Regionalização, Comissão Intergestores Regional (CIR) e Consórcio Intermunicipal de Saúde (CIS): a experiência da Região Metropolitana I do Estado do Rio de Janeiro, de 2009 a 2022

Abstract

Although the relations between the regional Intermanagers Commission and the Baixada Fluminense Intermunicipal Consortium have strengthened over the years, through the central level representatives of SES/RJ in the CIR and the CIR Executive Secretariat, work strategies were launched, such as the participation of the CIR Executive Secretariat in meetings within the consortium with municipal managers. This resulted in an ineffective experience, mainly because managers confused the role of the CIR and Consortium, which in some situations were similar. It was found that the consortium, always represented by its Executive Secretary and the Technical Director, has been participating since 2014, and in 2017 its participation became more effective. Although SES/RJ, in 2015, held a seminar aimed at encouraging the formation of consortia in health regions and in 2017, the reception of new managers based at CISBAF, aiming to integrate the two bodies in the region, SES/RJ did not standardize proposals that included consortia in the regionalization of the state. In 2023, with the update of the internal regulations of the CIRs in the state of Rio de Janeiro, through CIB/RJ Deliberation No. 7.974, of September 21, 2023, the Intermunicipal Consortiums will begin to participate in the CIR plenary as listeners. The importance of all SES structures being aligned with the regionalization proposal is emphasized, in which the CIR, like regional governance, is prioritized as a promoter and trigger of discussions regarding processes and proposals within the scope of SES/RJ. Likewise, the consortium's actions regarding projects involving municipalities in the region must be converted for knowledge and debate by this commission.