Pesquisa descentralizada para o Sistema Único de Saúde: receita colaborativa, cozinhas burocráticas

Abstract

The imperative of management beyond organizational boundaries is inseparable from the implementation of public policies on science, technology and innovation, particularly when research in the health area is considered. The complexity of the institutional environment of the Brazilian Unified Health System (SUS), which has a diversity of actors (governmental and nongovernmental) and their respective interests, reflects in the environment of national health research. Therefore, collaboration among these actors becomes a key element to achiev the results of a public policy aimed at decentralization and regional use of health research results. Based on these assertions, the present study analyzes, in a qualitative way and based on a theoretical model available in the literature on the subject, how collaborative governance occurs in the scope of the Research Program for SUS: Shared Health Management (PPSUS), in three Brazilian states. It concludes that the process of collaborative governance within the scope of the PPSUS in the three analyzed states occurs in na incomplete way, as some elements of the theoretical model are not verified in the analyzed case. It also concludes that, dispite of the collaborative design of the program and the existence of joint decisions, the implementation of actions is limited by the available resources, knowledge and processes in each participating organization, that is, it verifies that these elements strongly influence the collaborative process, from which it is proposed to include in the theoretical model a category called intraorganizational management capability.