O que é CONSELHO DE SAÚDE - CONASS CONASEMS COSEMS - SUS - Com questões

Summary

In this informative lecture, Dr. Natália explains the role of health councils within Brazil's Unified Health System (SUS). She covers key entities such as the Conselho Nacional de Saúde, CONASEMS, and CONAS, emphasizing their structure, decision-making processes, and the importance of community participation. The councils are defined as permanent, deliberative bodies composed of government representatives, health service providers, health professionals, and users. Dr. Natália details the mechanisms for user participation, including the 50% user representation rule, and discusses how these councils contribute to shaping public health policies, ensuring transparency and accountability in health management.

Takeaways

• 😀 The first National Health Council (Conselho Nacional de Saúde) was created in 1937, before the establishment of the SUS (Unified Health System).
• 😀 The Health Councils are an essential part of Brazil's public health system, aimed at ensuring popular participation in health-related decisions.
• 😀 The Health Council operates as a collegial body with representatives from the government, healthcare providers, professionals, and users of the SUS.
• 😀 In 1990, Law 8.142 defined the council as a permanent and deliberative body that helps formulate and control the execution of health policies.
• 😀 Health Councils are important for popular participation in decision-making, with users representing 50% of the council's composition.
• 😀 The role of the Health Council is to monitor health policies and ensure their proper execution, especially concerning economic and financial aspects.
• 😀 Health councils meet regularly, usually once a month, while conferences (like the National Health Conference) are held every four years.
• 😀 The National Council (CNS) works alongside the CONASEMS (National Council of Municipal Health Secretaries) and CONASS (National Council of Health Secretaries) to enhance collaboration between various governmental levels.
• 😀 The distinction between CONASEMS and CONASS is that CONASEMS represents municipal health secretaries at the national level, while CONASS represents state health secretaries.
• 😀 The concept of paritary participation means that users (citizens) hold 50% of the council's seats, ensuring equal power with other groups, such as health workers and the government.
• 😀 Law 8.142 and its regulations outline that Health Councils are a crucial element for community involvement in health policy creation and evaluation.

Q & A

What is the role of the Conselho Nacional de Saúde (National Health Council)?

The Conselho Nacional de Saúde (CNS) is a permanent and deliberative body composed of representatives from the government, health service providers, health professionals, and users. It formulates strategies and oversees the execution of health policies at the national level.

When was the first Conselho Nacional de Saúde created?

The first Conselho Nacional de Saúde was created in 1937, during the Vargas government, prior to the establishment of the Unified Health System (SUS).

What is the significance of the Lei 8.142 of 1990?

Lei 8.142 of 1990 complements Lei 8.080 and establishes the framework for health councils as collegiate bodies within SUS. It ensures community participation through these councils and mandates that decisions be made collectively by representatives from various sectors.

What does 'Instância colegiada' mean in the context of health councils?

An 'Instância colegiada' refers to a collective decision-making body, where decisions are made by representatives of different groups, such as government, health professionals, and users, working together to formulate and oversee health policies.

What does it mean for the Conselho Nacional de Saúde to be 'deliberative'?

Being 'deliberative' means that the Conselho Nacional de Saúde has decision-making powers. It does not just advise or consult; it actively makes decisions regarding health policy and the control of health-related actions.

What does the term 'paritary representation' refer to in the context of health councils?

Paritary representation means that users (patients and citizens) have equal representation (50%) in health councils alongside other stakeholders, such as government, health service providers, and health professionals, ensuring a balanced influence in decision-making.

How frequently do the health councils meet?

Health councils meet at least once a month, unlike health conferences, which occur every four years.

What is the difference between CONASEMS and CONASES?

CONASEMS is the National Council of Municipal Health Secretaries, representing municipal health secretaries at the national level. CONASES is the National Council of State Health Secretaries, representing state health secretaries. Both have representation in the Conselho Nacional de Saúde.

What is the role of the COSSEMS in the health council structure?

COSSEMS (Council of Municipal Health Secretaries) operates at the state level, uniting municipal health secretaries within a state to have a collective voice and representation in the national discussions led by CONASEMS.

How does the law ensure the participation of users in health decision-making?

The law ensures that users have 50% representation in health councils, granting them significant power in shaping decisions related to health policies, thereby promoting active public participation.