ABSTRACT
Regionalization is a logical, powerful and indispensable governance process in the health policy scenario. Faced with the challenges posed to a supportive regionalization, which enables universal access, equity and comprehensive care, the pioneering Interstate Health Network of the Middle São Francisco Valley was implemented, in the region between the states of Pernambuco and Bahia (PEBA Network). The study analyzed the complex management relationship that involves, in the coordination of care, public and private agents. The approach was qualitative, focusing on the regionalization process of the PEBA Network, through care regulation, from the perspective of managers, service professionals and users. The analysis of the supply-production-waiting line association allows us to see that qualification of clinic management, the referral process and the need for organization and communication are essential to guarantee timely access. Otherwise, there are direct effects on absenteeism, impacting the increase in queues, requiring a systemic and multifactorial approach to organizing the regulatory process. The need for organizational arrangements is evident, involving all actors in the process of formulating and developing public health policies, in order to overcome barriers to care coordination and comprehensive health.
KEYWORDS
Health management; Regional health planning; Government regulation; Policy making; Health services accessibility