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The national health systems organization in regionalized formats acquired a major importance in many health systems and also became an inspiring design for the contemporary changes that have embraced the policy of decentralization guidelines. In addition, with greater or lesser emphasis, the theme has remained as the center of attention throughout the implementation course of the Sistema Único de Saúde (SUS) (Public Health System) in our country. After 17 years of an emergency technical norm from the Ministry of Health which indicated the constitution of health regions by the Federation States (Norma Operacional Básica 01 de 2000) (Basic Operational Norm 01 in 2000) and several federal normative to encourage the regionalization process and the network formations (Pacto pela Saúde de 2006; Decreto Lei 7508, de 2011 e o Decreto 4279 de 2010 que propugna a constituição das RAS) (Health Pact in 2006; Decree Law 7508 in 2011 and the Decree 4279 in 2010 which advocate the formation of RAS) it is important to report how we have advanced in this process, thus, we can contribute with a more detailed debate on health regionalization. Região e Redes (Region and Networks) research proposed to study and disseminate knowledge about the features on the regionalization process in Brazil, understanding as the process constitutes in the health regions. On the other hand, considering the hypothesis of the regional organization of services and the health actions, is an important tool for the universalization which will implicate the improvement of some indicators and, consequently, improve the performance in the health regions. The reason for this assertive is to regulate and direct the flow of services and people within a delimited territory means in introducing improvements for the access of services and a more rational use of resources, assisting in an integral form for the health necessities. It is not easy to discuss this issue, in addition to the characteristic study points of the healthcare in territories and the behavior flow of people between intraand interhealth regions services, it is necessary to explain these movements in the function of also other variables that extrapolate and is not always evident the availability of services, or the availability of offering. Regarding this, the field studies are necessary for the primary data survey, embracing innumerous aspects on policy, planning and health management. In other words, it is necessary to look for different dimensions and/or aspects that form the activity of satisfying the needs in health. And for this purpose, the research was performed in the five health regions in five Brazilian macro-regions: Entorno Manaus and Alto Rio Negro in the North; Baixada Cuiabana in the Midwest; Petrolina and Juazeiro in the Northeast; North Barretos and South Barretos in the Southeast; Carbonífera and Costa Doce in the South. These regions embrace by the division of the Urbano Regional do Instituto Brasileiro de Geografia e Estatística (IBGE), (Regional Urban Brazilian Institute of Geography and Statistics), a National metropolis, a regional capital and cities with different densities of urban networks and besides the State and International boundary areas, regions with different compositions of public and private services and belonging to different groups, according to the typology proposed by the research. The same regions contemplate the population that varies from 384,175 to 2,119,145 inhabitants, with varied demographic densities, populational growth rates and elderly populational rates, in addition to a regional performance that is non-homogeneous, according to the Indicador de Desempenho Regional (Regional Performance Indicator) created by this research. The choice of these regions for the field study is exactly due to the variability present in the territories, which enables us to verify how this specific composition of features impacts the regionalization process and what particular aspects this has on others, such as the history in health policy in these same regions. The research team, formed by researchers from different institutions, had chosen as priority study themes of the governance in the regionalization process, the primary care, the Rede de Urgência e Emergência (Urgency and Emergency Network) and the health surveillance. As the tracers opted Cerebrovascular accident (CVA) for chronic diseases, dengue fever and tuberculosis by surveillance. More than 30 therapeutic itineraries were conducted for CVA in these same areas in order to obtain an inte-

The importance to discuss the regionalization process in health