CHALLENGES IN PUBLIC MANAGEMENT IN THE HEALTH MANAGEMENT PROCESS: A LITERARY REVIEW.

Abstract

Public health management also seeks to promote equity and social participation, seeking to meet the needs and demands of the population in a fair and democratic way. In addition, continuous improvement of services, health promotion and disease prevention are also sought. The objective of the present study was to identify errors and difficulties in the hospital work environment in public management. This is a systematic literature review that addresses the topics “public health management” on the platforms of scientific articles Google Scholar and Scielo published between 2001 and 2023. The results on the difficulties in public health management are related to scarcity of financial resources, many public managers face difficulties in obtaining sufficient resources to finance health services, fragmentation and lack of integration, the public health system is often fragmented, with different governments and agencies responsible for different aspects, such as primary care , hospitals and prevention programs high turnover of professionals public health management often faces problems in retaining qualified professionals, due to low pay, poor working conditions and lack of career prospects, corruption and poor management of corruption resources are common problems in public health management, diversion of funds, nepotism, overpriced contracts and lack of transparency compromise the efficiency and quality of services, in addition to undermining the population's trust in the health system, regional inequalities difficulties in public health management they can also be observed in the inequality in access to health services between different regions of a country. We highlight that public health management requires a multidisciplinary approach, with the active participation of different actors, such as doctors, nurses, managers, researchers and patients. It is concluded that the biggest challenge is the lack of medical structure and that collaboration between these different professionals and sectors is essential to ensure more efficient and effective management. Furthermore, it is essential that these resources are distributed equitably, guaranteeing access to health services for everyone, regardless of their income or place of residence. Transparency in public health management is also fundamental