A opção pela contratualização dos serviços de saúde no Estado do Rio Grande do Sul como modelo de gestão e transferência de recursos públicos

Abstract

This study was carried out in a theoretical framework to investigate the contractual forms of public and private services that provide health care in the Unified Health System (SUS) network, in order to achieve the general objective of knowing the forms of contracting used by the State of Rio Grande do Sul with social and non-profit organizations and private initiative to provide actions and services in the SUS and the specific objectives of pointing out the differentiation between agreements and contracts with public and private institutions to provide services in the SUS network , analyze the legal means in the signing of agreements and contracts between the government and service providers, identify the responsibility of the contract verification commission and what items are analyzed to identify irregularities and what penalties are applied to service providers and raise data in the transparency portal of agreements and contracts signed with public and private institutions that provided services in the SUS network. In order to carry out the study, the methodological course was used, with bibliographical review in contents that approached contracting in the public health services. It was concluded that the process of contracting in public management was born from the perspective that the State, through contractual instruments, passes on to non-state entities the execution of certain services. But in this transition, the state remains responsible for public policies, playing the role of financier, inductor and regulator, so that the services are provided properly, with quality and efficiency defined in the contractual terms.