Services on Demand
Revista de Saúde Pública
On-line version ISSN 1518-8787
TANAKA, Oswaldo Yoshimi et al. Health management in the State of S. Paulo, Brazil. Rev. Saúde Pública [online]. 1992, vol.26, n.3, pp. 185-194. ISSN 1518-8787. http://dx.doi.org/10.1590/S0034-89101992000300010.
The shared management put into effect by the "Ações Integradas de Saúde" (Integrated Health Actions) in the State of S. Paulo (Brazil), in the early 80s is analysed. The relevant data were collected from the minutes of the meetings of the "Comissão Interinstitutional de Saúde" (Interinstitucional Health Commitee). The data collected show the most frequent subjects discussed by the members at the meetings, the number of members related to each of the different government levels, in addition to the kind of resolutions taken at the meetings. The data analysis has demonstrated that important changes took place in public health management in the State of S. Paulo in the decade in question. The shared management process was replaced by one in which government powers were clearly divided a towards the end of the 80s. Those changes have led the public health members from each level of governmental administration to give up the common goals and the shared negociations among them.
Keywords : Public administration [trends]; Interinstitutional relations; Public health administraction [trends]; Health system [organization and administraction].