He was considered a systematic method, integrated for sequential stages: the diagnosis, the determination of feasible alternatives in the programmatical and the formularization of the regional plans and national area local. Due to inquiry necessity and a bigger search of education in the substance, was created in 1968 the Center Pan-American of Planning in Health. From it, some applicatory problems of the method had been studied and developed the theoretical landmark of the formularization of strategies, construction of the image objective and analysis of the game of forces, being able between them formal and informal, in the levels national and international. In 1981 Mario Forehead it presented three types of diagnosis: the administrative one, strategical and the ideological one. Later, in 1986, it analyzed forms of being able and accumulation, next to the problem of the technician and politicians. For Mario Forehead we can understand the planning strategical in health as one it breaks paradigmtica on the normative elements that if imposes on the reality lived deeply for the society.

It is from this to think on a situation problem, is that we obtain to elaborate a planning that unfastens all critical we. Chorny understands that it tests must have all passed for the evolutivo process of the planning. Of this form it believes that he would call the attention that the planner is a human being, inserted in a social context, that has a history and can easily be influenced by the process. Parallel, the Chilean economist Carlos Matus developed an approach guided to the planning of situations, that arrived in port, among others, the following strategical elements: the acceptance to the interaction of the power politician and technician; the flexibility of the action courses; the existence of alternative trajectories and the interactive character of the planning. Matus also analyzed the phenomenon of accumulation of the power and the governabilidade; it classified problems detected in structuralized, half and almost structuralized and formulated the concept of ' ' momento' ' to surpass the idea of sequncia of the stages.