TITLE

Paradoxos das políticas de descentralização de saúde no Brasil

AUTHOR(S)
Pasche, Dário Frederico; Righi, Liane Beatriz; Thomé, Henrique Inácio; Stolz, Eveline Dischkaln
PUB. DATE
December 2006
SOURCE
Revista Panamericana de Salud Publica;Dec2006, Vol. 20 Issue 6, p416
SOURCE TYPE
Periodical
DOC. TYPE
Article
ABSTRACT
The constitution of Brazil directs that the country's health system, the Unified Health System (Sistema Unico de Saúde), be politically and administratively decentralized. Nevertheless, handing over competencies, responsibilities, and resources to subnational levels, especially to municipal governments, has been a slow process, lasting almost two decades. Advances have been brought about by the Unified Health System, which, from a analytical perspective, is a public and universal system. Despite that, the decentralization process needs to overcome norms that keep all levels of management dependent on Brazil's federal Government. The subnational levels have consistently faced difficulties in performing their macromanagement functions with autonomy, especially when it comes to financing and to the establishment or organization of health care networks. Boldness and responsibility will be needed to prevent Brazil's health decentralization process from leading to fragmentation. New political agreements between different levels of government, with a reassignment of responsibilities and the enhancement of a culture of technical cooperation, are fundamental requisites to making the Unified Health System have a health policy that is truly public and universal.
ACCESSION #
24516259

 

Related Articles

  • Together for health: introducing the International Foundation for Integrated Care. Goodwin, Nick; Ferrer, Lourdes // International Journal of Integrated Care (IJIC);Oct-Dec2012, Vol. 12, p1 

    The authors reflect on the establishment of the International Foundation for Integrated Care (IFIC), a not-for-profit foundation registered in the Netherlands. They say that the mission of the IFIC is to gather people to move forward the knowledge, science and adoption of integrated care policy...

  • Ailing French health care system to go under the knife. Crabb, Charlene // Bulletin of the World Health Organization;Mar2004, Vol. 82 Issue 3, p232 

    Focuses on efforts to reform the health care services in France. Assessment of the French health care system as overburdened, wasteful and in need of reform, according to a report commissioned by French government and released in January 2004; Citation of problems with medical aspects of a...

  • Gobernanza y salud: significado y aplicaciones en América Latina. Rodríguez, Charo; Lamothe, Lise; Barten, Françoise; Haggerty, Jeannie // Revista de Salud Pública;nov2010 supplement, Vol. 12, p151 

    No abstract available.

  • Here We Go Again--Lessons On Health Reform. Roper, William L. // Health Affairs;Nov/Dec2007, Vol. 26 Issue 6, p1551 

    The 2008 election will focus renewed attention on fundamental health care reform. Lessons from past politically driven reform efforts show that although fundamental reforms may make for good politics, a systemic shift in how health care is financed and delivered is unlikely to occur. Calls for...

  • A Cross-Provincial Comparison of Health Care Reform in Canada: Building Blocks and Some Preliminary Results. Lazar, Harvey // Canadian Political Science Review;2009, Vol. 3 Issue 4, p1 

    This special edition of the Review includes four papers that deal with health care reform in Canada in the 1990-2003 period. The papers are a small sample of some 30 case studies that have been prepared from an ongoing research project entitled Cross-Provincial Comparison of Health Care Reform...

  • Let Contracts, Not 'Necessity,' Guide Health System. Morreim, E. Haavi // Consumers' Research Magazine;Dec2001, Vol. 84 Issue 12, p18 

    Part I. Examines the notion of necessity which is one of the major factors in the disenchanting changes in the health system of the United States. History and problems of medical necessity; Details on necessity versus choice; Information on guidelines-based contracting.

  • Deliver value, create trust, adapt to change in 2009. Walker, Tracey // Managed Healthcare Executive;Jan2009, Vol. 19 Issue 1, p8 

    The article reports on the initiative of managed healthcare executives to respond quickly to the significant changes ahead for the health systems in the U.S. in 2009. It states that the new consumer expectations and disruptive market forces are quickly changing the way that healthcare is...

  • Back to basics: does decentralization improve health system performance? Evidence from Ceará in north-east Brazil. Atkinson, Sarah; Haran, Dave // Bulletin of the World Health Organization;Nov2004, Vol. 82 Issue 11, p822 

    Objective To examine whether decentralization has improved health system performance in the State of Ceará, north-east Brazil. Methods Ceará is strongly committed to decentralization. A survey across 45 local ( município) health systems collected data on performance and formal...

  • DECENTRALIZATION OF HEALTH SERVICES IN ROMANIA. PÎRVU, Daniela; DIDEA, Ionel // Scientific Bulletin - Economic Sciences / Buletin Stiintific - S;Jul2013, Vol. 12 Issue 2, p11 

    This paper aims to provide an analytical framework for decentralization of health services in Romania. Decentralization, intended as a measure to increase quality of health services provided to the population, and to a better functioning of these some health units far not led to the expected...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics