Governance in health: The implementation challenges

Abstract

The massification of concepts in general makes them often difficult to define. The concept of governance became popular across several areas, being orientated according to the area in which it is applied. Authors state that the governance emerges as a “hat” under which many themes fit, reason why several concepts were created, under the influence of the areas in which they were applied. In spite of the various translations into Portuguese in the literature, in a generic way, the term “governance” can be understood as a model of network governing. This work aims to approach the governance concept, governance associated with the health sector, and all the governance concepts associated to governance in health care. The aim is to understand the factors that stop the implementation of governance in health. There are factors hereinafter described that persistently affect the operationalization of governance. The challenge is to find innovative ways to mitigate the impact of these factors.