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Resumo: Os espacos colegiados de gestao configuram-se como instâncias de pactuacao e negociacao no contexto da regionalizacao da saude. Objetivo: discutir as caracteristicas, potencialidades e desafios do colegiado/comissao de gestao regional para o fortalecimento da regionalizacao. Trata-se de estudo exploratorio, descritivo e de abordagem qualitativa, realizado atraves de entrevistas com gestores e analise dos conteudos dos relatos. Os resultados evidenciaram que os colegiados/comissoes se caracterizam como instrumentos para regionalizacao, instâncias de cogestao solidaria e sao relevantes na conformacao das redes, entretanto, ainda encontra entraves para a sua operacionalizacao. O estudo mostrou que limites para a concretizacao da regionalizacao, indicando a necessidade por avancos para a superacao dos desafios decorrentes desse processo. Palavras-chave : Regionalizacao; Gestao em Saude; SUS. Abstract: Collegial management spaces are configured as instances of negotiation and pacing in the context of health regionalization. Objective: to discuss the characteristics, potential and challenges of the collegiate / regional management commission to strengthen regionalization. It is an exploratory, descriptive and qualitative approach, conducted through interviews with managers and analysis of the contents of the reports. The results showed that the collegiate / commissions are characterized as instruments for regionalization, instances of joint management and are relevant in the conformation of the networks, however, it still finds obstacles to its operationalization. The study showed that limits to the realization of regionalization, indicating the need for advances to overcome the challenges arising from this process. Keywords: Regionalization; Health Management; SUS.

Potencialidades e desafios para a gestão regional em saúde: reflexões a partir da dinâmica dos espaços colegiados