PROBLEMS AND CHALLENGES FACED BY PUBLIC MANAGEMENT IN BRAZILIAN HEALTH

Abstract

The Unified Health System (SUS) faces several challenges in public health management in Brazil, reflecting the complexity of universal and quality care. Among the main problems are underfunding, inequality in access to services, the shortage of health professionals in some regions, and the lack of adequate infrastructure. The decentralization of management, although it has made it possible to adapt services to local needs, has also generated difficulties in terms of coordination and efficiency. Technological innovation, especially the digitalization of processes and the implementation of telemedicine, emerges as a potential solution to improve the management and quality of care, while contributing to the reduction of regional inequalities. However, these innovations must be accompanied by improvements in the training of professionals, in infrastructure and in the creation of more effective public policies. The sustainability of the SUS also requires a new financing model that allows for a balance in the distribution of resources, ensuring that all citizens, regardless of the region, have access to quality health. In short, the challenges faced by the SUS are not insurmountable, but require a continuous effort to innovate, improve management, and value health education, with a focus on equity and efficiency of the services provided. Strengthening the SUS is essential to ensure social inclusion and universal access to health in Brazil.