Desenho institucional e efetividade deliberativa dos conselhos de saúde: dinâmicas de participação e processo decisório no município de João Pessoa PB.

Abstract

In health, the creation of forums as Health Councils and the effect of the decentralization process emphasized by the Constitution of 1988, resulted in higher powers and the increasing importance of the public sphere of municipal administration. However, the participation of Councillors in the process of decision making has been identified as one of the challenging aspects in the work of these committees, because of limitations imposed by the powers of representation. The research is focused on understanding of this process, with emphasis on analyzes of the Municipal Health Council of João Pessoa (CMS/JP), more specifically, with regard to decision making and their effectiveness discussed. To this end, several analyzes were performed starting from a study of qualitative and quantitative, by using the linking of data from three basic elements in this study: information obtained from observations on the CMS / JP, texts of the Acts of the CMS/JP and texts drawn from interviews with some of the Municipal Board of Health/JP-CP. Under the quantitative approach, tables were compiled, whose goal was to obtain, among other data related to the issue of quorum at meetings of the CMS/JP, that is related to the presence / absence of Councillors representatives of the segments in that council. Once extracted, the data were tabulated from the use of measures of central tendency: mean, median, aiming to analyze the participation of the numerical representation for each segment in the meetings of the CMS/JP-CP. As the study indicates, the CMS/JP has acted in a much more purposeful than deliberative, ie, note that this collegiate has presented great difficulties for the performance of its deliberative character, with little expression of some debates in the field where the participation does not always result in significant decision-making influence in the deliberations of the municipal public health policies, focusing on very fragile deliberative.