Normative moment of National Health Plans of Brazil and Canada in the light of Mario Testa

Abstract

The study aims to compare the main guidelines of the National Health Plans of Brazil and Canada in the light of Mario Testa. The normative moment of both documents was analyzed, considering only the guidelines of the mentioned plans, analyzed according to the strategies of the strategic thought addressed by Mario Testa. The Atlas.ti program was used, using as keywords analysis the keywords that identify each of the guidelines as well as the three strategies: institutional, programmatic and social. As the main results we find that the national health plans of Brazil and Canada converge regarding the keywords related to care actions directly, despite the North American country planning a greater number of health surveillance activities in relation to Brazil. Both countries guide the normative moment of planning through programmatic strategies, which have intersectorial character in the Brazilian scenario. The divergences point to the intersectoral action in Brazil and the organization of care with well-defined hierarchical levels of health care. However, the predominance of program strategies in Canada makes it possible to infer that this scenario enjoys consolidation of decision-making processes, as well as ensuring the social rights of the population, resulting in specific institutional and social strategies.