Responsibilities of federated entities contracted within a health region

Abstract

The Organisational contract of Public Health Action was established by the Presidential Decree No. 7.508/2011 for the purposes of serving as a contract between political entities within a Health Region. It  defines the responsibilities  to be delegated to the head of the executive branch and its undersecretary  of health,  as well as the Ministry of Health. However, its provisions  are  closer to an agreement or consortium,  and, not rarely, those of a contract. The effectiveness and the need  for such an instrument are discussed in the light of the existence of similar  instruments previously adopted  for cooperative regionalization. In order to analyze the main assumptions,  a literature review and a review of related legislation were made, as well as a draft contract proposal for health regions.