Understanding the health care pact in the management of SUS, and reflecting upon its importance

Abstract

This text attempts to briefly outline the conception of the Health Care Pact, in such a way that it passes along this information to health care professionals, together with reflections and questions. The Health Care Pact is an instrument that will produce significant change in the norms of the National Health Care System (Sistema Único de Saúde – SUS) and is composed of three dimensions: Pact with Life, Pact in Defense of SUS, and Management Pact. Gets up the position of the municipal and state secretaries' colegiados on the implantation of the pact. EIt looks to qualify public administration of the SUS for greater effectiveness, efficiency, and quality. It implies a change towards decentralization, regionalization, mechanisms for regional administration, and in financing the SUS. This study engages in dialogue with two managers involved with the process and references the need for implementing these pacts, although they are yet little-known and complex. In this process, this article presents some questions or doubts, emphasizing the importance for strengthening the management of the SUS, concepts which are present in the Brazilian Constitution and in the Brazilian Structural Law of Health Care (Lei Orgânica da Saúde).