[Nursing in the process of economic management of health services: limits and possibilities].
The study presents some reflections on the possibilities and limitations of the rationalization and flexibilization of the management process of the health services under the economic perspective, focussing on the introduction of mechanisms and instruments centred in the economic and organizational responsibilization of the resources and nursing participation in these processes. Authors discuss the adoption of a system of economic control in order to coordinate the interests of the several subjects involved; to privilege the results of the processes and to improve the economic combination of the resources. Under this perspective, two concepts are considered relevant in the elaboration of the budget of the Nursing Services: the controllability of the resources and the negotiation in the processes of allocation and utilization of these resources. The use of these concepts in the organization of health services, especifically in nursing area, creates new possibilities of participation in the processes of services production, enabling more transparency in the decision processes and restructuring new modalities of management for the nursing services.
Anselmi
M L
ML
Departamento de Enfermagem Geral e Especializada, Escola de Enfermagem de Ribeirão Preto-Universidade de São Paulo.
Nakao
J R
JR
D001938:Brazil; D005376:Financial Management / Q000458:organization & administration*; D006296:Health Services / Q000191:economics*; D009739:Nursing Services / Q000191:economics*