Gestão estratégica de políticas públicas pelos governos subnacionais: análise da experiência de delegação da prestação direta dos serviços de saúde e implantação de um sistema de regulação no estado da Bahia
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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; b) to fulfill the absence of updated studies on the regional level of health care management because emphasis has been given to local level; c) 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 Bahia State in the implementation of the Health Services Network since 1998. The choice of Bahia State is given by its good performance in health indicators, upon the National Health Ministry. The Health Services Network renews the sense of regionalization. This program has the municipality as the main actor, yet the regional action could be considered as strategic.