In this paper we deal with emerging inter-govern coordination problems when forming the regionalized and hierarchical assisting nets, established in the National Health System (SUS) in a way to articulate the "export" and "import" health service municipalities with a greater technology complexity under the coordination of the state governments. Based on a critical assessment about the effect produced by the institutional rules that supports them, we present a prospective reflection about the possibilities that the Management Pact of SUS, entered among the three ranges of government in the year of 2006 and currently under development, comes to consummate the so desired understanding and cooperative regionalization.
Descentralization; Inter-Govern Coordination; Regionalization; Cooperation theory
