National Policy for Hospital Care: con(di)vergences among the Federal Executive's rules, Conferences and strategies

ABSTRACT This paper is aimed at analyzing the National Policy for Hospital Care and its convergences and divergences regarding National Health Conferences and National Health Plans in the 1988 Brazilian Federal Constitution. Documents were collected from January to June 2016, then processed and analyzed until December 2016. Results on policy making were subdivided into pre-decision and decision periods. In the first one, the normative character pointing to the formalization of contracts and the decentralization of hospital management at the state level can be highlighted. During the decision period, the indirect management model was strengthened, thus enhancing tensions involving decisions made in Conferences.

摘要 本研究旨在剖析1988年巴西联邦宪法框架下的国家医院护理政策，及其与全国卫生会议、国家卫生计划之间的契合点与分歧所在。研究于2016年1月至6月期间收集相关文献资料，随后于2016年12月前完成资料处理与分析工作。研究将政策制定相关结果划分为决策前期与决策阶段两个部分。在决策前期，可着重关注指向合同规范化以及州级医院管理分权的规范性特征；在决策阶段，间接管理模式得到强化，进而加剧了与卫生会议决策相关的紧张态势。