TERM OF A COMMITMENT AND GOALS PLAN

The municipal manager of primary health care in order to induce the operation of Care Networks in an integrated and coordinated manner to health quality and efficiency of services, has implemented mechanisms to formalize institutional relations between managers, regulators and service providers. This paper describes the process between the Municipal Health Secretariat in Rio de Janeiro and its specialized outpatient clinics and presents the development of an instrument to share responsibilities, define indicators and ways of monitoring and evaluation. The choice of term of a commitment and goals plan followed a desk review of the Ministry of Health regulations that guide paths to this pact. The construction of the documents was based on agreements, negotiations and sharing of responsibilities between levels of management involved. We observed that the establishment of quantitative and qualitative parameters for the demands of assistance from the determination of targets and indicators could contribute to greater efficiency and effectiveness of the specialized attention of dots that make up the network of attention to health.