Participatory Management in Public Health: Paths to the Implementation of Local Public Policies

Abstract

This study discusses participatory management in public health, analyzing its paths toward the implementation of local public policies. The research was developed through a literature review, using Google Scholar, Scopus, and Web of Science as databases for article selection. Studies published in the last 5 years in Portuguese, English, and Spanish were considered. The results show that social participation, continuing education, and the use of digital technologies are fundamental strategies for strengthening public policies within Brazil’s Unified Health System (SUS). However, challenges such as work intensification in public services, precarious working conditions, and the privatization of social functions hinder the effectiveness of management. Issues related to mental health and environmental health also require more robust policies. It is concluded that participatory management must be supported by cross-sectoral coordination, emphasizing inclusion and innovation, to ensure a fairer, more comprehensive, and sustainable health system.