The health regionalization process from the perspective of the transation cost theory/O processo de regionalizacao da saude sob a otica da teoria dos custos de transacao
This study analyzes the incidence of transaction costs in the regionalization process of health policies in the Brazilian federal system. In this work, regionalized health actions contracted and agreed between federal agencies have assumed a transactional nature. A conceptual theoretical essay of re...
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Published in | Ciência & saude coletiva Vol. 22; no. 4; pp. 1121 - 1130 |
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Main Authors | , , , , |
Format | Journal Article |
Language | Spanish |
Published |
Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO
01.04.2017
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Subjects | |
Online Access | Get full text |
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Summary: | This study analyzes the incidence of transaction costs in the regionalization process of health policies in the Brazilian federal system. In this work, regionalized health actions contracted and agreed between federal agencies have assumed a transactional nature. A conceptual theoretical essay of reflective nature was prepared with the purpose of questioning and proposing new approaches to improve the health regionalization process. The main considerations suggest that institutional management tools proposed by the standards and regulations of the Unified Health System have a low potential to reduce transaction costs, especially due to hardships in reconciling common goals among the entities, environment surrounded by uncertainty, asymmetries and incomplete information, bounded rationality and conflict of interest. However, regionalization can reduce the incidence of social and/or operational costs, through improved access to health and the construction of more efficient governance models. |
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ISSN: | 1413-8123 1678-4561 |
DOI: | 10.1590/1413-81232017224.2694016 |