Descontinuidade de políticas públicas: uma análise sobre o Programa Melhor em Casa

Abstract

The discontinuity of public policies is common in the culture of public institutions, and the probability of this happening is greater with each change of government. This work intends to investigate how this fact can occur with a specific public policy, the Better Program at Home, aimed at Home Care, carried out in partnership between the Ministry of Health and local managers. The work surveyed the number of teams deployed and identified the municipalities where the interruption of the program occurred at some point between 2011 and 2019. Thus, it was verified whether the municipality's entry into the program increases the number of basic health professionals and whether the interruption the same has an inverse effect. Of the 7 professional categories analyzed, 4 were positively affected by entering the program, however, non-significant effects are observed when it is interrupted or intermittent. Based on the municipal elections of 2008, 2012 and 2016, it was found that political influence was not a determining factor to characterize its discontinuity, as among the 298 municipalities that implemented the program, only 19 of them interrupted or canceled it completely, which represents 6.38% of these municipalities.