Evaluation of the Health Care Network in small towns from the perspective of management teams

Case study aiming to analyze the Health Care Network in two small towns, based on the institutional elements that configure the pattern of network interdependence and on the analysis of attributes that indicate the level of integration of the health services network. Focus groups were conducted with management teams of municipalities, as well as interviews with regional management key informant and the regional hospital reference service, analyzed by method of interpretation of meanings. The analysis exposed a partially integrated network and interdependence relations that have divergent interests and a low level of trust between the actors - a condition that hinders governance.

Public health policies; Local health systems; Health evaluation