Originality: The Ethics in Health Institute, in partnership with Fundação Getulio Vargas - FGVethics and FGVsaúde, which received the Stars of Education Award in 2025 for best private university in Brazil; launched the questionnaire for the research "Indicators of the Perception of Corruption in the Health Sector," applied to 987 representatives from different segments of the health chain.

The research, released in May 2026, indicated that 66.8% of respondents classify corruption in health as high and 21.5% as moderate. The negative perception reaches 92.5% of public institutions and 88.4% of private institutions. In addition, 63.6% of participants reported having experienced or witnessed concrete situations of corruption, such as favoritism in contracting and undue influence in prescription. The results also show that 66.8% of respondents classify corruption in health as high, while another 21.5% consider it moderate. In practice, almost nine out of ten participants perceive corruption as a relevant problem in the sector.

There is a large gap in literature on the topic of public health consortia for two reasons:

(i) The articles do not address, in a multidisciplinary way, the problems that arise in the formation and maintenance of public consortia, whose theoretical framework is Collaborative Governance, such as the management of differences in resources and power among members, difficulties in knowledge sharing, and articulation.disorder (leadership) (ii) both issues, collaborative governance (knowledge) and consortia ( intelligence) are new in the academic literature.

Furthermore, it is not clear what the main purposes of a Consortium are, such as sharing resources or obtaining better prices, or both. It is a common knowledge the strong corruption in Brazil due to being a culture turned to distraction such as Carnival. In this case, the consortiums have great difficulty in providing effective services to the citizens because they function as intermediaries between the government and the hospitals without social control or social participation.

Objetive: The objective of this work is to provide a new way to build a Public Consortium, through Communities of Practice (Knowledge Management) to better share knowledge and decisions. Unlike social networks, communities of practice rely on experts in thematic groups (ex. Auctions) as mediators of the discussion/debate with the focus always on patient-citizens.

Material and Methods: A questionnaire regarding consortia (collaborative governance) was completed by the executive secretaries of two consortia in Rio de Janeiro (https://forms.gle/N9CNGRiZrBari7yP9).

Results: This work is not interested in resolving political's issues, such as the sponsorship of the State governor in relation to certain prefectures and these with certain hospitals. It is interested in improving the flow of resources (human, financial, intangible) within the Consortium without altering corruption issues (only in the last four years 383 Brazilian mayors lost their positions due to corruption.) Therefore, the greater result is the proposed a Collaborative Governance model for Consortia in Brazil, based on Communities of Practice, a tool of Knowledge Management.

 Conclusions: This model is especially useful for Rio de Janeiro, which is going through true chaos in its health system as a result of the various arrests of governors (5) and mayors (1) and municipal secretaries (1) during and after the two major sporting events (2014 and 2016), a situation that has not yet been resolved.