Construindo o futuro: o processo de planejamento adotado pela Fundação Municipal de Saúde de Santa Rosa/RS

Abstract

Planning is essential for the development of a society, as well as for the implementation of a public policy. This being influenced by the rationalities present in the society and also in the public organisms. In this context, this research is focused on the types of planning and rationalities that are manifested in the Municipal Health Foundation of Santa Rosa / RS (FUMSSAR), and that influence the constitution of the current structure of the health system of the municipality. Thus, the general objective of this research was to study the influence of rationalities in the planning process of the Municipal Health Foundation of Santa Rosa / RS. The approach used was phenomenological, with a qualitative approach, a case study. We interviewed 13 FUMSSAR servers, belonging to the strategic, tactical and operational level. We also used documentary research and observation. As a result, it was identified that the main legal instruments for health planning at the municipal level are: the Municipal Health Plan, the Annual Health Program, the Management Reports and the Quarterly Reports. It was verified that FUMSSAR planning presents characteristics that are related, in part, to all models presented and supported in the theoretical reference: Normative Planning, Strategic Business Planning, Strategic Situational Planning, Participatory Strategic Planning. However compared to the other types of planning there is a certain predominance of Strategic Situational Planning. Due to the characteristics identified: the existence of several actors, situational analysis and the political issue, are relevant aspects in the planning process in the health area. As for the rationalities it was identified that FUMSSAR has in its planning characteristics of Instrumental and Substantive Rationality. It is possible to conclude that planning is influenced both by Instrumental Rationality, which is present, mainly, due to the existing legislations that normalize the work, and, even, it can be said that by a choice, when business environment. As for Substantive Rationality, which is predominant in FUMSSAR, mainly at the operational level and interferes with planning, especially through the values of users, managers and servers. As there are spaces for their participation and interaction, all of them at some point in some way interfere with planning.