand the specifics that affect the degree of decentralization, investigating the experience accumulated in cores having Decentralized Administration Coordination and identify the CADs installation feasibility in other nuclei. Despite the problems observed and reported on the implementation of the process, it is visible the gains from decentralization, both in the perception of managers involved as the servers of decentralized units. The documentary analysis also proved that efficiency and management gains were obtained in these units, but corrections should be made. By analyzing the data presented, it appears that the decentralization of other units is possible, and solve some of the problems reported by servers, creating a more participative management that suits the local conditions, but the replication of this model to other nuclei first pass by an effective evaluation and adjustment of units already deployed.