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The actors of the healthcare regulation in the SUS: who regulates the network?

ABSTRACT

This article aims to identify the social actors involved in the regulatory action for access to healthcare services in the prenatal and childbirth network of the Unified Health System (SUS), in a Brazilian municipality. It seeks to analyze the characteristics of the points of attention that integrate this thematic network and their influences on the systemic integration between the actors involved in the regulatory process. This analysis is based on the theory of structuring, according to which human action shapes the social structure, which at the same time guides the conduct of the human agent, establishing the reproduction/transformation of social practices over time. The elements are observable in the social practices produced in the interaction between the actors in the regulatory action for access to health services in SUS. This is a case study, whose empirical research explored 32 institutional documents, 64 semi-structured interviews with managers/professionals and users of the network and secondary data, collected from September 2018 to January 2019. The results confirm the existence of different actors social actors involved in the regulation of access to health services, characterizing the healthcare regulation in the SUS as a social practice, revealing the complexity produced by the interaction between a set of social actors involved in this action.

KEYWORDS
Government regulation; Delivery of health care; Social theory

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