Os desafios da gestão pública em saúde na perspectiva dos gestores [The challenges of public health management in the manager's perspective]

O presente estudo objetiva analisar a percepcao dos gestores municipais da Regiao do Meio Oeste Catarinense sobre as dificuldades do ato de Gestao Publica Municipal em Saude. O estudo e fruto de um estudo no qual foi empregada a Avaliacao de Quarta Geracao, foram realizadas coletas de informacoes atraves de Entrevistas Individuais (EI), o processo de tratamento e analise, baseou-se no Circulo Hermeneutico Dialetico e o estudo respeitou as normas de pesquisa envolvendo seres humanos com base a partir da Resolucao n° 196/96 do Conselho Nacional de Saude. A discussao foi desenvolvida a partir de cinco categorias analiticas: Gestao Solidaria, cobranca de taxas e diferencas nos atendimentos, necessidade de uma nova consciencia sanitaria e de gestao, responsabilidade sanitaria e o corporativismo da categoria medica. A partir desse estudo compreendemos e sugerimos o aprofundamento das abordagens apresentadas. ABSTRACT - This study aims to analyze the perceptions of city managers in the Midwest Region of Santa Catarina, the difficulties of the Municipal Management in Public Health. The study is the result of a study which used the Fourth Generation Evaluation, there were collected information through individual interviews (EI), the treatment process and analysis was based on Dialectical Hermeneutic Circle and the study complied with the guidelines for research involving human basis by Resolution No. 196/96 from the National Council of Health. The discussion was developed based on five analytical categories: Solidary Management, collection of fees and differences in the care process, the need of a new sanitary and management consciousness, the physicians’ sanitary responsibility and the corporatism. After this study we understand and suggest a deepening of the approaches presented. Keywords: Health Management; Health Services; Social Responsibility