title: [Healthcare regulation and healthcare management as tools to assure comprehensiveness and equity in health].
abstract: Healthcare production that assures comprehensiveness and equity has posed a challenge for Brazil's Unified National Health System. The aim of this study was to contribute to the debate on the issue, analyzing an experience with municipal healthcare management using regulation to improve quality of care. We conducted a case study in which data were obtained through direct observation, interviews, written narratives, and document analysis. The research subjects were health services managers and health workers. The results feature the concept of a living network, produced actively by building relations between the health workers in the different services. The study highlights the measures to support the care produced by the teams, based on healthcare regulation and work processes management. The results were expressive in upgrading the care, reducing the waiting lines for the specialties, and increasing the health workers' satisfaction. The key feature in the process was the evident need to enrich (through acts) the technical knowledge with light technologies and active movements by management in the production of care.
authors.affiliation: Centro de Ciências da Saúde, Universidade Estadual de Londrina, Rua Robert Koch 60, Londrina, Brazil. robaduy@gmail.com
authors.forename: Rossana Staevie
authors.initials: RS
authors.lastname: Baduy
authors.forename: Laura Camargo Macruz
authors.initials: LC
authors.lastname: Feuerwerker
authors.forename: Marlene
authors.initials: M
authors.lastname: Zucoli
authors.forename: Joelma Teixeira
authors.initials: JT
authors.lastname: Borian
mesh_terms: D001938:Brazil; D003191:Comprehensive Health Care / Q000331:legislation & jurisprudence / Q000458:organization & administration* / Q000592:standards; D003695:Delivery of Health Care / Q000458:organization & administration*; D005161:Facility Regulation and Control / Q000458:organization & administration*; D005192:Family Health; D006268:Health Facilities / Q000592:standards; D006270:Health Facility Administrators; D006282:Health Personnel / Q000458:organization & administration*; D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D009313:National Health Programs / Q000592:standards