Produção científica e inovação na gestão do Sistema Nacional de Vigilância Sanitária: rede de autoria e complexo industrial da saúde (1999-2009)

By identifying the innovations in the management of the Sistema Nacional de Vigilância Sanitaria (Brazilian National Sanitary Surveillance - SNVS) in the last decade, this study examines the strategies and guidelines relating to government policy agenda and its constitutional mission. To this end, the author applied the analytical model and the variables proposed by Souza and Contandriopoulos (2004)1 to evaluate the use of scientific knowledge in decision-making process (accessibility, availability, validity, characteristics of the scientific context). It is, thus, understand the scientific and political context that shapes the environment in which scientific knowledge is prioritized in the SNVS management, noting the following aspects: policy making and scientific knowledge, characteristics of policy makers and their institutions, the characteristics of the researchers; the characteristics of scientific institutions, the discourses of policy makers and researchers. In this process, guidance documents were privileged to SNVS, as the “Protocolo das Acoes de Vigilância Sanitaria” – 2005 (Protocol of Actions for Health Surveillance) and the “Plano Diretor de Vigilância Sanitaria” - 2007 (Master Plan for Sanitary Surveillance), as well as the scientific, whose focus is on analysis of all articles in publications known as the “Qualis A” in the field of public health (20 articles) and doctoral theses in the same area (85 theses), both identified by the keyword "health surveillance" by searching at the complete expression at Portal de Periodicos CAPES (Journals Portal Capes) in the last decade (1999-2009). The objective of this work is to examine the focus given to scientific knowledge in the SNVS management, identifying its main strategies, the scientific and the network of actors and reflecting on the tension caused by induces political in the incorporation of the assumptions of health-industrial complex to its guidelines, focused on health promotion and protection. As a result, the study of relations between actors, based on the implementation of the Software ORA (Organizational Risk Analyzer), fitting to the social network analysis, the author identified the authorships network in health surveillance, consists of four (04) distinct structures. In these communities, it is highlight the research and education institutions selected by Anvisa as Health Surveillance Collaborating Center (Cecovisa): Fiocruz, USP, UFMG and UFBA. In the thematic distribution of scientific publications by health surveillance activities, among the articles stand out drugs surveillance studies with 25% of scientific production and doctoral theses, food surveillance studies with 29.5%. But in both publications were found greater convergence with the guidelines SNVS / PDVISA Axis IV of the Knowledge Production and Technological Development. This study detected the existence of an enabling environment for access and dissemination of scientific knowledge in SNVS, which prioritizes the rapprochement between research and educational institutions and health surveillance services. The guidelines and strategies formulated in SNVS management will meet the government policy agenda in pursuit of a virtuous relationship between health policy and health-industrial complex strengthening, as they guide to action based on research and technological development in health surveillance. However, publications analysis, it was observed that 'Health Industrial Complex’ theme has not been included, revealing a paradox or, minimally, a mismatch between the academic production and sector policy agenda, with explicit tension derived from the pressure in SNVS particularly directed to Anvisa to meet the productive development policy prerogatives.