Banca de DEFESA: MARCUS VINÍCIUS CUNHA DOS SANTOS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : MARCUS VINÍCIUS CUNHA DOS SANTOS
DATE: 24/02/2025
TIME: 10:30
LOCAL: Plataforma Teams
TITLE:

PROFILE OF PUBLIC HEALTH AGENTS AND THE PROMOTION OF
MECHANISM FOR STRENGTHENING VERTICAL ACCOUNTABILITY IN
BRAZILIAN LOCAL GOVERNMENTS

KEY WORDS:

HEALTH; ACCOUNTABILITY; BRAZILIAN LOCATIONS

PAGES: 151
BIG AREA: Ciências Sociais Aplicadas
AREA: Administração
SUBÁREA: Ciências Contábeis
SUMMARY:

Democracies are subsets of institutions classified as political, which have as characteristics regular patterns of interaction that are known, practiced and accepted by social agents, on the premise of continuing to interact under the rules and norms incorporated in these patterns. In the functioning of complex contemporary societies, democracy is essential in mediating between structural factors, people and groups in which society organizes its varied interests and identities (O’Donnel, 1991). However, the extension of modern States and the complexity of current political issues make it impossible to have a dialogue that incorporates each of the citizens, forcing the adoption of models of representative democracy and the need for specialization of rulers (Miguel, 2005). In this context, in the search for good governance, representation and accountability would be essential aspects in the model of representative democracy to ensure that rulers govern in the interest of the people, and that they are also representative and accountable to the people. Representation would aim to shorten the distance between those who govern and those who are governed, ensuring an awareness of interests, while accountability would serve as a control parameter, so as to prevent those who govern from straying from the path of conscience (Philp, 2009). It turns out that in order to implement this desired scenario, an environment in which the public sphere is democratic and functional is necessary, in which high-ranking public agents are required to be accountable to someone, in order to give citizens the power to influence political decisions. Only under this structure are effective instruments prescribed for information flows, freedom of expression and active participation, all of which foster social control over the acts of the State, which represses them against abuse of power (Splichal, 1999; Gonçalves et al, 2021). A direct relationship is recognized between the quality of a democracy and the permanent accountability imposed on public agents for their acts carried out by virtue of the use of the power granted by society (Rocha, 2008). It turns out that in new democracies, such as the one experienced in Brazil, practices that are harmful to the system are observed, such as clientelism, corruption and arbitrary actions, resulting from the excessive concentration of power in the different sectors of the State. This condition creates structural challenges for the improvement and implementation of more effective controls and the enhancement of democracy itself (Mota, 2007). Then, we see the weakening of democracy caused by the distancing of public bodies from the needs of the clientele, without the necessary protection against the inadequate treatment that the public bureaucracy provides to the Brazilian citizen. With this, it is argued that this condition will only be repressed if the government's actions are monitored by the citizen (Campos, 1990). As noted by Bilhim (2017), the existing distance between government and citizens is the basis for inefficiency and lack of courtesy, and globalization as a probable mechanism for adjusting this process has not been sufficient to correct the deficiencies in the public sector, unlike what is experienced in the private sector. In this author's assessment, the private sector has adopted sophisticated management instruments, increased sensitivity to customers, and more efficient production through reduced production costs and structures, facts that are ignored in the context of the public sector due to the State's monopoly on the production of public services. It is also worth noting that, over the years, it has been perceived that the health sector has become one of the fastest growing segments and requires expenditure of economic resources, being responsible for consuming a large part of a country's economy (Shukri & Ramli, 2015; De Medeiros and De Oliveira Gonçalves, 2024). Particularly in Brazil, it is noted that in recent decades, in all dimensions of government – Federal; States; Federal District and Municipalities – a large volume of financial resources has been used in the health area, in fact, this portfolio appears as one of the areas of government activity that has had one of the largest amounts of approved and executed resources, when compared to other public policies offered by the State.

COMMITTEE MEMBERS:
Interno - 2478208 - ABIMAEL DE JESUS BARROS COSTA
Interno - 1454420 - ANDRE NUNES
Presidente - 1646063 - ANDREA DE OLIVEIRA GONCALVES
Externa à Instituição - ELIONOR FARAH JREIGE WEFFORT - FECAP