GOVERNANCE AND ORGANIZATIONAL STRUCTURE: AN ANALYSIS OF SUS AFTER THE CONCRETION OF THE BRAZILIAN SANITARY REFORM

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Abstract

This case study describes the organization SUS – Sistema Único de Saúde (Unified Health System) adopted in Brazil, by a strategic point of view, according to the traditional governance mechanisms. SUS is an organization that has as its challenge tending to the health needs of 120 million inhabitants. Firstly, a history of the Brazilian sanitary reform is done, informing on the ideological conception or strategic intention of SUS. It is an exploratory and descriptive study, based on the analysis of system documents and some statements from management executives of the health field. On the researched literature there were not found any prior studies with these same objectives, what became a greater challenge for comparison of affirmations and conclusions originated from the work. A summary of the governance mechanisms used by SUS and a critic of the absence of performance indicators may be considered the main conclusive points of this case study. However, the texts studied were extremely useful on the concept descriptions, both those related to strategic planning and those specific to the health field. The weight of the implanted governance suggests the need to implant o performance system in the management of this organization, one so important to the Brazilian population.

Keywords: Governance, Brazil, Management Executives

How to cite this paper: Gonçalves, C. A., Barbosa, L. F. A., Muniz, R. M., & Pardini, D. J. (2008). Governance and organizational structure: An analysis of sus after the concretion of the Brazilian sanitary reform. Corporate Ownership & Control, 6(2-1), 189-201. https://doi.org/10.22495/cocv6i2c1p3