Federative cooperation and the health policy: the case of Inter-municipal Health Consortiums in Paraná

Abstract The objective of this paper is to discuss and evaluate factors that have hindered or facilitated a “horizontal cooperation” for the production of public policies in the area of health. Specifically, it aims to analyze the factors that enabled the dissemination of Inter-municipal Health Consortiums in the Brazilian state of Paraná. Viewing the institutionalization of federative cooperation as a way of stabilizing rules and processes, the question that will guide the study is to investigate how, over time, the actors, their interests and their problem agendas have focused on inter-municipal cooperation in the production of health policies.

摘要
本研究旨在探讨并评估卫生领域公共政策制定中，影响“横向合作”开展的阻碍因素与推动因素。具体而言，本研究旨在分析推动巴西巴拉那州（Paraná）市际卫生联盟（Inter-municipal Health Consortiums）推广的各类影响因素。本研究将联邦协作的制度化视为稳定规则与流程的路径，核心研究问题为：随着时间推移，各行动主体、其自身利益与议题议程如何聚焦于卫生政策制定中的市际合作。