KEY CHALLENGES FACED BY PUBLIC MANAGEMENT IN ADMINISTERING THE UNIFIED HEALTH SYSTEM (SUS)

Abstract

The study addresses the main challenges faced by public management in the administration of the Brazilian Unified Health System (SUS), considering health as a social right and a duty of the State. This is a bibliographic review that aims to identify barriers that affect administrative efficiency, access, and quality in public health services in Brazil. The research was conducted through searches in databases such as SciELO and Google Scholar, selecting scientific publications, editorials, theses, and dissertations published between 2014 and 2025 and submitted to exploratory, selective, and analytical reading. The results indicate that limited financial resources, unequal allocation of investments, insufficient training of health professionals, fragile public policies, fragmented management, and low social participation are among the main obstacles to SUS administration. The study concludes that improving public health management requires planning, permanent education, cost rationalization, strengthening of primary care, and expansion of social control.