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The regional support in the state of Rio de Janeiro, Brazil: an experience report

In the context of the Brazilian Health System (SUS) regionalization process, some initiatives have been promoting the health regions and their municipalities through the support, which seeks to reformulate the traditional health management mechanisms. Therefore, it is proposed the concept of rregional support, whose field is the interfederative relations of health regions, started in Rio de Janeiro, as object of this work: the Regional Supporters Project, created by Conselho de Secretários Municipais de Saúde do Estado do Rio de Janeiro (Cosems-RJ) in partnership with Laboratório de Pesquisas sobre Práticas de Integralidade em Saúde, Universidade do Estado do Rio de Janeiro (Lappis-Uerj). To analyze this project, the experience systematization was used, in order to create a critical interpretation of the experiences. It is explained, then, that there was significant expansion of the Cosems-RJ role in regional governance spaces, and the new management tools are presented. Finally, this work concludes with a long-term vision of the project and its possible consequences for the Brazilian health system.

Health management; Health policy; Institutional support; Regional Health planning; Brazilian Health System


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