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Novas formas de gestão na saúde: descentralização e intersetorialidade

The present article discusses decentralization and intersectoriality as assumptions of municipal management for the improvement of quality of life of citizens. Decentralization transfers decision power to the peripheral levels of the city but does not guarantee the solution of social problemas through sectorial policies. Intersectorality constitutes a possibility of solving the problems of the population of a given area in an integrated manner. Fortaleza's City Hall was remodeled presenting as of 1997, a new structure of municipal management for the betterment of quality of life of the city's citizens.

healthy cities; decentralization; intersectorality; municipal management


Faculdade de Saúde Pública, Universidade de São Paulo. Associação Paulista de Saúde Pública. Av. dr. Arnaldo, 715, Prédio da Biblioteca, 2º andar sala 2, 01246-904 São Paulo - SP - Brasil, Tel./Fax: +55 11 3061-7880 - São Paulo - SP - Brazil
E-mail: saudesoc@usp.br