title: [Applicability of the strategic planning approach to local health organizations]
abstract: This paper presents the preliminary results from a study on the limits and possibilities of the strategic planning approach for local health organizations. A comparative analysis is developed between two experiences concerning the application of the strategic situational planning method (PES method) in the management of a health center and hospital. Questions include the following: difficulties with the use of the category actor in local health organizations; possibility of drafting a collective project based on the multiple rationalities existing in such organizations; possibility of improving communications processes with the use of the PES method; difficulties related to organizational culture; and low levels of responsibility, as well as difficulties pertaining to the method's complexity and the possibility of simplifying it, maintaining strategic situational analysis and improving organizations' managerial capacity.
authors.affiliation: Departamento de Administração e Planejamento em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, 21041-210, Brasil.
authors.initials: E
authors.lastname: Artmann
authors.initials: Cd
authors.lastname: Azevedo
authors.initials: Md
authors.lastname: Sá