作者： Ana Conceição Calhao
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摘要: INTRODUCTION: In Brazil, the management of Systems Services Health is come back more toward acute conditions what for chronic agravos, adequately not answering necessity population, given increasing aging and improvement life conditions. The comments designated in this study allow to argue conceptual aspects politics, management, taken by decision, system health condition, pointing out where scene if politics insert such used ways attention a problem health. OBJECTIVE: To analyze condition (arterial hipertensao) System Cuiaba, perspective decision taking. METHOD: It qualitative research, with drawing case study, that analysis content, categorial type participant comment as techniques. collection data was made means structuralized half interview documentary analysis. RESULTS: managemental capacity interviewed ones does answer characteristics requirements public organization dominant model taking organizacional. it always most satisfactory decisor, opts accepted decisions priori, already tried, making difficult innovation. Although organizacional, power decide process discloses little systematic distant rationality standards. occurs fluid, discontinous way, having connection enter stratus. information common sense usual arterial hipertensao emerges valued. As communication prevalecente formal, flow, strangles between control normative participation one assertion other tactics important politics. organizacional accumulates stocks two burocracias: from top bottom, mechanized bureaucracy, rigid controls centralidade decisions. Of low resistant professional bureaucracy emerges, fort I appeal autonomy high specialization standardization abilities. CONCLUSION: municipal privileges time emphasizes (material, human resources financial). However, when problems are chronic, focado function. success reorientation implies conceiving stocks, beyond conditions, clinic alternative technology Thus, motivates set workers new practical seems be good track. For this, managers syntonized future need develop capacities abilities he makes possible print direcionalidade systems generate. Words key: health,