Ouvidoria do SUS: um instrumento de gestão participativa?

Abstract

This dissertation discusses the brazilian public ombudsman as defense mechanism of citizens' rights, specifically the Ombudsman's Unified Health System (SUS) in the state of Pará and if this constitutes as an instrument of participatory management, as recommended by the Ministry Health. In the study it was observed the process of implementation, implementation and decentralization in the management of state policy in the state of Pará. A qualitative approach was adopted which allowed the investigation of processes of social relations, whose data could be obtained through documents and interviews with those involved in the issue at hand. It is evident that the public ombudsman, like any state apparatus is an arena of political struggle, thus wove considerations on the state from Marx, Gramsci and Poulantzas, highlighting the reform suffered by the Brazilian government in the 1990s, which Behring characterized the counter-Reformation because of his tendency to write off social and labor rights already conquered. Then we present different points of view regarding so-called participatory democracy that can identify with both the Reformed liberal thought or put yourself in the perspective of transforming society through radical democracy. Grounded in Marxist theoretical framework analyzes the existing literature on public ombudsman and presents the National Policy for Strategic and Participative Management SUS, whose ombudsman is one of its elements. The results showed that the way the Ombudsman SUS was designed and the design of participation adopted by this which is limited to a mere instrument for measuring user satisfaction are undoubtedly the main obstacles to the Ombudsman is, in fact, an instrument of participatory management.