POLÍTICA DE SAÚDE NA CIDADE DE GOIÁS: UM ESTUDO SOBRE GESTÃO MUNICIPAL - 1988 A 2010.

Abstract

This thesis aims to seek sociopolitical aspects of the health situation in the City of Goiás from 1988 to 2010: historical and legal aspects, the sanitary reform and the Social Security; guidelines and principles of the Unified Health System - SUS; management, financing and social control of SUS; the City of Goiás and the health policy. It sought to characterize the City of Goiás by its historical review and presenting some reports from magazines and newspapers. There was also a historical, political, economic and social review of the establishment and implementation of health policy in that city. Some references and interviews were presented. So, the municipal management of health policy was systematized in the city of Goiás and around it problematizing difficulties, setbacks and challenges. This work highlighted class interests, tensions, conflicts and contradictions by the historical trajectory of the region. The qualitative and quantitative research enabled bibliographic, documental and empirical informations through semi-structured interviews. Twenty one subjects were interviewed: six mayors, eight municipal health secretaries, three social workers, three workers and two users. Through the document analysis and testimonials, was founded the position of each management according to perspectives, social, cultural and political advances, retreats and regional and local challenges, as well as lack of autonomy or not, mediation, ethical and political commitment. This work can contribute as a source of research and systematization of the process developed in the municipal health efforts of the study period until 2011 and as a register of development and reverse in each management showing the reality of services provided by health policy in the City of Goiás and the region. This work started from the description of social policy geared to working class interests aiming to cope expressions of the social issue and its challenges about justice and attention to differences. All health policy process in the City of Goiás was registered, since its municipalization until the present time, when it is recognized as a universal right and duty of the state.